ỨNG DỤNG KỸ THUẬT HUỲNH QUANG CẬN HỒNG NGOẠI (NIRAF) TRONG PHẪU THUẬT TUYẾN GIÁP TẠI BỆNH VIỆN K

Abstract

Objective: To evaluate the efficacy of Near-Infrared Autofluorescence (NIRAF) technique in identifying and preserving parathyroid glands in patients undergoing thyroid cancer surgery. Patients and Methods: A prospective descriptive study was conducted on 10 thyroid cancer patients who underwent total thyroidectomy and neck dissection in July 2025 at K Hospital. All patients had NIRAF technique applied for intraoperative parathyroid gland identification. The study evaluated parathyroid identification rates, inadvertent resection rates, and postoperative hypoparathyroidism complications. Results: Among 10 patients, a total of 39/40 parathyroid glands (97.5%) were identified using NIRAF. No parathyroid glands were inadvertently resected. The temporary hypoparathyroidism rate was only 10% (1/10). No permanent hypoparathyroidism occurred. The average technique implementation time was 5.2 ± 1.8 minutes. Conclusion: NIRAF is a safe and effective technique for parathyroid gland identification and preservation. With a temporary hypoparathyroidism rate of only 10%, the study results demonstrate NIRAF's efficacy in thyroid cancer surgery. This is also the first report in Vietnam applying this technique to enhance thyroid cancer treatment outcomes.