Evidence map›Paper›PMID 36068388›Full record

ArticleSurgical endoscopy2023

Experimental evaluation of laparoscopic laser speckle contrast imaging to visualize perfusion deficits during intestinal surgery.

Wido Heeman, Aurelia C L Wildeboer, Mahdi Al-Taher, Joost E M Calon, Laurents P S Stassen, Michele Diana, Joep P M Derikx, Gooitzen M van Dam, E Christiaan Boerma, Nicole D Bouvy

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07720505 (COLOFLOW), which is not on this map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
3.4field-weighted citation impact, top 6% 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.

NCT07720505 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

COLOFLOW: Laser Speckle Contrast Imaging Versus Near-infrared Fluorescence Imaging With Indocyanine Green

TypeobservationalSponsorLeiden University Medical CenterRan2026 to 2027Enrolled30ConditionsLeakage, Anastomotic, Colon Cancer, Colon Anastomosis, Colon and Rectal CancerArmsLaser Speckle Contrast Imaging
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

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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

10 authors at 6 institutions in 3 countries.

Wido Heeman *Faculty Campus Fryslân, University of Groningen, Leeuwarden, 8911 CE, The Netherlands. w.t.heeman@umcg.nl.
Aurelia C L Wildeboer *Department of Pediatric Surgery, Amsterdam UMC, 1105 AZ, Amsterdam UMC, The Netherlands. a.wildeboer@maastrichtuniversity.nl.ORCID http://orcid.org/0000-0002-9056-6838
Mahdi Al-TaherIRCAD, Research Institute Againstgainst Digestive Cancer, 67000, Strasbourg, France. mahdi.altaher@mumc.nl.
Joost E M CalonZiuZ Visual Intelligence BV, Gorredijk, 8401 DK, The Netherlands.
Laurents P S StassenDepartment of Surgery, Maastricht University Medical Center, Maastricht, 6200 MD, The Netherlands.
Michele DianaIRCAD, Research Institute Againstgainst Digestive Cancer, 67000, Strasbourg, France.
Joep P M DerikxDepartment of Pediatric Surgery, Amsterdam UMC, 1105 AZ, Amsterdam UMC, The Netherlands.
Gooitzen M van DamDepartment of Surgery, Optical Molecular Imaging Groningen, University Medical Centre Groningen, Groningen, 9713 GZ, The Netherlands.
E Christiaan BoermaMedical Centre Leeuwarden, Department of Intensive Care, Leeuwarden, 8934 AD, The Netherlands.
Nicole D BouvyDepartment of Surgery, Maastricht University Medical Center, Maastricht, 6200 MD, The Netherlands.
Maastricht University Medical Centre · NLUniversity Medical Center Groningen · NLAmsterdam University Medical Centers · NLInstitut de Recherche contre les Cancers de l’Appareil Digestif · FRMaastricht University · NLMedisch Centrum Leeuwarden · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIschemia at the site of an intestinal anastomosis is one of the most important risk factors for anastomotic leakage (AL). Consequently, adequate intestinal microperfusion is essential for optimal tissue oxygenation and anastomotic healing. As visual inspection of tissue viability does not guarantee an adequate objective evaluation of intestinal microperfusion, surgeons are in dire need of supportive tools to decrease anastomotic leakage after colorectal surgery.

methodsIn this feasibility study, laparoscopic laser speckle contrast imaging (LSCI) was used to evaluate intestinal microperfusion in an experimental ischemic bowel loop model. Both large and small ischemic loops were created from the small intestine of a pig; each loop was divided into 5 regions of interest (ROI) with varying levels of ischemia. Speckle contrast and local capillary lactate (LCL) was measured in all ROIs.

resultsBoth real-time visualization of intestinal microperfusion and induced perfusion deficits was achieved in all bowel loops. As a result, the emergence of regions of intestinal ischemia could be predicted directly after iatrogenic perfusion limitation, whereas without LSCI signs of decreased intestinal viability could only be seen after 30 minutes. Additionally, a significant relation was found between LCL and LSCI.

conclusionIn conclusion, LSCI can achieve real-time intraoperative visualization of intestinal microperfusion deficits, allowing for accurate prediction of long-term postoperative ischemic complications. With this revealing capacity, LSCI could potentially facilitate surgical decision-making when constructing intestinal anastomoses in order to mitigate ischemia-related complications such as AL.

Indexed as

Anastomotic LeakLaparoscopyAnastomosis, SurgicalAnimalsIschemiaLaser Speckle Contrast ImagingPerfusionPerfusion ImagingPostoperative ComplicationsSwineAnastomosisAnastomotic leakageBowel viabilityIntestinal persfusionIschemiaPerfusion assessment

Identifiers

PMID36068388
PMCPMC9944003
OpenAlexW4294840766

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.