Journals / Endokrinolojide Diyalog Dergisi / 2013 / Cilt: 10 - Sayı: 1

The role of radioguided surgery with gamma detector help in complimentary thyroidectomies

Pages
7–13
Publication Date
2022-10-11
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

We think that present study could be seen as a beginning due to its being of the first example of using gamma probe in complementary thyroidectomy in our clinic and it needs to be developed by including more patients.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim:The purpose of this study is to investigate the advantages and disadvantages of using gamma probe in complementary thyroidectomies and compare the results with those of classical complementary operations.
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Key Findings & Data:Material methods:51 patients who has been planned to complementary thyroidectomy were divided into two groups as to be applied with classical thyroidectomy (Group 1; 26 patients) and gamma probe aided radio guidedcomplementary thyroidectomy (Group 2; 25 pa- tients).
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Conclusion & Impact:We think that present study could be seen as a beginning due to its being of the first example of using gamma probe in complementary thyroidectomy in our clinic and it needs to be developed by including more patients.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim:The purpose of this study is to investigate the advantages and disadvantages of using gamma probe in complementary thyroidectomies and compare the results with those of classical complementary operations. Material methods:51 patients who has been planned to complementary thyroidectomy were divided into two groups as to be applied with classical thyroidectomy (Group 1; 26 patients) and gamma probe aided radio guidedcomplementary thyroidectomy (Group 2; 25 pa- tients). Routine laryngoscopy were applied to both groups of patients pereoperatively and postoperatively. Preoperative and postoperative routine clinical and laboratory characteristics, operating time, temporary and permanent recurrent laryngeal nerve (RLN) injury, temporary and permanent hypoparathyroidism, postoperative laboratory and pathology results, complications, and postoperative residual with scintigraphy were compared.Results:There were not significant difference beetween two groups in terms of age, gender, preoperative laboratory and patology results (p>0.05). statistically differnce were found in the favor of gamma probe used group in term of operation duration There were not significant difference beetween two groups in terms of temporary and permenant RLN injury (p>0.05). Two groups were similar in terms of postoperative temporary and permanent hypoparathyroidism, laboratory results and complications (p>0.05). Statistically difference was not found in term of postoperative residue when based on total patients in two groups. However, when the malign patients were compared there was a significant decrease in the gama probe used group in term of postoperative residue (p=0.022). Conclusion: The results of this study make us think that complementary thyroidectomy performed with gamma probe does not increase complication ratios, simplifies the postoperative treatments and controls by supplying more efficient surgical resection and is an efficient technique for prevention of reoccurrences. We think that present study could be seen as a beginning due to its being of the first example of using gamma probe in complementary thyroidectomy in our clinic and it needs to be developed by including more patients.

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Cite This Article

AKÇA, T., DAĞ, A., GÜNAY, E. C., AYDIN, S., SUNGU, M. A., SEYİT, H. (2022). The role of radioguided surgery with gamma detector help in complimentary thyroidectomies. Endokrinolojide Diyalog Dergisi, Cilt: 10 - Sayı: 1, 7–13. https://ajindex.com/articles/500692

References (10)

  1. Shaheen OH. Thyroid surgery. London: The Parthenon Pub- lishing Group, 2003;11-21
  2. Kepenekçi İ, Ulusoy C, Demirer S, ve ark. Tamamlayıcı tiroidektomi. Türkiye Klinikleri 2005;1:77-82
  3. Lefevre JH, Tresallet C, Leenhardt L, et al. Reoperative surgery for thyroid disease. Langenbecks Arch Surg 2007;392:685-691
  4. Kupferman ME, Mandel SC, DiDonato L, et al. Safety of completion thyroidectomy following unilateral lobectomy for well- differentiated thyroid cancer. Laryngo scope 2002;112:1209-1212
  5. Erdem E, Gülçelik MA, Kuru B, et al. Comparison of completion thyroidectomy and primary surgery for differentiated thyroid carcinoma. Eur J Surg Oncol 2003;29:747-9
  6. Tan MP, Agarwal G, Reeve TS, et al. Impact of timining on completion thyroidectomy for thyroid cancer. Br J Surg 2002;89:802-804
  7. Kebebew E, Clark OH. Differentiated thyroid cancer:“complete” rational approach. World J Surg 2000;24:942–951
  8. Travagli JP, Cailleux AF, Ricard M, et al. Combination of ra- dioiodine (131I) and probe-guided surgery for persistent or re- current thyroid carcinoma. J Clin Endocrinol Metab 1998;83:2675– 680
  9. Lippi F, Capezzone M, Miccoli P, et al. Use of surgical gamma probe for the detection of lymph node metastases in differen- tiated thyroid cancer. Tumori 2000;86:367–369. 10.Salvatori M, Rufini V, Reale F, et al. Radio-guided surgery for lymph node recurrences of differentiated thyroid cancer. World J Surg 2003;27:770 –775
  10. Chen H, Mack E, Starling JR. Radioguided parathyroidectomy is equally effective for both adenomatous and hyperplastic glands. Ann Surg 2003;238:332–337. 12.Kepenekçi İ, Ulusoy C, Demirer S, ve ark. Tamamlayıcı tiroidektomi. Türkiye Klinikleri 2005;1:77-82. 13.Eroglu A, Mudun A, Berberoglu K, et al. Comparison of sub- dermal and peritumoral injection techniques of lymphoscintig- raphy to determine the sentinel lymph node in breast cancer. Clin Nucl Med 2004;29:306-311. 14.Halkar RK, Aarsvold JN. Intraoperative probes. J Nucl Med Technol 1999;27:188-193. 15.Mudun A, Murray DR, Herda SC, et al. Early stage melanoma: lymphoscintigraphy, reproducibility of sentinel node detection, and effectiveness of the intraoperative gamma probe. Radiology 1996;199:171-175. 16.García-Talavera P, González C, García-Talavera JR, Martín E, Martín M, Gómez A. Radioguided surgery of primary hyper- parathyroidism in a population with a high prevalence of thyroid pathology. Eur J Nucl Med Mol Imaging 2010;37(11):2060- 2067. 17.Mariani G, Villa G, Gipponi