Evidence map›Paper›PMID 32072407›Full record

ArticleUpdates in surgery2020

Indocyanine green-enhanced fluorangiography (ICGf) in laparoscopic extraperitoneal rectal cancer resection.

Laura Bonadio, Cristiana Iacuzzo, Davide Cosola, Tommaso Cipolat Mis, Fabiola Giudici, Biagio Casagranda, Alan Biloslavo, Nicolò de Manzini

Abstract read
PubMed Publisher
In one paragraph

Article in Updates in surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 12 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

20 citing papers in PubMed, 12 syntheses or guidelines pooled it.

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  15. How to objectively evaluate the impact of image-guided surgery technologies.European journal of nuclear medicine and molecular imaging · 2024
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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

8 authors.

Laura BonadioSC (UCO) Clinica Chirurgica, Department of Medicine, Surgery and Health Sciences, University of Trieste, Strada di Fiume 447, 34149, Trieste, TS, Italy. laurabonadio@gmail.com.
Cristiana IacuzzoSC (UCO) Clinica Chirurgica, Department of Medicine, Surgery and Health Sciences, University of Trieste, Strada di Fiume 447, 34149, Trieste, TS, Italy.
Davide CosolaSC (UCO) Clinica Chirurgica, Department of Medicine, Surgery and Health Sciences, University of Trieste, Strada di Fiume 447, 34149, Trieste, TS, Italy.
Tommaso Cipolat MisSC (UCO) Clinica Chirurgica, Department of Medicine, Surgery and Health Sciences, University of Trieste, Strada di Fiume 447, 34149, Trieste, TS, Italy.
Fabiola GiudiciBiostatistics Unit, Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy.
Biagio CasagrandaSC (UCO) Clinica Chirurgica, Department of Medicine, Surgery and Health Sciences, University of Trieste, Strada di Fiume 447, 34149, Trieste, TS, Italy.
Alan BiloslavoSC (UCO) Clinica Chirurgica, Department of Medicine, Surgery and Health Sciences, University of Trieste, Strada di Fiume 447, 34149, Trieste, TS, Italy.
Nicolò de ManziniSC (UCO) Clinica Chirurgica, Department of Medicine, Surgery and Health Sciences, University of Trieste, Strada di Fiume 447, 34149, Trieste, TS, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anastomotic leak (AL) is one of the worst complications of rectal anterior resection (RAR) and its incidence varies according to the anatomical site, increasing in lower anastomoses. Many etiological factors have been evaluated and most of these are related to bowel perfusion. Indocyanine green-enhanced fluorangiography (ICGf) has been proposed to help surgeons assess colonic perfusion with higher reliability than subjective clinical judgment. The aim of the study was to evaluate the efficacy of this tool in patients subjected to elective laparoscopic RAR for extraperitoneal rectal cancer. All the patients subjected to elective laparoscopic RAR for extraperitoneal rectal cancer between May 2015 and January 2017 were considered. In all of them, ICGf was performed to evaluate bowel perfusion. The control group included an equal number of patients subjected to the same procedure from January 2014 to April 2015, before the start of routine use of this tool at our institution. The endpoint of the study was to compare the incidence of AL between the two groups. A total of 33 patients were included in both groups. Relying on fluorescence intensity in the indocyanine green (ICG) group, we changed the level of resection in 6/33 patients (18.2%). An AL developed in 2/33 patients (6%) in the ICG group versus in 7/33 patients (21.2%) in the control group. The routine use of this technique may help surgeons in selecting the best level of proximal bowel resection during RAR.

Indexed as

Indocyanine GreenAgedAged, 80 and overAnastomotic LeakCohort StudiesElective Surgical ProceduresEndoscopy, GastrointestinalFemaleFluorescein AngiographyHumansLaparoscopyMaleMiddle AgedPostoperative ComplicationsRectal NeoplasmsRectumIndocyanine GreenAnastomotic leakColorectal anastomosesFluorangiographyFluorescenceICGRAR

Identifiers

PMID32072407

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.