KẾT QUẢ SỚM PHẪU THUẬT NỘI SOI ĐƯỜNG MIỆNG ĐIỀU TRỊ UNG THƯ TUYẾN GIÁP THỂ BIỆT HÓA Ở NAM GIỚI

Abstract

Objects: Thyroid cancer in males exhibits some differences compared to females, such as larger tumor size and higher rates of lymph node metastasis. These characteristics impact both diagnosis and treatment outcomes. Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) has gained popularity worldwide, offering several advantages in cancer surgery. However, there is currently no research assessing the effectiveness of this method in male patients. Patients and Methods: The study included 32 male patients diagnosed with differentiated thyroid cancer who underwent endoscopic surgery using the TOETVA method at Vietnam National Cancer Hospital from December 2018 to December 2023. Results: The average age was 25.6 ± 5.7 years (16 - 35 years). The average tumor size was 9.0 ± 3.4 mm (4 - 18 mm). 29 patients had single thyroid lobe removed along with the isthmus and central neck dissection with an average surgery time of 92.6 ± 3.4 minutes. Only 3 patients had total thyroidectomy and central cervical lymph node dissection with an average surgery time of 130.4 ± 2.3 minutes. The rate of central neck lymph node metastasis after surgery is 53.1%. Complications were rare, mostly temporary, and resolved within 3 months. The average postoperative recovery time was 4.2 ± 1.3 days (2 - 9 days). All patients experienced mild postoperative pain and were satisfied with the aesthetic results. Conclusion: TOETVA is a safe and effective method that achieves optimal aesthetic results in male patients with differentiated thyroid cancer.