Parathyroid damage and inadvertent excision unfortunately happens frequently in thyroid surgery. The use of near-infrared autofluorescence (NIRAF) intraoperatively, seems to be helpful in terms of parathyroid identification and preservation. In order to cover every aspect of the impact of NIRAF in thyroid surgery, an evaluation in low-volume, non-parathyroid centers is needed: Aim: To investigate the impact of NIRAF on hemithyroidectomy by evaluating parathyroid identification, damage and the rate of inadvertent parathyroid excision in a low-volume, non-parathyroid institution.
Patients referred for hemithyroidectomy will be randomized to either: (A) NIRAF-assisted hemithyroidectomy (Fluobeam LX) or (B) Conventional hemithyroidectomy. PTH and ionized calcium will assessed preoperatively, on postoperative day 1 (POD1) and one month following surgery. Parathyroid identification rates, rates of autoimplantation and inadvertently excised parathyroid glands will be assessed and compared.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
170
See arm description
Patients undergoing conventional hemithyroidectomy without NIRAF-assistance
Department of Otorhinolaryngology, Regional Hospital West Jutland
Holstebro, Denmark
Parathyroid gland identification rate
Time frame: Will be assessed at the time of surgery
Rate of inadvertent parathyroid excision
Time frame: Will be assessed one month following surgery
Rate of autotransplantation
Time frame: Will be assessed at the time of surgery
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