KẾT QUẢ PHẪU THUẬT NỘI SOI TUYẾN GIÁP QUA ĐƯỜNG TIỀN ĐÌNH MIỆNG TẠI BỆNH VIỆN HỮU NGHỊ VIỆT TIỆP HẢI PHÒNG

Abstract

Objective: To evaluate the initial outcomes of the transoral endoscopic thyroidectomy vestibular approach (TOETVA) at Viet Tiep Hospital, Hai Phong. Subjects and Methods: A descriptive study was conducted on 30 patients diagnosed with thyroid diseases who underwent TOETVA at Viet Tiep Hospital from January 2023 to July 2025. Results: The study included 30 patients, all of whom were female (100%). The mean age was 41.1±13.5 years (range: 16-68). The mean tumor size was 15.0±10.1 mm. Postoperative histopathology revealed papillary thyroid carcinoma in 33.3% of cases, while the remainder were benign lesions. All patients (100%) underwent a thyroid lobectomy, with 33.3% receiving prophylactic unilateral central neck dissection. The mean operative time was 99.9±4.9 minutes. The mean postoperative hospital stay was 4.2±0.8 days. The most common complications were pain on mouth opening (56.7%), neck discomfort (10.0%), and hoarseness (3.3%); all of these symptoms resolved within one month. All patients (100%) were very satisfied with the cosmetic and surgical outcomes. Conclusion: Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a safe, effective, and highly cosmetic procedure that can be widely applied at Viet Tiep Hospital for appropriately selected patients.