Prevención de hipoparatiroidismo con verde de indocianina en tiroidectomía transoral: estudio piloto.
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| Title: | Prevención de hipoparatiroidismo con verde de indocianina en tiroidectomía transoral: estudio piloto. |
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| Alternate Title: | Prevention of hypoparathyroidism with indocyanine green in transoral thyroidectomy: Pilot study. |
| Authors: | Domínguez-Rangel, Jorge Armando1 jorarm28@hotmail.com, Saucedo-Moreno, Eric Misael2, Piscil-Salazar, Marco Antonio2 |
| Source: | Revista Medica del IMSS. may/jun2026, Vol. 64 Issue 3, p1-8. 8p. |
| Subjects: | HYPOPARATHYROIDISM, THYROIDECTOMY, PARATHYROID hormone, FLUORESCENT dyes, SURGICAL complications, PARATHYROID glands, PILOT projects, CALCIUM in the body |
| Abstract (English): | Background: The prevalence of hypoparathyroidism following thyroidectomy is estimated to range from 15%, with a higher incidence observed in transoral endoscopic thyroidectomy via vestibular approach (TOETVA). Objective: To describe the impact of intraoperative use of indocyanine green (ICG) to identify parathyroid glands in reducing postoperative hypoparathyroidism. Material and methods: A pilot, observational, comparative, longitudinal, and ambispective study was conducted in a cohort of 55 patients who underwent laparoscopic thyroidectomy via TOETVA. Calcium (Ca) and parathyroid hormone (PTH) levels were compared immediately and 24 hours after surgery. Results: The mean age was 43.07 years (standard deviation ± 10.15). The average surgery time was 99.15 minutes (± 20.02), and the mean blood loss was 9.3 mL (± 15.9). The prevalence of biochemical postoperative hypoparathyroidism (PTH < 12 pg/mL) was 5.54%. Biochemical hypocalcemia occurred in 19 patients (34.5%), and 4 patients (7.3%) experienced clinical hypocalcemia with paresthesia. Patients were divided into 2 groups: with and without the use of ICG. No significant differences were found in the incidence of hypocalcemia or hypoparathyroidism between the 2 groups (p = 0.360 and p = 1.000, respectively). Conclusion: No differences were found in surgery time, blood loss, clinical hypocalcemia, or postoperative calcium and PTH levels. [ABSTRACT FROM AUTHOR] |
| Abstract (Spanish): | Introducción: la prevalencia de hipoparatiroidismo posterior a una tiroidectomía se estima en un 15% de los casos, con una mayor incidencia en tiroidectomía endoscópica transoral por vía vestibular (TOETVA). Objetivo: describir el impacto del uso transoperatorio de verde de indocianina para identificar las glándulas paratiroides en la reducción del hipoparatiroidismo posquirúrgico. Material y métodos: se realizó un estudio piloto, observacional, comparativo, longitudinal y ambispectivo en una cohorte de 55 pacientes sometidos a tiroidectomía laparoscópica tipo TOETVA. Se compararon los niveles de calcio (Ca) y hormona paratiroidea (PTH) inmediatamente después de cirugía y 24 horas después. Resultados: la edad media fue de 43.07 años (desviación estándar ± 10.15). El tiempo quirúrgico promedio fue de 99.15 minutos (± 20.02) y la pérdida sanguínea media de 9.3 mL (± 15.9). La prevalencia de hipoparatiroidismo bioquímico postoperatorio (PTH < 12 pg/mL) fue 5.54%. Se presentaron 19 pacientes con hipocalcemia bioquímica (34.5%) y 4 de hipocalcemia clínica con parestesias (7.3%). Los pacientes se dividieron en 2 grupos: con y sin uso de verde de indocianina. Al comparar ambos, no se identificaron diferencias significativas en la incidencia de hipocalcemia ni de hipoparatiroidismo (p = 0.360 y p = 1.000, respectivamente). Conclusión: no se encontraron diferencias en el tiempo quirúrgico, el sangrado, la hipocalcemia clínica ni en los niveles postoperatorios de Ca y PTH. [ABSTRACT FROM AUTHOR] |
| Copyright of Revista Medica del IMSS is the property of Direccion de Prestaciones Medicas - IMSS and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
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| Header | DbId: lth DbLabel: MedicLatina An: 193665400 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Prevención de hipoparatiroidismo con verde de indocianina en tiroidectomía transoral: estudio piloto. – Name: TitleAlt Label: Alternate Title Group: TiAlt Data: Prevention of hypoparathyroidism with indocyanine green in transoral thyroidectomy: Pilot study. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Domínguez-Rangel%2C+Jorge+Armando%22">Domínguez-Rangel, Jorge Armando</searchLink><relatesTo>1</relatesTo><i> jorarm28@hotmail.com</i><br /><searchLink fieldCode="AR" term="%22Saucedo-Moreno%2C+Eric+Misael%22">Saucedo-Moreno, Eric Misael</searchLink><relatesTo>2</relatesTo><br /><searchLink fieldCode="AR" term="%22Piscil-Salazar%2C+Marco+Antonio%22">Piscil-Salazar, Marco Antonio</searchLink><relatesTo>2</relatesTo> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Revista+Medica+del+IMSS%22">Revista Medica del IMSS</searchLink>. may/jun2026, Vol. 64 Issue 3, p1-8. 8p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22HYPOPARATHYROIDISM%22">HYPOPARATHYROIDISM</searchLink><br /><searchLink fieldCode="DE" term="%22THYROIDECTOMY%22">THYROIDECTOMY</searchLink><br /><searchLink fieldCode="DE" term="%22PARATHYROID+hormone%22">PARATHYROID hormone</searchLink><br /><searchLink fieldCode="DE" term="%22FLUORESCENT+dyes%22">FLUORESCENT dyes</searchLink><br /><searchLink fieldCode="DE" term="%22SURGICAL+complications%22">SURGICAL complications</searchLink><br /><searchLink fieldCode="DE" term="%22PARATHYROID+glands%22">PARATHYROID glands</searchLink><br /><searchLink fieldCode="DE" term="%22PILOT+projects%22">PILOT projects</searchLink><br /><searchLink fieldCode="DE" term="%22CALCIUM+in+the+body%22">CALCIUM in the body</searchLink> – Name: Abstract Label: Abstract (English) Group: Ab Data: Background: The prevalence of hypoparathyroidism following thyroidectomy is estimated to range from 15%, with a higher incidence observed in transoral endoscopic thyroidectomy via vestibular approach (TOETVA). Objective: To describe the impact of intraoperative use of indocyanine green (ICG) to identify parathyroid glands in reducing postoperative hypoparathyroidism. Material and methods: A pilot, observational, comparative, longitudinal, and ambispective study was conducted in a cohort of 55 patients who underwent laparoscopic thyroidectomy via TOETVA. Calcium (Ca) and parathyroid hormone (PTH) levels were compared immediately and 24 hours after surgery. Results: The mean age was 43.07 years (standard deviation ± 10.15). The average surgery time was 99.15 minutes (± 20.02), and the mean blood loss was 9.3 mL (± 15.9). The prevalence of biochemical postoperative hypoparathyroidism (PTH < 12 pg/mL) was 5.54%. Biochemical hypocalcemia occurred in 19 patients (34.5%), and 4 patients (7.3%) experienced clinical hypocalcemia with paresthesia. Patients were divided into 2 groups: with and without the use of ICG. No significant differences were found in the incidence of hypocalcemia or hypoparathyroidism between the 2 groups (p = 0.360 and p = 1.000, respectively). Conclusion: No differences were found in surgery time, blood loss, clinical hypocalcemia, or postoperative calcium and PTH levels. [ABSTRACT FROM AUTHOR] – Name: Abstract Label: Abstract (Spanish) Group: Ab Data: Introducción: la prevalencia de hipoparatiroidismo posterior a una tiroidectomía se estima en un 15% de los casos, con una mayor incidencia en tiroidectomía endoscópica transoral por vía vestibular (TOETVA). Objetivo: describir el impacto del uso transoperatorio de verde de indocianina para identificar las glándulas paratiroides en la reducción del hipoparatiroidismo posquirúrgico. Material y métodos: se realizó un estudio piloto, observacional, comparativo, longitudinal y ambispectivo en una cohorte de 55 pacientes sometidos a tiroidectomía laparoscópica tipo TOETVA. Se compararon los niveles de calcio (Ca) y hormona paratiroidea (PTH) inmediatamente después de cirugía y 24 horas después. Resultados: la edad media fue de 43.07 años (desviación estándar ± 10.15). El tiempo quirúrgico promedio fue de 99.15 minutos (± 20.02) y la pérdida sanguínea media de 9.3 mL (± 15.9). La prevalencia de hipoparatiroidismo bioquímico postoperatorio (PTH < 12 pg/mL) fue 5.54%. Se presentaron 19 pacientes con hipocalcemia bioquímica (34.5%) y 4 de hipocalcemia clínica con parestesias (7.3%). Los pacientes se dividieron en 2 grupos: con y sin uso de verde de indocianina. Al comparar ambos, no se identificaron diferencias significativas en la incidencia de hipocalcemia ni de hipoparatiroidismo (p = 0.360 y p = 1.000, respectivamente). Conclusión: no se encontraron diferencias en el tiempo quirúrgico, el sangrado, la hipocalcemia clínica ni en los niveles postoperatorios de Ca y PTH. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Revista Medica del IMSS is the property of Direccion de Prestaciones Medicas - IMSS and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.5281/zenodo.18715336 Languages: – Code: spa Text: Spanish PhysicalDescription: Pagination: PageCount: 8 StartPage: 1 Subjects: – SubjectFull: HYPOPARATHYROIDISM Type: general – SubjectFull: THYROIDECTOMY Type: general – SubjectFull: PARATHYROID hormone Type: general – SubjectFull: FLUORESCENT dyes Type: general – SubjectFull: SURGICAL complications Type: general – SubjectFull: PARATHYROID glands Type: general – SubjectFull: PILOT projects Type: general – SubjectFull: CALCIUM in the body Type: general Titles: – TitleFull: Prevención de hipoparatiroidismo con verde de indocianina en tiroidectomía transoral: estudio piloto. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Domínguez-Rangel, Jorge Armando – PersonEntity: Name: NameFull: Saucedo-Moreno, Eric Misael – PersonEntity: Name: NameFull: Piscil-Salazar, Marco Antonio IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 05 Text: may/jun2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 04435117 Numbering: – Type: volume Value: 64 – Type: issue Value: 3 Titles: – TitleFull: Revista Medica del IMSS Type: main |
| ResultId | 1 |
