Nguyen Xuan Hau, Nguyen Xuan Hien, Mai Thi Kim Ngan, Nguyen Thi Thu Nhung, Tran Ngoc Luong, Le Van Quang
Department of Oncology, Hanoi Medical University.
National Hospital of Endocrinology, Hanoi, Vietnam.
Surg Laparosc Endosc Percutan Tech. 2019 Dec;29(6):447-450. doi: 10.1097/SLE.0000000000000621.
The purpose of this research study was to assess the safety and surgical outcomes of endoscopic thyroidectomy applied via a unilateral axillobreast approach with CO2 insufflation to one-sided benign thyroid tumors in Vietnam. Only 1 patient of the 50 (2%) had a postoperative hematoma at the surgery site. Open surgical conversions did not occur. The duration of postoperative drainage was from 3 to 8 days, or 4.86±1.24 days on average. The length of stay in the hospital after surgery was 4 to 9 days, or 5.9±1.2 days on average. The postoperative pain in the first postoperative days was lower in intensity compared with open surgeries. The given method provided better results in terms of patient satisfaction with the cosmetic effect of the surgery compared with up-front surgery, minimally invasive video-assisted thyroidectomy, and endoscopic procedures via the breast approach, and 96% of patients were completely satisfied.
本研究的目的是评估在越南通过单侧腋窝乳房入路并向单侧良性甲状腺肿瘤注入二氧化碳进行内镜甲状腺切除术的安全性和手术效果。50例患者中只有1例（2%）在手术部位出现术后血肿。未发生开放手术转换。术后引流时间为3至8天，平均为4.86±1.24天。术后住院时间为4至9天，平均为5.9±1.2天。与开放手术相比，术后头几天的术后疼痛强度较低。与前期手术、微创电视辅助甲状腺切除术和经乳房入路的内镜手术相比，该方法在患者对手术美容效果的满意度方面提供了更好的结果，96%的患者完全满意。
