Evidence map›Paper›PMID 26150223›Full record

ArticleSurgical endoscopy2016

A multicenter study of using carbon nanoparticles to show sentinel lymph nodes in early gastric cancer.

Jun Yan, Xiaoling Zheng, Zhangyuanzhu Liu, Jiang Yu, Zhenwei Deng, Fangqing Xue, Yu Zheng, Feng Chen, Hong Shi, Gang Chen and 7 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
1.2field-weighted citation impact, top 20% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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  11. Subserosal Indocyanine Green Plus Submucosal Carbon Nanoparticle Navigated Laparoscopic Gastrectomy (DANCE-01): a Cohort Study.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
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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

17 authors at 5 institutions in 1 country.

Jun YanDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, Guangdong, People's Republic of China. ynjun@yahoo.com.
Xiaoling ZhengDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, Guangdong, People's Republic of China.
Zhangyuanzhu LiuDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, Guangdong, People's Republic of China.
Jiang YuDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, Guangdong, People's Republic of China.
Zhenwei DengDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, Guangdong, People's Republic of China.
Fangqing XueDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, Guangdong, People's Republic of China.
Yu ZhengDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, Guangdong, People's Republic of China.
Feng ChenDepartment of Surgery, Fujian Provincial Tumor Hospital, Teaching Hospital of Fujian Medical University, Fuzhou, 350014, Fujian, People's Republic of China.
Hong ShiDepartment of Surgery, Fujian Provincial Tumor Hospital, Teaching Hospital of Fujian Medical University, Fuzhou, 350014, Fujian, People's Republic of China.
Gang ChenDepartment of Pathology, Fujian Provincial Tumor Hospital, Teaching Hospital of Fujian Medical University, Fuzhou, 350014, Fujian, People's Republic of China.
Jianping LuDepartment of Pathology, Fujian Provincial Tumor Hospital, Teaching Hospital of Fujian Medical University, Fuzhou, 350014, Fujian, People's Republic of China.
Lisheng CaiDepartment of Surgery, Zhangzhou Hospital, Teaching Hospital of Fujian Medical University, Zhangzhou, 363000, Fujian, People's Republic of China.
Mingzhi CaiDepartment of Surgery, Zhangzhou Hospital, Teaching Hospital of Fujian Medical University, Zhangzhou, 363000, Fujian, People's Republic of China.
Gao XiangDepartment of Surgery, Nanping Hospital, Teaching Hospital of Fujian Medical University, Nanping, 353000, Fujian, People's Republic of China.
Yunfeng HongDepartment of Surgery, Nan'an Hospital, Teaching Hospital of Fujian Medical University, Nan-an, 362300, Fujian, People's Republic of China.
Wenbo ChenDepartment of Surgery, Nan'an Hospital, Teaching Hospital of Fujian Medical University, Nan-an, 362300, Fujian, People's Republic of China.
Guoxin LiDepartment of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, Guangdong, People's Republic of China. gzliguoxin@163.com.
Fujian Medical University · CNNanfang Hospital · CNFujian Provincial Cancer Hospital · CNFujian Provincial Hospital · CNZhangzhou Municipal Hospital of Fujian Province · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLymph node metastasis occurs in approximately 10% of early gastric cancer. Preoperative or intra-operative identification of lymph node metastasis in early gastric cancer is crucial for surgical planning. The purpose of this study was to evaluate the feasibility of using carbon nanoparticles to show sentinel lymph nodes (SLNs) in early gastric cancer.

methodsA multicenter study was performed between July 2012 and November 2014. Ninety-one patients with early gastric cancer identified by preoperative endoscopic ultrasonography were recruited. One milliliter carbon nanoparticles suspension, which is approved by Chinese Food and Drug Administration, was endoscopically injected into the submucosal layer at four points around the site of the primary tumor 6-12 h before surgery. Laparoscopic radical resection with D2 lymphadenectomy was performed. SLNs were defined as nodes that were black-dyed by carbon nanoparticles in greater omentum and lesser omentum near gastric cancer. Lymph node status and SLNs accuracy were confirmed by pathological analysis.

resultsAll patients had black-dyed SLNs lying in greater omentum and/or lesser omentum. SLNs were easily found under laparoscopy. The mean number of SLNs was 4 (range 1-9). Carbon nanoparticles were around cancer in specimen. After pathological analysis, 10 patients (10.99%) had lymph node metastasis in 91 patients with early gastric cancer. SLNs were positive in 9 cases and negative in 82 cases. In pathology, carbon nanoparticles were seen in lymphatic vessels, lymphoid sinus, and macrophages in SLNs. When SLNs were positive, cancer cells were seen in lymph nodes. The sensitivity, specificity, and accuracy of black-dyed SLNs in early gastric cancers were 90, 100, and 98.9 %, respectively. No patient had any side effects of carbon nanoparticles in this study.

conclusionsIt is feasible to use carbon nanoparticles to show SLNs in early gastric cancer. Carbon nanoparticles suspension is safe for submucosal injection.

Indexed as

CarbonNanoparticlesAdultAgedFeasibility StudiesFemaleHumansLaparoscopyLymphatic MetastasisLymph Node ExcisionMaleMiddle AgedSentinel Lymph NodeStomach NeoplasmsCarbonCarbon nanoparticlesEarly gastric cancerLymph node metastasisMulticenter studySentinel lymph nodes

Identifiers

PMID26150223
OpenAlexW792075678

What OpenQuestion holds

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Registered trials

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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.