ĐÁNH GIÁ CHẤT LƯỢNG CUỘC SỐNG VÀ KẾT QUẢ PHẪU THUẬT CỦA BỆNH NHÂN SAU PHẪU THUẬT TUYẾN GIÁP NỘI SOI ĐƯỜNG MIỆNG TẠI BỆNH VIỆN ĐẠI HỌC Y HÀ NỘI

Abstract

Background: It has been widely assumed that TOETVA has demonstrated a new technique and a promising approach as it is both minimally invasive and optimal cosmetic. The objective of this study was to assess the surgical outcome, aesthetic satisfaction and post-operative quality of life of TOETVA in comparison with open thyroid surgery. Patients and methods: The study was designed as a prospective study, in which 121 patients from a single center in Viet Nam underwent thyroid surgery was divided into two groups: 60 patients in the TOETVA group and 61 patients in the open surgery group. The patients have been followed-up including surgical outcome, cosmetic satisfaction and quality of fife were accessed at 4 weeks, 8 weeks, and 12 weeks after surgery using SF-36 and thyroid surgery-specific questionnaire. Results: Patients in the TOETVA groups are significantly younger than patients in the open surgery group (35.8+10.3 vs 46.9+11.5, p<0.001). The mean operating time was longer in the TOETVA group (102.9±26.1 mins) than that in the open surgery group (66.8±23.8 mins) with p=0.0001. Cosmetic and overall satisfaction were significantly greater in the TOETVA group p=0.0001. The SF-36 QOL scores of the patients in TOETVA group were generally better than open surgery group. Conclusions: TOETVA has been widely used with low complication rate, cosmetic appeal and surgical efficacy. Postoperative quality of life, cosmetic outcomes and overall satisfaction were significantly better than open surgery group.