ĐẶC ĐIỂM LÂM SÀNG VÀ KẾT QUẢ PHẪU THUẬT NỘI SOI ĐƯỜNG MIỆNG ĐIỀU TRỊ UNG THƯ TUYẾN GIÁP GIAI ĐOẠN T3b

Abstract

Objectives: To evaluatethe clinical characteristicsand the results of transoral endoscopic thyroidectomy vestibular approach (TOETVA) in the treatment of thyroid cancer with invasion of the strap muscle. Methods:  A prospective study on 28 patients with papillary thyroid cancer invading stap muscle by TOETVA at Hanoi Medical University Hospital from January 2019 to December 2021. Results: The mean age was 39±8.9; 92.8% female. Results of ultrasound presented that the average tumor size was 8.3±3.2mm, there was no case of tumor invading the strap muscle on preoperative ultrasound. Histopathology after surgery was 100% papillary thyroid cancer, with invasion strap muscle. Metastasis of the central lymph nodes was detected in 10 cases (35.7%). The average surgery time was 120±24 minutes. Temporary hoarseness was found in 7.1% of cases, hypocalcemia was found in 3.6% of cases. High levels of Tg or anti-Tg after surgery were found in 8 cases (28.5%), however theconcentration of Tg and anti-Tg were below thenormal value after I131 treatment. Conclusion:TOETVA still achieves safety, efficacy and initial oncological assurance in the treatment of thyroid cancer with invasion of the strap muscle.