Evidence map›Paper›PMID 30094595›Full record

ArticleJournal of robotic surgery2019

Fluorescence-guided selective arterial clamping during RAPN provides better early functional outcomes based on renal scan compared to standard clamping.

Daniele Mattevi, L G Luciani, W Mantovani, T Cai, S Chiodini, V Vattovani, M Puglisi, G Malossini

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Journal of robotic surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 5 pooled it
2.0field-weighted citation impact, top 13% 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

18 citing papers in PubMed, 5 syntheses or guidelines pooled it, 40 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. 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 at 2 institutions in 1 country.

Daniele MatteviDepartment of Urology, Santa Chiara Hospital, Largo Medaglie d'oro 9, 38122, Trento, Italy. danielemattevi85@gmail.com.
L G LucianiDepartment of Urology, Santa Chiara Hospital, Largo Medaglie d'oro 9, 38122, Trento, Italy.
W MantovaniDepartment of Prevention, Public Health Care Trust Trento, Trento, Italy.
T CaiDepartment of Urology, Santa Chiara Hospital, Largo Medaglie d'oro 9, 38122, Trento, Italy.
S ChiodiniDepartment of Urology, Santa Chiara Hospital, Largo Medaglie d'oro 9, 38122, Trento, Italy.
V VattovaniDepartment of Urology, Santa Chiara Hospital, Largo Medaglie d'oro 9, 38122, Trento, Italy.
M PuglisiDepartment of Urology, Santa Chiara Hospital, Largo Medaglie d'oro 9, 38122, Trento, Italy.
G MalossiniDepartment of Urology, Santa Chiara Hospital, Largo Medaglie d'oro 9, 38122, Trento, Italy.
Ospedale Santa Chiara · ITProvincia Autonoma di Trento · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To compare the functional and operative outcomes of robot-assisted partial nephrectomy with selective arterial clamping guided by near infrared fluorescence imaging (NIRF-RAPN) versus a cohort of patients who underwent standard RAPN without selective arterial clamping (S-RAPN). 62 consecutive patients underwent RAPN from January 2016 to May 2017: the last 20 patients underwent NIRF-RAPN. Preoperative and postoperative renal scan at 1 month were performed to evaluate the glomerular filtration rate (GFR) of the operated renal unit and total function. Functional and operative outcomes of cases were compared with a cohort of 42 patients undergoing S-RAPN. Selective clamping was performed in 15 patients (75%), whereas five (25%) cases were converted to S-RAPN, due to incomplete ischemic appearance of the tumor after selective clamping. Median tumor diameter was 40 mm in both groups. Median selective clamping was 24 min in both groups. Operative time (206' vs 190') and blood loss (200 vs 170 cc) were comparable. No major complications have been reported in the NIRF-RAPN group, whereas three acute hemorrhages with embolization were found in the S-RAPN group. The analysis of renal scan data revealed that a greater loss of GFR in the operated renal unit was observed after S-RAPN compared to NIRF-RAPN [21.5% vs. 5.5%; p = 0.046], as well as total GFR loss [8% vs 0%; p = 0.007]. The use of NIRF imaging was associated with improved short-term renal functional outcomes compared to RAPN without selective arterial clamping. To our knowledge, this is the first comparative study analyzing the GFR obtained from renal scan.

Indexed as

AgedCohort StudiesConstrictionData Interpretation, StatisticalFemaleFluorescenceGlomerular Filtration RateHumansKidneyKidney NeoplasmsMaleMiddle AgedNephrectomyRenal ArteryRobotic Surgical ProceduresSurgery, Computer-AssistedNear infrared fluorescencePartial nephrectomyRenal ischemiaRenal scanRobotic

Identifiers

PMID30094595
OpenAlexW2886523317

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.