Summary of the best evidence for the prevention and management of chyle leak after thyroid cancer surgery
10.3760/cma.j.cn211501-20240712-01843
- VernacularTitle:甲状腺癌术后乳糜漏预防和管理的最佳证据总结
- Author:
Mei LIANG
1
;
Lingming ZHANG
;
Teng XU
;
Lu WANG
;
Shanshan ZHAI
;
Lijuan YIN
Author Information
1. 济宁医学院附属医院甲状腺外科，济宁 272000
- Publication Type:Journal Article
- Keywords:
Thyroid neoplasms;
Chylous leakage;
Management;
Prevention;
Evidence summary
- From:
Chinese Journal of Practical Nursing
2025;41(11):849-858
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve and obtain relevant evidence at home and abroad on the prevention and management of chylous leakage after thyroid cancer surgery, and provide reference for clinical practice.Methods:Based on the 6S pyramid model system, evidence related to the prevention and management of chylous leakage after thyroid cancer surgery in the databases of UpToDate, BMJ best practice, Guidelines International Network (GIN), National Guideline Clearinghouse (NGC), PubMed, EMbase, Wanfang Database, China National Knowledge Infrastructure (CNKI) and other databases, including guidelines, expert consensus, systematic reviews, evidence summary, clinical decisions, and position statements. The retrieval time was from database establishment to June 1st 2024.Results:A total of 16 articles were included, including 5 guidelines, 9 expert consensus, and 2 systematic reviews. The 30 best pieces of evidence were summarized from 6 aspects: preoperative evaluation and preparation, intraoperative prevention, diagnosis, diet and nutrition management, monitoring and treatment, and health education.Conclusions:This study summarized relevant evidence and provides reference for medical staff to formulate intervention measures and management plans for chyle leakage after thyroid cancer surgery.
