RESULTS OF TRANSORAL ENDOSCOPIC THYROIDECTOMY VESTIBULAR APPROACH IN MANAGEMENT OF PAPILLARY THYROID MICROCARCINOMA IN K HOSPITAL

Trần Đức Toàn1,2,, Ngô Xuân Quý2, Ngô Quốc Duy2, Lê Thế Đường2, Nguyễn Diệu Linh2, Lê Văn Quảng1,2
1 Hanoi Medical University
2 Vietnam National Cancer Hospital

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Abstract

Objectives: This study was conducted to report clinicals, subclinicals and evaluate the results of TOETVA in management of papillary thyroid microcarcinoma. Patients and methods: From 1/2020-12/2021, we performed 98 transoral endoscopic thyroidectomies vi a the vestibular approach for papillary thyroid microcarcinoma. Clinical features and outcomes were analyzed from both retrospectively and prospectively maintained database. Results: The average age was 33.4 ± 6.94 years, male/female ratio is 1/97. The average tumor size was 5.3 ± 1.95 mm . 89.9% patients underwent hemithyroidectomy, ismuthectomy plus unilateral central neck dissection with 93.5 ± 15.7 minutes for the mean operative time. While 10.1% patients had total thyroidectomy plus bilateral central neck dissection with 124.5 ± 22.16 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 microcarcinoma is a safe and effective procedure.

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References

1. Anuwong A. Transoral endoscopic thyroidectomy vestibular approach: a series of the first 60 human cases. World J Surg. 2016;40(3):491-497
2. Russell JO, Sahli ZT, Shaear M, Razavi C, Ali K, Tufano RP. Transoral thyroid and parathyroid surgery via the vestibular approach—a 2020 update. Gland Surg 2020;9(2):409-416. doi: 0.21037/gs.2020.03.05
3. Le QV, Ngo DQ, Ngo QX. Transoral endoscopic thyroidectomy vestibular approach (TOETVA): A case report as new technique in thyroid surgery in Vietnam. Int J Surg Case Rep. 2018;50:60-63
4. Ahn JH, Yi JW. Transoral endoscopic thyroidectomy for thyroid carcinoma: outcomes and surgical completeness in 150 single-surgeon cases. Surg Endosc. 2020 Feb;34(2):861-867
5. Mai Thế Vương. Nhận xét đặc điểm lâm sàng, cận lâm sàng và kết quả phẫu thuật của bệnh nhân vi ung thư tuyến giáp thể nhú tại Bệnh viện K. Luận văn Thạc sĩ y học. Trường Đại học Y Hà Nội; 2019
6. Wang Y, Zhou S, Liu X, et al. Transoral endoscopic thyroidectomy vestibular approach vs conventional open thyroidectomy: Meta-analysis. Head & Neck. 2020; 1–9
7. Nguyễn Xuân Hậu, Nguyễn Xuân Hiền, Lê Văn Quảng. Phẫu thuật nội soi đường miệng cắt tuyến giáp vét hạch trong vi ung thư tuyến giáp. Tạp Chí Y Học Lâm Sàng - Số 67/2021