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Abstract
Background: Transoral endoscopic thyroidectomy via vestibular approach (TOETVA) was applied in the worldwide. The research’s object is to demonstrate the feasibility and safety of TOETVA in Vietnam.
Methods: In this prospective cohort study, 29 patients diagnosed TMC and clinically node-negative underwent thyroidectomy and prophylactic central lymph node dissection by TOETVA. The clinicopathologic characteristics, surgical outcomes and cosmetic results were evaluated.
Results: The mean age was 34.7±8.5-year-old. Thyroid lobectomy with isthmusectomy was performed in the majority of cases (72.4%). All patients underwent prophylactic central nodes dissection. The mean number of retrieved central node was 7.8±3.7 (3 – 19). Seven patients (24.1%) had lymph node metastasis in post-operative pathology. The mean operative time was 121.2±22.6 min. Four patients experienced transient hoarse and one patient had hematoma. VAS score on 1st postoperative day was 2.8±1.4 (0 – 5). Most of patients were satisfied with cosmetic outcome.
Conclusions: The initial results of oncology, post-operative complications and cosmetic supported the application of TOETVA in TMC.
References
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| Published | 08-01-2025 | |
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| Issue | No. 67 (2021) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.2021.67.14 | |
| Keywords | Phẫu thuật nội soi tuyến giáp qua đường miệng, vi ung thư tuyến giáp TOETVA, thyroid carcinoma, central lymph node dissection |
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