KẾT QUẢ SỚM PHẪU THUẬT UNG THƯ BIỂU MÔ TUYẾN GIÁP THỂ NHÚ Ở BỆNH NHÂN ≥55 TUỔI GIAI ĐOẠN I-III TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Objectives: To evaluate the early outcomes of surgery for papillary thyroid carcinoma in patients aged ≥ 55 years with stage I-III disease at Hanoi Medical University Hospital. Subjects and methods: A cross-sectional descriptive study was conducted on 156 patients aged ≥ 55 years diagnosed with papillary thyroid carcinoma stage I-III who underwent surgery at the hospital. Data were collected on clinical characteristics, paraclinical findings, surgical details, and postoperative outcomes, and analyzed using SPSS. Results: Mean age was 62.8 ± 5.4 years (55-79), with females accounting for 78.2%. The proportion of patients with comorbid chronic diseases was approximately 41%. Most cases were detected through routine health check-ups (94.9%), with a mean tumor size of 9.9 mm, the majority being ≤10 mm. Surgery: 54.5% underwent total thyroidectomy, with a mean operative time of 64.5 ± 27.6 minutes and hospital stay of 4.5 days. Complications included 3.2% of cases with transient hypocalcemia, 2.5% with transient hoarseness, and 1.9% with chyle leak. Conclusion: Surgery is safe in patients aged ≥ 55 years, with a low complication rate and no sequelae, attributable to early detection and effective management