KẾT QUẢ PHẪU THUẬT NỘI SOI CẮT MỘT THÙY TUYẾN GIÁP ĐIỀU TRỊ NHÂN LÀNH TÍNH TUYẾN GIÁP TẠI BỆNH VIỆN E

Abstract

Objective: Evaluate the outcomes of laparoscopic surgical removal of one thyroid lobe for treating benign thyroid nodules. Subjects and methods: Study description, including a retrospective analysis of 41 patients with benign thyroid nodules who underwent laparoscopic surgery at E Hospital from March 2017 to July 2019. Results: The age ranged from 31 to 60 years (78.05%). Females constituted 39 out of 41 patients (95.1%). Functional symptoms included self-detected neck masses in 97.6% of cases, with 27 out of 41 patients (69.2%) experiencing dysphagia. Goiter was present in 82.9% of cases. Postoperative results showed mild pain in 87.5% of patients, moderate pain in 12.5%, with no severe pain reported. The most common complication was edema at 17.1%. 5 out of 41 patients (12.2%) experienced limb numbness, and 2 out of 41 (4.9%) had voice hoarseness. Seroma formation occurred in 9.8% of cases. Swallowing difficulties were reported by 4.9% of patients. The mean drainage removal time was 5.6 ± 0.7 days, with a range of 4 to 6 days. The average hospital stay was 6.4 ± 0.7 days, ranging from 5 to 7 days. All patients had soft surgical scars. Three months post-surgery, the majority of patients reported normal sensation in the neck and chest area (92.7%). Three out of 41 patients (7.3%) showed excellent recovery, while none exhibited poor recovery. Conclusion: Laparoscopic thyroidectomy is a minimally invasive technique allowing complete lesion removal without leaving scars on the neck, unlike conventional open surgery