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Early Experience and the Feasibility of the Firefly Technology for Central Lymph Node Dissection (CLND) in Robotic Thyroidectomy Using the BABA
Journal of Minimally Invasive Surgery ; : 117-119, 2017.
Article in English | WPRIM | ID: wpr-120525
ABSTRACT
In the bilateral axillo-breast approach (BABA), the camera is inserted through the areolar incision, and this raises the concern it might be difficult to identify the lymph nodes (LN). The purpose of this study is to evaluate the feasibility of the Firefly for central lymph node dissection (CLND) in robotic thyroidectomy using the BABA. This study evaluated 18 patients who underwent robotic surgery using Firefly between December 2015 and March 2016. For LN mapping, 0.05 ml of ICG was injected into the thyroid 3~4 minutes before CLND. Green-stained LN could be detected easily through a near-infrared camera. The number of retrieved LNs was 7.8±3.0 after CLND using the Firefly, which was higher than the 6.7±0.2 reported in previous surgeries. In addition, it helped to distinguish between the parathyroid and the LNs. The Firefly technology was helpful in identifying the LNs, guiding the CLND and performing a complete CLND.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Thyroid Gland / Thyroidectomy / Fireflies / Indocyanine Green / Lymph Node Excision / Lymph Nodes Limits: Humans Language: English Journal: Journal of Minimally Invasive Surgery Year: 2017 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Thyroid Gland / Thyroidectomy / Fireflies / Indocyanine Green / Lymph Node Excision / Lymph Nodes Limits: Humans Language: English Journal: Journal of Minimally Invasive Surgery Year: 2017 Type: Article