{"id":74620445,"date":"2026-07-03T16:17:22","date_gmt":"2026-07-03T14:17:22","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/?p=74620445"},"modified":"2026-07-03T16:19:03","modified_gmt":"2026-07-03T14:19:03","slug":"thyroidectomie-fluobeam-ls-pour-plus-de-precision","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/thyroidectomie-fluobeam-ls-pour-plus-de-precision\/","title":{"rendered":"Thyro\u00efdectomie\u00a0: Fluobeam LS\u00a0pour plus de pr\u00e9cision"},"content":{"rendered":"\n

L\u2019une des difficult\u00e9s auxquelles sont confront\u00e9s les chirurgiens visc\u00e9raux lors d\u2019une thyro\u00efdectomie est la proximit\u00e9 des parathyro\u00efdes, des petites glandes associ\u00e9es \u00e0 la thyro\u00efde, qui r\u00e9gulent le taux de calcium dans le sang. Ces glandes sont de tr\u00e8s petite taille, quelques millim\u00e8tres \u00e0 peine, et peuvent donc \u00eatre difficiles \u00e0 identifier. Or, la l\u00e9sion, voire l\u2019excision des parathyro\u00efdes, entra\u00eene un d\u00e9ficit en calcium chez le patient et n\u00e9cessite la prise d\u2019un traitement m\u00e9dical, de mani\u00e8re transitoire ou de mani\u00e8re permanente. Sous l\u2019impulsion du Pr Gianluca Donatini, chirurgien visc\u00e9ral, le CHU de Poitiers s\u2019est dot\u00e9 en 2020 du dispositif Fluobeam\u00ae LX<\/a>, un syst\u00e8me d\u2019imagerie qui fonctionne sur la base d\u2019une cam\u00e9ra \u00e0 infrarouge. Celle-ci permet d\u2019identifier plus facilement les parathyro\u00efdes et leurs liaisons vasculaires. En effet, ces glandes, \u00e0 l\u2019instar de nombreuses structures biologiques, \u00e9mettent naturellement de la lumi\u00e8re infrarouge : c\u2019est l\u2019autofluorescence. La cam\u00e9ra du Fluobeam\u00ae LS permet de visualiser ce ph\u00e9nom\u00e8ne pendant la chirurgie, et d\u2019\u00e9viter ainsi d\u2019endommager les parathyro\u00efdes. En plus, en utilisant cet outil gr\u00e2ce \u00e0 l\u2019injection d\u2019un liquide de contraste, le vert d\u2019indocyanine (ICG), le Fluobeam\u00ae permet d\u2019appr\u00e9cier l\u2019anatomie vasculaire des parathyro\u00efdes en aidant les chirurgiens \u00e0 le pr\u00e9server.<\/p>\n\n\n\n

Les possibilit\u00e9s d\u2019utilisation sont nombreuses et aujourd\u2019hui le Fluobeam\u00ae LS integre la chirurgie thyro\u00efdienne pour pr\u00e9server les parathyro\u00efdes, ainsi que la chirurgie des parathyro\u00efdes en cas de tumeur de celles-ci, permettant de reconnaitre les glandes pathologiques. Au mois d\u2019avril 2026, le CHU de Poitiers s\u2019est \u00e9quip\u00e9 de la derni\u00e8re g\u00e9n\u00e9ration du dispositif, le Fluobeam\u00ae LS, gr\u00e2ce au soutien de la direction g\u00e9n\u00e9rale et de la commission de l\u2019innovation de l\u2019\u00e9tablissement. Le nouvel \u00e9quipement offre des \u00e9volutions technologiques int\u00e9ressantes, \u00e0 commencer par le poids de la cam\u00e9ra qui est pass\u00e9 de 500 \u00e0 100 grammes. La qualit\u00e9 des images, aujourd\u2019hui en 4K, permet de rep\u00e9rer des glandes de quelques millim\u00e8tres \u00e0 peine. Cette qualit\u00e9 am\u00e9liore le rep\u00e9rage des parathyro\u00efdes chez les enfants, ce que ne permettait pas le pr\u00e9c\u00e9dent \u00e9quipement. Sur le plan fonctionnel, le syst\u00e8me Fluobeam\u00ae LS int\u00e8gre d\u00e9sormais un module de quantification qui permet d’\u00e9valuer, en temps r\u00e9el, la fonction r\u00e9siduelle des glandes parathyro\u00efdes. Le co\u00fbt d’acquisition de cet \u00e9quipement repr\u00e9sente un investissement de 71 000 \u20ac.<\/p>\n\n\n\n

\u00ab Depuis l’int\u00e9gration du syst\u00e8me Fluobeam \u00e0 nos pratiques, nous constatons une quasi-disparition des complications. Les prochaines recommandations europ\u00e9ennes vont d’ailleurs pr\u00e9coniser l’usage syst\u00e9matique de la fluorescence pour r\u00e9duire, voire \u00e9radiquer le risque d\u2019hypocalc\u00e9mie. C\u2019est d\u00e9j\u00e0 une r\u00e9alit\u00e9 dans notre \u00e9tablissement : nous n\u2019enregistrons plus aucune hypocalc\u00e9mie post-op\u00e9ratoire d\u00e9finitive chez les patients op\u00e9r\u00e9s de la thyro\u00efde <\/em>\u00bb, se r\u00e9jouit le Pr Gianluca Donatini.<\/p>\n\n\n\n

Le Pr Gianluca Donatini fait partie d\u2019un comit\u00e9 scientifique international d\u00e9di\u00e9 au d\u00e9veloppement de cette technologie (groupe SAP \u2013 Fluoptics part of Getinge) compos\u00e9 de seulement trois chirurgiens am\u00e9ricains et quatre europ\u00e9ens. Ensemble, ils m\u00e8nent des projets de recherche clinique.<\/p>\n

\u00a0<\/p>\n\n\n\n

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Le CHU de Poitiers est l\u2019un des premiers centres en Europe \u00e0 acqu\u00e9rir le syst\u00e8me d\u2019imagerie Fluobeam\u00ae LS d\u00e9velopp\u00e9 par la soci\u00e9t\u00e9 Getinge,\u2026","protected":false},"author":12,"featured_media":74620471,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[96],"tags":[],"class_list":["post-74620445","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee"],"acf":[],"yoast_head":"\nThyro\u00efdectomie\u00a0: Fluobeam LS\u00a0pour plus de pr\u00e9cision - Site du CHU de Poitiers<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.chu-poitiers.fr\/thyroidectomie-fluobeam-ls-pour-plus-de-precision\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Thyro\u00efdectomie\u00a0: Fluobeam LS\u00a0pour plus de pr\u00e9cision - Site du CHU de Poitiers\" \/>\n<meta property=\"og:description\" content=\"Le CHU de Poitiers est l\u2019un des premiers centres en Europe \u00e0 acqu\u00e9rir le syst\u00e8me d\u2019imagerie Fluobeam\u00ae LS d\u00e9velopp\u00e9 par la soci\u00e9t\u00e9 Getinge, qui permet de s\u00e9curiser davantage les op\u00e9rations de la thyro\u00efde et d\u2019\u00e9liminer l\u2019une de ses plus graves complications : l'hypocalc\u00e9mie d\u00e9finitive. 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