ĐÁNH GIÁ KẾT QUẢ BAN ĐẦU PHẪU THUẬT NỘI SOI TUYẾN GIÁP QUA ĐƯỜNG TIỀN ĐÌNH MIỆNG (TOETVA) TẠI BỆNH VIỆN TÂM ANH HÀ NỘI

Abstract

Objective: To evaluate the initial outcomes of transoral endoscopic thyroidectomy vestibular approach (TOETVA) at Tam Anh General Hospital, Hanoi. Subjects and Methods: A prospective descriptive study with longitudinal follow-up was conducted on 57 patients with early-stage papillary thyroid carcinoma undergoing TOETVA at Tam Anh General Hospital, Hanoi, between January 2023 and May 2025. Results: The mean age was 41.2 ± 10.4 years; 82.5% were female. All patients had papillary thyroid carcinoma. Mean operative time was 129.95 ± 49.59 minutes, mean blood loss 4.98 ± 2.2 ml. No drains were placed and no conversions to open surgery occurred. Lobectomy + isthmectomy with central neck dissection was performed in 64.9% and total thyroidectomy + central neck dissection in 35.1%. Overall complications occurred in 36.8%: transient hoarseness 22.8%, hypocalcemia 19.3%, seroma 1.8%, ecchymosis 7%; severe hypocalcemia 5.3%, low PTH 1.8%. All patients reported mild–moderate postoperative pain and 100% were satisfied with cosmetic outcomes. Central lymph node metastasis was found in 29.8%, significantly associated with tumor size ≥10 mm (50% vs 22%, p=0.038). Conclusion: TOETVA at Tam Anh General Hospital is safe, effective, and highly cosmetic. The relatively high rate of central lymph node metastasis warrants careful consideration of central neck dissection.