Evidence map›Paper›PMID 34988740›Full record

ArticleSurgical endoscopy2022

Feasibility of quantitative analysis of colonic perfusion using indocyanine green to prevent anastomotic leak in colorectal surgery.

Juan-Carlos Gomez-Rosado, Javier Valdes-Hernandez, Juan Cintas-Catena, Auxiliadora Cano-Matias, Asuncion Perez-Sanchez, Francisco-Javier Del Rio-Lafuente, Cristina Torres-Arcos, Yaiza Lara-Fernandez, Luis-Cristobal Capitan-Morales, Fernando Oliva-Mompean

Erratum issuedAbstract read
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In one paragraph

Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
2.7field-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

23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 30 citations in OpenAlex.

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  15. Indocyanine green: The guide to safer and more effective surgery.World journal of gastrointestinal surgery · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Juan-Carlos Gomez-RosadoColorectal Surgery Unit, General and Digestive Surgery, University Hospital Virgen Macarena, Dr Fedriani s/n, 41009, Seville, Spain. dr.gomez.rosado@gmail.com.ORCID 0000-0002-9467-1934
Javier Valdes-HernandezColorectal Surgery Unit, General and Digestive Surgery, University Hospital Virgen Macarena, Dr Fedriani s/n, 41009, Seville, Spain.
Juan Cintas-CatenaColorectal Surgery Unit, General and Digestive Surgery, University Hospital Virgen Macarena, Dr Fedriani s/n, 41009, Seville, Spain.
Auxiliadora Cano-MatiasColorectal Surgery Unit, General and Digestive Surgery, University Hospital Virgen Macarena, Dr Fedriani s/n, 41009, Seville, Spain.
Asuncion Perez-SanchezColorectal Surgery Unit, General and Digestive Surgery, University Hospital Virgen Macarena, Dr Fedriani s/n, 41009, Seville, Spain.
Francisco-Javier Del Rio-LafuenteColorectal Surgery Unit, General and Digestive Surgery, University Hospital Virgen Macarena, Dr Fedriani s/n, 41009, Seville, Spain.
Cristina Torres-ArcosColorectal Surgery Unit, General and Digestive Surgery, University Hospital Virgen Macarena, Dr Fedriani s/n, 41009, Seville, Spain.
Yaiza Lara-FernandezGeneral and Digestive Surgery, University Hospital Virgen Macarena, Seville, Spain.
Luis-Cristobal Capitan-MoralesColorectal Surgery Unit, General and Digestive Surgery, University Hospital Virgen Macarena, Dr Fedriani s/n, 41009, Seville, Spain.
Fernando Oliva-MompeanColorectal Surgery Unit, General and Digestive Surgery, University Hospital Virgen Macarena, Dr Fedriani s/n, 41009, Seville, Spain.
Hospital Universitario Virgen Macarena · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to quantify Fluorescence angiography with indocyanine green (ICG) in colorectal cancer anastomosis, determine influential factors in its temporary intensity and pattern, assessing the ability to predict the AL, and setting the cut-off levels to establish high- or low-risk groups.

methodsRetrospective analysis of prospectively managed database, including 70 patients who underwent elective surgery for colorectal cancer in which performing a primary anastomosis was in primary plan. In all of them, ICG fluorescence angiography was performed as usual clinical practice with VisionSense™ VS Iridium (Medtronic, Mansfield, MA, USA), in Elevision™ IR Platform (Medtronic, Mansfield, MA, USA). Parameters measured at real time or calculated were T

results70 patients were included, 69 anastomosis were performed and one end colostomy. Arterial hypertension demonstrated higher F

conclusionQuantitative analysis of ICG fluorescence in colorectal surgery is safe and feasible to stratify risk of AL. Hypertension and location of anastomosis influence the intensity of fluorescence at the point of section. A change of division place should be considered to avoid AL related to vascular reasons when intensities of fluorescence at the point of section is lower than 169 U or slopes lower than 14.4 U/s.

Indexed as

Colorectal NeoplasmsColorectal SurgeryAnastomosis, SurgicalAnastomotic LeakFeasibility StudiesFluorescein AngiographyHumansIndocyanine GreenPerfusionRetrospective StudiesIndocyanine GreenAnastomotic complicationsColorectal cancerIndocyanine green (ICG)Intestinal perfusionQuantitative fluorescence imaging

Identifiers

PMID34988740
OpenAlexW4206305778

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.