KẾT QUẢ SỚM PHẪU THUẬT NỘI SOI QUA ĐƯỜNG TIỀN ĐÌNH MIỆNG ĐIỀU TRỊ UNG THƯ TUYẾN GIÁP THỂ NHÚ TẠI BỆNH VIỆN UNG BƯỚU HÀ NỘI

Abstract

Objective: Evaluating early surgical outcome of transoral endoscopic thyroidectomy vestibular approach to treat papillary thyroid cancer at Ha Noi oncology hospital. Patients and method: Cross-sectional descriptive study on papillary thyroid cancer patients undergoing endoscopic surgery through the oral vestibular approach at Hanoi Oncology Hospital in the period of 2022-2023. Results: Surgery was performed on 32 patients with papillary thyroid cancer, the average age of the patients was 36.38±7.63, on female patients, the majority of which were microscopic thyroid cancer (84%). Average size is 7.28±2.8mm, average surgery time is 105±5 minutes, average number of lymph nodes removed after surgery is 2.98±1.14, 100% of patients have lobectomy and isthmus surgery with lymph node dissection, no case required conversion to open surgery, the average pain level after VAS surgery on day 1 was 3.03±0.31, the average hospital stay was 3.84±0.57 days, postoperative complications occurred in 1 (3.13%) patient with seroma, 1 (3.13%) patient with temporary hoarseness. Conclusions: Transoral endoscopic thyroidectomy vestibular approach is a safe and effective method of treatment, improving aesthetics and quality of life for patients with early-stage papillary thyroid cancer.