Evidence map›Paper›PMID 32020287›Full record

Trial reportSurgical endoscopy2020

A new method of near-infrared fluorescence image-guided hepatectomy for patients with hepatolithiasis: a randomized controlled trial.

Kunshan He, Xiaopeng Hong, Chongwei Chi, Chaonong Cai, Kun Wang, Peiping Li, Xialei Liu, Jian Li, Hong Shan, Jie Tian

Abstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.8field-weighted citation impact, top 8% 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, 30 citations in OpenAlex.

  1. Trial
  2. Tumor lesion detection in patients with cervical cancer by indocyanine green near-infrared imaging.European journal of nuclear medicine and molecular imaging · 2023
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  12. Intraoperative fluorescence molecular imaging accelerates the coming of precision surgery in China.European journal of nuclear medicine and molecular imaging · 2022
    Review
  13. Review
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  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

10 authors at 4 institutions in 1 country.

Kunshan HeThe Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China.
Xiaopeng HongThe Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China.
Chongwei ChiKey Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences, Beijing, 100190, China.
Chaonong CaiThe Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China.
Kun WangKey Laboratory of Molecular Imaging, Institute of Automation, Chinese Academy of Sciences, Beijing, 100190, China.
Peiping LiThe Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China.
Xialei LiuThe Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China.
Jian LiThe Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China. lijian5@mail.sysu.edu.cn.
Hong ShanThe Fifth Affiliated Hospital, Sun Yat-sen University, Zhuhai, China. shanhong@mail.sysu.edu.cn.
Jie TianBeijing Advanced Innovation Center for Big Data-Based Precision Medicine, School of Medicine and Engineering, Beihang University, Beijing, 100191, China. jie.tian@ia.ac.cn.
Sun Yat-sen University · CNBeihang University · CNChinese Academy of Sciences · CNFifth Affiliated Hospital of Sun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHepatectomy is a definitive treatment for hepatolithiasis because it simultaneously removes intrahepatic duct (IHD) stones and biliary tract strictures together with the involved liver region en bloc. Unlike cystic or solid liver tumors, hepatolithiasis is usually associated with alterations of anatomical structures and perihepatic adhesions because of chronic recurrent inflammation. This complicates identification of the target hepatic region and location of biliary strictures.

methodsTo determine the efficacy of near-infrared fluorescence (NIRF) imaging using indocyanine green (ICG), we performed a comparative trial and developed a white-light and near-infrared dual-channel image-guided device (DPM-I) for both open and endoscopic surgery. Forty-four eligible patients were randomly assigned to Group A (NIRF imaging) or Group B (traditional hepatectomy). We injected ICG via peripheral veins for patients in Group A.

resultsThe NIRF imaging method was associated with less blood loss (OR 1.004, 95% CI 0.999-1.010; P = 0.016), briefer hospitalization (OR 1.336, 95% CI 1.016-1.756; P = 0.001), lower rates of margins with dilated bile ducts (OR 1.278, 95% CI 1.030-1.585; P = 0.023), lower postoperative white blood cell counts (OR 1.262, 95% CI 0.931-1.712; P = 0.038), lower procalcitonin levels (OR 1.316, 95% CI 1.020-1.513; P = 0.002), and lower alanine aminotransferase levels (OR 1.013, 95% CI 1.003-1.023; P = 0.002) compared with traditional hepatectomy.

conclusionsThese data demonstrate the efficacy of NIRF imaging with ICG using DPM-I for treating hepatolithiasis.

Indexed as

AdultAgedBile Duct DiseasesBile Ducts, IntrahepaticBiliary Tract Surgical ProceduresFemaleFluorescent DyesHepatectomyHumansIndocyanine GreenLithiasisMaleMiddle AgedOptical ImagingSpectroscopy, Near-InfraredSurgery, Computer-AssistedFluorescent DyesIndocyanine GreenFluorescence image-guided hepatectomyHepatolithiasisIndocyanine greenIntraoperative imagingNear-infrared fluorescence

Identifiers

PMID32020287
OpenAlexW3004493123

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.