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

• DOI: 10.2147/tcrm.s493007
• Publication Date: 2025-02-26T11:55:12Z
• Authors: Qingqing He; Wen Tian; Jingqiang Zhu; Ping Wang; Hao Zhang
• Keywords: Chyle; Neck dissection

The prevalence of thyroid carcinoma is on the rise, with cervical lymph node metastasis being a frequent occurrence necessitating surgical intervention. Chyle fistula, significant postoperative complication, can have substantial impact recovery. To reduce incidence chyle enhance effectiveness treatment, and assist surgeons in performing dissection, consensus was compiled standardized secure manner. Drawing from expertise Chinese specialists managing fistula latest international advancements this field following tumor experts group Thyroid Association, College Surgeons, Medical Doctor Association Disease Professional Committee Research developed innovative approaches to address issue. An evidence-based approach employed, integrating knowledge practical experience panelists. We twelve expert recommendations, addressing prevention, diagnosis, treatment fistula. These recommendations included dietary management nutritional support, continuous negative pressure suction, local adhesive application compression methods, use somatostatin its analogs, surgery treatment. This would be valuable front-line medical