KẾT QUẢ PHẪU THUẬT BƯỚU GIÁP THÒNG TRUNG THẤT TẠI BỆNH VIỆN HỮU NGHỊ VIỆT ĐỨC

Abstract

UNIVERSITY HOSPITAL

Background: Retrosternal goiters account for a small proportion (3 - 20%) of goiter cases. Surgery of retrosternal goiters still has many difficulties with a higher rate of complications compared to conventional thyroid goiter surgery. In Vietnam, there have not been many studies on the treatment of this disease. The purpose of this study was to comment on the results of surgical management of substernal goiter at Viet Duc University Hospital. Patients and methods: This is descriptive and retrospective study of patients, who underwent surgical treatment of retrosternal goiters at Viet Duc Friendship Hospital in the period of 2014-2023. Results: There were 62 cases of mediastinal goiter underwent surgery, average age was 59.16 ± 17.01 (11 - 84), male/female ratio: 3/17; 19 (30.6%) cases had no clinical symptoms, 12 (19.4%) cases had tracheal compression causing shortness of breath. All of the cases was anterior mediastinal tumor. Eleven cases (18%) required sternotomy. Average surgery time was 75.58 ± 28.99 minutes. In complications: 3 cases had transient hypoparathyroidism and 2 cases had transient hoarseness. Results of the biopsy showed that: 60 cases were benign tumors; 2 cases were malignant. Average hospital stay was 6.71 ± 6.06 days. 57 cases (91.94%) had good results, 5 cases (8.06%) had acceptable results. Conclusion: Most patients with retrosternal goiters underwent thyroid resection via a cervical approach. Patients with small tumors and without symptoms should be operated early, which proved good results and lower complications.