Evidence map›Paper›PMID 29273869›Full record

ArticleSurgical endoscopy2018

Indocyanine green fluorescence imaging techniques and interventional radiology during laparoscopic anatomical liver resection (with video).

Masaki Ueno, Shinya Hayami, Tetsuo Sonomura, Ryota Tanaka, Manabu Kawai, Seiko Hirono, Ken-Ichi Okada, Hiroki Yamaue

Abstract readVideo-Audio Media
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In one paragraph

Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. [Indocyanine green fluorescence staining in liver surgery].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020
    Pooled it
  2. Review
  3. Article
  4. Article
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  6. Review
  7. Article
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  12. Review
  13. Review
  14. Hepatic Arterial Embolization with an Indocyanine Green-LipiodolInterventional radiology (Higashimatsuyama-shi (Japan) · 2020
    Article
  15. Article
  16. First Experience with Fluorescence in Pediatric Laparoscopy.European journal of pediatric surgery reports · 2019
    Article
  17. Article
  18. Innovative treatment for hepatocellular carcinoma (HCC).Translational gastroenterology and hepatology · 2018
    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

8 authors.

Masaki UenoSecond Department of Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8510, Japan.
Shinya HayamiSecond Department of Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8510, Japan.
Tetsuo SonomuraDepartment of Radiology, Wakayama Medical University, Wakayama, Japan.
Ryota TanakaDepartment of Radiology, Wakayama Medical University, Wakayama, Japan.
Manabu KawaiSecond Department of Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8510, Japan.
Seiko HironoSecond Department of Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8510, Japan.
Ken-Ichi OkadaSecond Department of Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8510, Japan.
Hiroki YamaueSecond Department of Surgery, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8510, Japan. yamaue-h@wakayama-med.ac.jp.ORCID 0000-0003-4958-9525

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo accomplish laparoscopic anatomical liver resection, intraoperative liver segmentation is necessary. Tattooing method or Glissonian approach will be used in a similar way to that in open liver resection. Moreover, in liver segment detection, the fluorescence of indocyanine green (ICG) means it has been recognized as a useful dye. In laparoscopy, however, there are technical difficulties in performing these conventional methods, so development of new techniques is necessary for liver segment identification. We report a pilot study using interventional radiology technique for laparoscopic intraoperative liver segmentation.

methodsJust prior to liver parenchymal resection, angiography was performed using a hybrid operation room. A catheter was inserted from the right femoral artery into the targeted arterial branch. After confirming the perfusion area by arteriography, embolic solution containing ICG was injected, and the branch was embolized. ICG fluorescence was observed by PINPOINT, a near-infrared imaging system.

resultsImmediately after embolic solution injection, we were able to observe ICG fluorescence on the surface of the liver to be resected. This visual effect continued during liver parenchymal resection. We were able to confirm the intra-parenchymal boundary by observing ICG fluorescence on the cut surface of the resecting side and accomplished precise anatomical liver resection.

conclusionsOur novel technique provides advances in laparoscopic anatomical liver resection performance. As two-dimensional laparoscopy lacks depth perception, additional visual information, such as ICG fluorescence imagery, is helpful as a navigation tool for precise laparoscopic anatomical liver resection.

Indexed as

ArteriesColoring AgentsFemaleFluorescenceHepatectomyHumansImaging, Three-DimensionalIndocyanine GreenLaparoscopyLiver NeoplasmsMaleMiddle AgedOptical ImagingPilot ProjectsRadiology, InterventionalColoring AgentsIndocyanine GreenICG fluorescenceLaparoscopic liver resectionNear-infraredSegmentation

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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.