This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Randomized controlled trial comparing white light with near-infrared autofluorescence for parathyroid gland identification during total thyroidectomy. J Am Coll Surg 2019; 228: 744-751

Published: 29th April 2020

Authors: Dip F, Falco J, Verna S, Prunello M, Loccisano M, Quadri P et al.

Conclusion

Some 170 patients having total thyroidectomy were included. After using overhead (white) light, assessment with near-infrared autofluorescence increased the number of parathyroid glands detected: 3.5 versus 2.6 (P<0.001), and revealed at least one missed gland in 67% of procedures. The rate of postoperative hypocalcaemia was reduced.

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