Evidence map›Paper›PMID 32987841›Full record

ReviewDiagnostics (Basel, Switzerland)2020

Indocyanine Green-Enhanced Colorectal Surgery-between Being Superfluous and Being a Game-Changer.

Catalin Alius, Corneliu Tudor, Cristinel Dumitru Badiu, Ana Maria Dascalu, Catalin Gabriel Smarandache, Alexandru Dan Sabau, Ciprian Tanasescu, Simona Andreea Balasescu, Dragos Serban

Abstract readReview
In one paragraph

Review in Diagnostics (Basel, Switzerland), 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
–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. Article
  2. Review
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  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. A High-Speed Hyperspectral Laparoscopic Imaging System.Proceedings of SPIE--the International Society for Optical Engineering · 2023
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Role ofExperimental and therapeutic medicine · 2021
    Article
  18. A dual-camera hyperspectral laparoscopic imaging system.Proceedings of SPIE--the International Society for Optical Engineering
    Article
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

9 authors.

Catalin AliusIVth Surgery Department, Emergency University Hospital Bucharest, 050098 Bucharest, Romania.
Corneliu TudorIVth Surgery Department, Emergency University Hospital Bucharest, 050098 Bucharest, Romania.
Cristinel Dumitru BadiuFaculty of Medicine, University of Medicine and Pharmacy "Carol Davila", 020011 Bucharest, Romania.
Ana Maria DascaluIVth Surgery Department, Emergency University Hospital Bucharest, 050098 Bucharest, Romania.ORCID 0000-0002-7474-2395
Catalin Gabriel SmarandacheIVth Surgery Department, Emergency University Hospital Bucharest, 050098 Bucharest, Romania.
Alexandru Dan SabauIIIrd Department of Surgery, Faculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, Romania.
Ciprian TanasescuIIIrd Department of Surgery, Faculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, Romania.
Simona Andreea BalasescuIVth Surgery Department, Emergency University Hospital Bucharest, 050098 Bucharest, Romania.
Dragos SerbanIVth Surgery Department, Emergency University Hospital Bucharest, 050098 Bucharest, Romania.ORCID 0000-0002-1380-2112

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nowadays, surgical innovations incorporate new technological conquests and must be validated by evidence-based medicine. The use of augmented reality-assisted indocyanine green (ICG) fluorescence has generated a myriad of intraoperative applications such as demonstration of key anatomical landmarks, sentinel lymph nodes, and real-time assessment of local blood flow. This paper presents a systematic review of the clinical evidence regarding the applications of ICG near-infrared (NIR) fluorescence in colorectal surgery. After we removed duplicate publications and screened for eligibility, a total of 36 articles were evaluated: 23 on perfusion assessment, 10 on lymph node mapping, and 3 on intraoperative identification of ureters. Lack of homogenous studies, low statistical power, and confounding evidence were found to be common amongst publications supporting the use of ICG in colorectal surgery, raising concerns over this seductive technique's cost efficiency and redundancy. The compiled data showed that ICG NIR fluorescence may be a game-changer in particular situations, as proven for low colorectal anastomosis or lateral pelvic lymph node dissection, but it remains controversial for routine use and sentinel lymph node assessment. Further randomized studies are needed to confirm these conclusions. Future research directions include tumor-targeted fluorescence imaging and digital software for quantitative evaluation of fluorescence.

Indexed as

anastomotic leakscolorectal surgeryindocyanine greenlymph node mappingnear-infrared (NIR) fluorescence

Identifiers

PMID32987841
PMCPMC7600504

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.