KẾT QUẢ SỚM PHẪU THUẬT NỘI SOI TUYẾN GIÁP QUA TIỀN ĐÌNH MIỆNG TRONG ĐIỀU TRỊ UNG THƯ TUYẾN GIÁP THỂ NHÚ TẠI BỆNH VIỆN K

Abstract

Introduction: Transoral endoscopic thyroidectomy vestibular approach (TOETVA) is a novel remote-access endoscopic approach. This method has applied in treating thyroid cancer worldwide. Patients and Methods: From May 2020 to May 2021, we performed 30 transoral endoscopic thyroidectomies via the vestibular approach for papillary thyroid cancer. Clinical features and outcomes were analyzed from a prospectively maintained database.Results: The average age was 29,3 ± 7,4 years. All patients were female. A tumor located in the right lobe accounted for 56,7% and in the left lobe contribute to 43,3%. 26 patients underwent hemithyroidectomy, ismuthectomy plus unilateral central neck dissection with 105,5 minutes for the mean operative time. While 4 patients had total thyroidectomy plus bilateral central neck dissection with 140,5 minutes for the mean operative time. The rate of complications was very low. All patients were highly satisfied with the surgical outcome, especially, cosmetic results. Conclusion: The TOETVA for treating papillary thyroid cancer is a safe and effective procedure. For selected patients, this technique is a viable alternative to conventional thyroidectomy.