Endocrine Abstracts

JOINT1731

Introduction: The interest of minimally invasive surgery is that it is selective with significant reduction in operating time. The contribution of the peroperative detection in this case is equivalent to the contribution of a torch in a black tunnel.

Objective: Demonstrate the value of intraoperative detection in minimally invasive surgery. The scope of application of intraoperative detection in nuclear medicine:On the technical level, intraoperative detection requires the localization by an isotope of the mass to be operated, then in intraoperative use a sensor probe that allows selective resection. Nuclear medicine has several applications in this field:*Parathyroid adenoma*sentinel lymph nodes*para ganglioma*osteoid osteoarthritis*Metastatic adenopathy of thyroid papillary carcinoma.

Discussion: The added value of this isotopic technique compared to conventional surgery alone: Surgery is an essential pillar of the treatment of focused tumors, but its success depends on the complete depletion of tumor cells during surgery. The intraoperative detection of tumor cells is therefore a means to significantly improve the results of surgery in post-operative simple surgical suites or reduce hospitalization. Intraoperative detection should have a wider role, in particular through the promulgation of nuclear medicine techniques and the training of trained teams, what will have an impact on the quality of Management of patients in terms of aesthetics with a reduction in operating time and especially the complications related to an enlarged surgical gesture.

Conclusion: In Algeria, intraoperative detection has been used for about twenty years, it has demonstrated its contribution and its usefulness in association with surgery, especially at the major senology centers of Algiers (CPMC) Nevertheless, it is difficult to find its place in daily life in association with surgery.