Chinese Expert Consensus on Preventing and Managing Chyle Fistula in Cervical Lymph Node Dissection for Thyroid Cancer (2024).

IF 2.8 3区医学 Q1 Pharmacology, Toxicology and Pharmaceutics

Therapeutics and Clinical Risk Management Pub Date : 2025-02-27 eCollection Date: 2025-01-01 DOI:10.2147/TCRM.S493007

Qingqing He, Wen Tian, Jingqiang Zhu, Ping Wang, Hao Zhang

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引用次数: 0

Abstract

Background: The prevalence of thyroid carcinoma is on the rise, with cervical lymph node metastasis being a frequent occurrence necessitating surgical intervention. Chyle fistula, a significant postoperative complication, can have a substantial impact on recovery.

Objective: To reduce the incidence of chyle fistula, enhance the effectiveness of postoperative treatment, and assist thyroid surgeons in performing cervical lymph node dissection, the consensus was compiled in a standardized and secure manner.

Methods: Drawing from the expertise of Chinese specialists in managing chyle fistula and the latest international advancements in this field following cervical lymph node dissection, the thyroid tumor experts group of Chinese Thyroid Association, Chinese College of Surgeons, Chinese Medical Doctor Association and Thyroid Disease Professional Committee of Chinese Research Association have developed innovative approaches to address this issue. An evidence-based approach was employed, integrating the knowledge and practical experience of the panelists.

Results: We developed twelve expert consensus recommendations, addressing the prevention, diagnosis, and treatment of postoperative chyle fistula. These recommendations included the dietary management and nutritional support, continuous negative pressure suction, local adhesive treatment, application of local compression methods, the use of somatostatin and its analogs, and surgery treatment.

Conclusion: This evidence-based consensus would be valuable to assist front-line surgeons and medical specialists in the management of chyle fistula.

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《甲状腺癌颈淋巴清扫术中乳糜瘘防治专家共识》（2024）。

背景：甲状腺癌的发病率呈上升趋势，颈部淋巴结转移是常见的，需要手术干预。乳糜瘘，一个重要的术后并发症，可以对恢复有很大的影响。目的：为减少乳糜瘘的发生率，提高术后治疗的有效性，协助甲状腺外科医生进行颈部淋巴结清扫，以规范、安全的方式编制共识。方法：中国甲状腺协会甲状腺肿瘤专家组、中国外科医师学会、中国医师协会、中国医学研究会甲状腺疾病专业委员会，结合我国专家在颈淋巴结清扫后乳糜瘘治疗方面的经验，结合国际最新研究进展，共同探讨解决这一问题的创新方法。采用了循证方法，整合了小组成员的知识和实践经验。结果：我们提出了12项专家共识建议，讨论了术后乳糜瘘的预防、诊断和治疗。这些建议包括饮食管理和营养支持、持续负压吸引、局部粘接剂治疗、局部压迫方法的应用、生长抑素及其类似物的使用和手术治疗。结论：这一循证共识有助于一线外科医生和医学专家治疗乳糜瘘。

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来源期刊

Therapeutics and Clinical Risk Management HEALTH CARE SCIENCES & SERVICES-

CiteScore

5.30

自引率

3.60%

发文量

139

审稿时长

16 weeks

期刊介绍： Therapeutics and Clinical Risk Management is an international, peer-reviewed journal of clinical therapeutics and risk management, focusing on concise rapid reporting of clinical studies in all therapeutic areas, outcomes, safety, and programs for the effective, safe, and sustained use of medicines, therapeutic and surgical interventions in all clinical areas. The journal welcomes submissions covering original research, clinical and epidemiological studies, reviews, guidelines, expert opinion and commentary. The journal will consider case reports but only if they make a valuable and original contribution to the literature. As of 18th March 2019, Therapeutics and Clinical Risk Management will no longer consider meta-analyses for publication. The journal does not accept study protocols, animal-based or cell line-based studies.