Xuan Nguyen Hau, Nguyen Hien Xuan, Thi Hoang Hoai, Van Le Quang
Department of Oncology, Hanoi Medical University, No. 1 Ton That Tung Street, Dong Da District, Hanoi, Vietnam.
Department of Oncology and Palliative Care, Hanoi Medical University Hospital, No. 1 Ton That Tung Street, Dong Da District, Hanoi, Vietnam.
J Thyroid Res. 2022 Oct 11;2022:2381063. doi: 10.1155/2022/2381063. eCollection 2022.
It has been widely assumed that TOETVA has demonstrated a new technique and a promising approach as it is both minimally invasive and optimally cosmetic. The objective of this study was to assess the surgical outcome, aesthetic satisfaction, and postoperative quality of life of TOETVA in comparison with open thyroid surgery. . The study was designed as a prospective study, in which 121 patients from a single center in Vietnam underwent thyroid surgery, and the study was divided into two groups: 60 patients in the TOETVA group and 61 patients in the open surgery group. The patients have been followed up including surgical outcomes, cosmetic satisfaction, and quality of life. These criteria were assessed at 4 weeks, 8 weeks, and 12 weeks after the surgery using SF-36 and thyroid surgery-specific questionnaire.
Patients in the TOETVA group are significantly younger than patients in the open surgery group (35.8 + 10.3 vs 46.9 + 11.5, < 0.001). The mean operating time was longer in the TOETVA group (102.9 ± 26.1 mins) than that in the open surgery group (66.8 ± 23.8 mins) with = 0.0001. Cosmetic outcomes and overall satisfaction were significantly greater in the TOETVA group = 0.0001. The SF-36 QOL scores of the patients in the TOETVA group were generally higher than the open surgery group.
TOETVA has been widely used with a low complication rate, cosmetic appeal, and surgical efficacy. Postoperative quality of life, cosmetic outcomes, and overall satisfaction were significantly superior to the open surgery group.
人们普遍认为，经口腔前庭入路甲状腺手术（TOETVA）展现出了一种新技术和一种很有前景的方法，因为它既微创又具有极佳的美容效果。本研究的目的是评估与开放性甲状腺手术相比，TOETVA的手术效果、美学满意度和术后生活质量。该研究设计为前瞻性研究，越南一个中心的121例患者接受了甲状腺手术，研究分为两组：TOETVA组60例患者和开放性手术组61例患者。对患者进行了随访，包括手术效果、美容满意度和生活质量。这些标准在术后4周、8周和12周使用SF - 36和甲状腺手术专用问卷进行评估。
TOETVA组患者明显比开放性手术组患者年轻（35.8 ± 10.3岁对46.9 ± 11.5岁，P < 0.001）。TOETVA组的平均手术时间（102.9 ± 26.1分钟）比开放性手术组（66.8 ± 23.8分钟）长，P = 0.0001。TOETVA组的美容效果和总体满意度明显更高，P = 0.0001。TOETVA组患者的SF - 36生活质量评分总体上高于开放性手术组。
TOETVA已被广泛应用，具有低并发症发生率、美容吸引力和手术疗效。术后生活质量、美容效果和总体满意度明显优于开放性手术组。
