ĐÁNH GIÁ TÍNH AN TOÀN UNG THƯ TUYẾN GIÁP BIỆT HOÁ GIAI ĐOẠN SỚM SAU MỔ NỘI SOI CẮT THUỲ TUYẾN GIÁP NGẢ TIỀN ĐÌNH MIỆNG

Abstract

Background: Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) is applied in many centers around the world. In Vietnam, there are still few research centers on laparoscopic thyroidectomy through the vestibule. At the Ho Chi Minh City Oncology Hospital, thyroid laparoscopic surgery has been applied more since 2018, but there are still limitations in applying it to patients with thyroid cancer. Objectives: Comparison of the safety of Transoral Endoscopic Thyroidectomy Vestibular Approach through the following criteria: surgery time, blood loss, postoperative time, postoperative complications with the open surgery group. Method: The study compared 2 surgical methods: TOETVA compared to open surgery at the Surgical Oncology Of Thyroid Department in Ho Chi Minh City Oncology Hospital. Results: The mean age in the TOETVA group was 36.14 ± 8.42, while in the open surgery group it was 43,26 ± 12,0 (p = 0,005), education was also a factor influencing the patient's choice of surgical method (p = 0,048). The overall mean surgery time in the TOETVA group was 103,71 minutes, which was significantly higher than that in the open surgery group of 50,86 minutes, this difference was statistically significant with p < 0,001. Conclusion: The safety of the TOETVA group compared to the open surgery group was similar and the difference was not statistically significant.