Gamma probe-guided surgery for revision thyroidectomy: In comparison with conventional technique

2005 ◽  
Vol 28 (9) ◽  
pp. 583-588 ◽  
Author(s):  
Y. Erbil ◽  
U. Barbaros ◽  
U. Deveci ◽  
H. Kaya ◽  
A. Bozbora ◽  
...  
Keyword(s):  
Gamma Probe ◽  
Conventional Technique ◽  
Guided Surgery ◽  
Revision Thyroidectomy

Detection of Sentinel Nodes by Lymphoscintigraphy and Gamma Probe Guided Surgery in Vulvar Neoplasia

2000 ◽  
Vol 86 (4) ◽  
pp. 359-363 ◽  
Author(s):  
Mario Sideri ◽  
Concetta De Cicco ◽  
Angelo Maggioni ◽  
Nicoletta Colombo ◽  
Luca Bocciolone ◽  
...  
Keyword(s):  
Lymph Node ◽  
Vulvar Cancer ◽  
Gamma Probe ◽  
Human Albumin ◽  
Lymph Node Status ◽  
Breast Cancer Patients ◽  
Node Dissection ◽  
Sentinel Nodes ◽  
Guided Surgery ◽  
Pathologic Evaluation

Background Pathologic lymph node status is the most important prognostic factor in vulvar cancer; however, complete inguinofemoral node dissection is associated with significant morbidity. Intraoperative lymphoscintigraphy associated with gamma detecting probe-guided surgery has proved to be reliable in the detection of sentinel node (SN) involvement in melanoma and breast cancer patients. The present study evaluates the feasibility of the surgical identification of inguinal sentinel nodes using lymphoscintigraphy and a gamma detecting probe in patients with early vulvar cancer. Methods Technetium-99-labeled colloid human albumin was administered perilesionally in 44 patients. Twenty patients had T1 and 23 had T2 invasive epidermoid vulvar cancer; one patient had a lower-third vaginal cancer. An intraoperative gamma detecting probe was used to identify SNs during surgery. Complete inguinofemoral node dissection was subsequently performed. SNs underwent separate pathologic evaluation. Results A total of 77 groins were dissected in 44 patients. SNs were identified in all the studied groins. Thirteen cases had positive nodes: the SN was positive in all of them; in 10 cases the SN was the only positive node. Thirty-one patients showed negative SNs: all of them were negative for lymph node metastasis. Conclusions Lymphoscintigraphy and SN biopsy under gamma detecting probe guidance proved to be an easy and reliable method for detection of SNs in early vulvar cancer. If these preliminary data will be confirmed, the technique would represent a real progress towards less aggressive treatment in patients with vulvar cancer.

Contribution of Gamma Probe-Guided Surgery to Lateral Approach Completion Thyroidectomy

2009 ◽  
Vol 15 (3) ◽  
pp. 213-219 ◽  
Author(s):  
Mehmet Uludag ◽  
Gurkan Yetkin ◽  
Bulent Citgez ◽  
Adnan Isgor ◽  
Murat Atay ◽  
...  
Keyword(s):  
Gamma Probe ◽  
Lateral Approach ◽  
Completion Thyroidectomy ◽  
Guided Surgery

scholarly journals Role of gamma probes in performing minimally invasive parathyroidectomy in patients with primary hyperparathyroidism: optimization of preoperative and intraoperative procedures

2003 ◽  
pp. 7-15 ◽  
Author(s):  
D Rubello ◽  
A Piotto ◽  
D Casara ◽  
PC Muzzio ◽  
B Shapiro ◽  
...  
Keyword(s):  
Primary Hyperparathyroidism ◽  
Minimally Invasive ◽  
Parathyroid Adenoma ◽  
Gamma Probe ◽  
Minimally Invasive Parathyroidectomy ◽  
Operating Theatre ◽  
Neck Ultrasound ◽  
Invasive Parathyroidectomy ◽  
Guided Surgery

OBJECTIVE: In the last decade, surgery of primary hyperparathyroidism (HPT) due to a solitary adenoma has moved on from the traditional wide bilateral neck exploration (BNE) to more limited approaches such as unilateral neck exploration and minimally invasive parathyroidectomy. DESIGN: To define the role of intraoperative gamma probe and injection of a low (99m)Tc-MIBI dose in performing minimally invasive radio-guided surgery (MIRS) in HPT patients with a solitary parathyroid adenoma. METHODS: From September 1999 to July 2002, 214 patients with primary HPT entered the study. All patients were preoperatively investigated by a (99m)Tc-pertechnetate/MIBI subtraction scan and high-resolution neck ultrasound. The intraoperative technique we developed differs from other previously described techniques being based on the injection of a low (37 MBq) MIBI dose in the operating theatre a few minutes before the beginning of intervention. RESULTS: On the basis of scan/ultrasound findings 147 patients were selected for a MIRS and 144 of them (98%) were successfully treated by this approach: a solitary parathyroid adenoma was removed through a small 2-2.5 cm skin incision with a mean operative time of 35 min, and a mean hospital stay of 1.2 days. In the other 67 patients with scan/ultrasound evidence of concomitant nodular goiter (n=45) or multi-gland disease (n=13) or with a negative scan (n=9), the gamma probe was utilized during a traditional BNE. A low 37 MBq MIBI dose proved to be sufficient to perform a MIRS; moreover it delivered to the patient and surgeon a low, negligible, radiation exposure dose. CONCLUSIONS: The combination of a (99m)Tc-pertechnetate/MIBI subtraction scan and neck ultrasound appears to be an accurate imaging protocol in selecting primary HPT patients as candidates for a MIRS. A MIBI dose as low as 37 MBq injected in the operating theatre just before the start of surgery appears to be adequate to perform radio-guided surgery.

Lymphoscintigraphy and Gamma Probe–Guided Surgery in Papillary Thyroid Carcinoma

1999 ◽  
Vol 24 (10) ◽  
pp. 744 ◽  
Author(s):  
HANS JÜRGEN GALLOWITSCH ◽  
PETER MIKOSCH ◽  
EWALD KRESNIK ◽  
MICHAEL STARLINGER ◽  
PETER LIND
Keyword(s):  
Papillary Thyroid Carcinoma ◽  
Thyroid Carcinoma ◽  
Gamma Probe ◽  
Papillary Thyroid ◽  
Guided Surgery

Development of an MR-compatible gamma probe for combined MR/RI guided surgery

2004 ◽  
Vol 49 (15) ◽  
pp. 3379-3388 ◽  
Author(s):  
Seiichi Yamamoto ◽  
Kagayaki Kuroda ◽  
Michio Senda
Keyword(s):  
Gamma Probe ◽  
Guided Surgery

scholarly journals The indication for gamma probe-guided surgery of spinal osteoid osteomas

2007 ◽  
Vol 16 (10) ◽  
pp. 1668-1672 ◽  
Author(s):  
A. Hempfing ◽  
J. Hoffend ◽  
R. G. Bitsch ◽  
L. Bernd
Keyword(s):  
Gamma Probe ◽  
Guided Surgery

1227: Optical Coherence Tomography-Guided Surgery of Bladder Cancer

2006 ◽  
Vol 175 (4S) ◽  
pp. 395-395
Author(s):  
Nancy J. Tresser ◽  
Elena V. Zagaynova ◽  
Olga S. Streltsova ◽  
Natalia D. Gladkova ◽  
Vladislav A. Kamensky ◽  
...  
Keyword(s):  
Bladder Cancer ◽  
Optical Coherence Tomography ◽  
Optical Coherence ◽  
Guided Surgery
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