PHẪU THUẬT NỘI SOI CẮT TUYẾN CẬN GIÁP QUA ĐƯỜNG TIỀN ĐÌNH MIỆNG: KỸ THUẬT MỚI TẠI BỆNH VIỆN K

Abstract

Background: Transoral Endoscopic Parathyroidectomy Vestibular Approach (TOEPVA) represents a novel surgical innovation that offers significant advantages in parathyroid surgery. This study presents one of the initial cases successfully performed using this methodology at K Hospital in Vietnam. Methods and Materials: The subject was a 43-year-old female who presented with a left-sided neck mass discovered one month prior. Comprehensive clinical evaluation, including ultrasonography, parathyroid hormone assessment (329.3 pg/mL), and serum calcium measurement (2.73mmol/L), established the diagnosis of left inferior parathyroid adenoma. The patient underwent TOEPVA utilizing a vestibular approach. The operative duration was 95 minutes. Post-operative PTH levels demonstrated significant reduction to 29.62 pg/mL at 10 minutes and stabilized at 63.91 pg/mL on the second day. Histopathological examination confirmed benign parathyroid adenoma. Follow-up evaluations at 6 months and 1 year post-operatively demonstrated excellent clinical outcomes, with no complications and high patient satisfaction regarding cosmetic results. Conclusions: This case demonstrates that TOEPVA represents a safe and efficacious approach for parathyroid surgery, successfully integrating oncological principles while optimizing aesthetic outcomes. However, optimal results necessitate implementation at specialized centers by experienced surgeons with careful patient selection. This technique shows promise for expanding the surgical armamentarium for treating parathyroid disorders in appropriately selected cases.