KẾT QUẢ PHẪU THUẬT BƯỚU GIÁP NHÂN BẰNG DAO SIÊU ÂM TẠI BỆNH VIỆN UNG BƯỚU TỈNH BẮC GIANG

Abstract

Objectives: Evaluate the results of goiter surgery using ultrasound knife at Bac Giang Oncology Hospital. Methods: Retrospective and prospective description of a series of clinical cases at the Department of General Surgery - Bac Giang Oncology Hospital from January 2022 to June 2023. Results: The average age was 50.9 ± 5.25 years. The female/male ratio is 12/1. The average duration of illness is 7.12 ± 2.05 months. Symptoms of neck compression: Difficulty swallowing accounts for the highest rate of 61.5%, difficulty breathing accounts for the least rate of 3.8%. Tumor grade: Grade II tumors account for 44.2%, grade IV tumors account for 30.8%. Ultrasound: Tumors in the right lobe (34,6%), in the left (17,3%), waist location (3.8%). The majority encountered mixed images (61.5%), the rest were hypoechoic (30.8%), and hyperechoic (7.7%). There were 3 patients with partial thyroidectomy (5.8%), 27 patients with 1 thyroid lobe removed (51.9%), accounting for the most, and 13 patients total thyroidectomy (25%). The average duration is 52.88 ± 11.57 minutes. Postoperative complications: 2 patients had signs of hoarseness after surgery (3.8%), 5 patients had hypocalcemia with signs of numbness in the limbs (9.6%), 1 patient had fluid retention from the surgical wound (1.9%). Classification of surgical results: Good results were 38 patients, accounting for 73.1%, average results were 14 patients, accounting for 26.9%. Conclusion: Surgery for goiter with ultrasonic knife is a safe surgery and shortens surgery time.