Evidence map›Paper›PMID 23877766›Full record

Trial reportSurgical endoscopy2013

Combined vascular and biliary fluorescence imaging in laparoscopic cholecystectomy.

Rutger M Schols, Nicole D Bouvy, Ronald M van Dam, Ad A M Masclee, Cornelis H C Dejong, Laurents P S Stassen

3 registry-linked trialsAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 38 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 3 pooled it
5.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02558556 naunknown statusnot on this mapstarted 2016, after this paper: background citation

Near-infrared Fluorescence Cholangiography Assisted Laparoscopic Cholecystectomy Versus Conventional Laparoscopic Cholecystectomy (FALCON): a Multicenter Randomized Controlled Trial

TypeinterventionalSponsorMaastricht University Medical CenterRan2016 to 2020Enrolled308ConditionsCholecystolithiasis, CholecystitisArmsLaparoscopic Fluorescence Imaging System (Karl Storz), Indocyanine Green
NCT03024892 naunknown statusnot on this mapstarted 2015, after this paper: background citation

Intra-gallbladder or Systemic Indocyanide Green Injection Facilitate Cholecystectomy in Acute Cholecystitis , Gallstone and Gallbladder Polyp Patients.

TypeinterventionalSponsorChang Gung Memorial HospitalRan2015 to 2018Enrolled600ConditionsFluorenscent Image Guided Surgery, Indocyanide GreenArmsICG GB, ICG IV, LC conventional, LC conventional and IOC
NCT04228835 nacompletednot on this mapstarted 2017, after this paper: background citation

Does ICG Fluorescence Cholangiography Identify Critical View of Safety Earlier in Laparoscopic Cholecystectomy: Results From a Randomized Controlled Study in University Malaya Medical Centre

TypeinterventionalSponsorUniversity of MalayaRan2017 to 2019Enrolled72ConditionsCholelithiasisArmsFluorescence Cholangiography
3 · Its place in the literature

Who cites it

38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 87 citations in OpenAlex.

  1. Pooled it
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  19. Patch-based classification of gallbladder wall vascularity from laparoscopic images using deep learning.International journal of computer assisted radiology and surgery · 2021
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  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Rutger M ScholsDepartment of Surgery, Maastricht University Medical Center, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands, rutgermschols@hotmail.com.
Nicole D Bouvy
Ronald M van Dam
Ad A M Masclee
Cornelis H C Dejong
Laurents P S Stassen
Maastricht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBile duct injury in patients undergoing laparoscopic cholecystectomy is a rare but serious complication. Concomitant vascular injury worsens the outcome of bile duct injury repair. Near-infrared fluorescence imaging using indocyanine green (ICG) is a promising, innovative, and noninvasive method for the intraoperative identification of biliary and vascular anatomy during cholecystectomy. This study assessed the practical application of combined vascular and biliary fluorescence imaging in laparoscopic gallbladder surgery for early biliary tract delineation and arterial anatomy confirmation.

methodsPatients undergoing elective laparoscopic cholecystectomy were enrolled in this prospective, single-institutional study. To delineate the major bile ducts and arteries, a dedicated laparoscope, offering both conventional and fluorescence imaging, was used. ICG (2.5 mg) was administered intravenously immediately after induction of anesthesia and in half of the patients repeated at establishment of critical view of safety for concomitant arterial imaging. During dissection of the base of the gallbladder and the cystic duct, the extrahepatic bile ducts were visualized. Intraoperative recognition of the biliary structures was registered at set time points, as well as visualization of the cystic artery after repeat ICG administration.

resultsThirty patients were included. ICG was visible in the liver and bile ducts within 20 minutes after injection and remained up to approximately 2 h, using the ICG-filter of the laparoscope. In most cases, the common bile duct (83%) and cystic duct (97%) could be identified significantly earlier than with conventional camera mode. In 13 of 15 patients (87%), confirmation of the cystic artery was obtained successfully after repeat ICG injection. No per- or postoperative complications occurred as a consequence of ICG use.

conclusionBiliary and vascular fluorescence imaging in laparoscopic cholecystectomy is easily applicable in clinical practice, can be helpful for earlier visualization of the biliary tree, and is useful for the confirmation of the arterial anatomy.

Indexed as

Indocyanine GreenAdultAgedAged, 80 and overAngiographyBile Duct DiseasesBile DuctsCholangiographyCholecystectomy, LaparoscopicColoring AgentsDiagnostic ImagingElective Surgical ProceduresFemaleFluorescenceFollow-Up StudiesGallbladder DiseasesColoring AgentsIndocyanine Green

Identifiers

PMID23877766
OpenAlexW2160865606

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.