KẾT QUẢ PHẪU THUẬT VI UNG THƯ TUYẾN GIÁP THỂ NHÚ

Abstract

Objective: To evaluate the surgical results of papillary thyroid microcarcinoma at Hanoi medical university Hospital. Subject and methods: A retrospective study on 80 patients were diagnosed with papilary thyroid microcarcinoma, operated at Hanoi medical university Hospital from March 2016 to January 2020. Results: total thyroidectomy and lobectomy were 85,1% and 14,9% respectively, in each group, neck dissection had been performed in 83,2% and 29,2. stage I were 92,5%, stage II and stage III account for 6,9% and 0,6% respectively.The most common complications were transient recurrent laryngeal nerve injury and hypocalcemia, with the incidence at 72 hours after surgery were 32,3% and 24,8%. In the group of patients with total thyroidectomy, the rate of hoarseness in the group with cervical lymphadenectomy was more than 2 times higher than in the group without cervical lymphadenectomy, the difference was statistically significant with P=0.044. Conclusion: micropapillary thyroid carcinoma surgery are safe, low complication and high efficacy rate.