Evidence map›Paper›PMID 37333818›Full record

ArticleFrontiers in oncology2023

Fluorescein-guided surgery for high-grade glioma resection: a five-year-long retrospective study at our institute.

Chen Xi, Sun Jinli, Mao Jianyao, Chen Yan, Li Huijuan, Shi Zhongjie, Li Zhangyu, Zhou Liwei, Li Yukui, Chen Sifang and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.7field-weighted citation impact, top 15% 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

6 citing papers in PubMed, 6 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

11 authors at 1 institution in 1 country.

Chen XiDepartment of Neurosurgery, The First Affiliated Hospital of Xiamen University, Xiamen, Fujian, China.
Sun JinliDepartment of Reproduction, The First Affiliated Hospital of Xiamen University, Xiamen, Fujian, China.
Mao JianyaoDepartment of Neurosurgery, The First Affiliated Hospital of Xiamen University, Xiamen, Fujian, China.
Chen YanDepartment of Orthopedic Sports Medicine, The First Affiliated Hospital of Xiamen University, Fujian, China.
Li HuijuanDepartment of Trauma Center and Acute Abdomen Surgery, The First Affiliated Hospital of Xiamen University, Fujian, China.
Shi ZhongjieDepartment of Neurosurgery, The First Affiliated Hospital of Xiamen University, Xiamen, Fujian, China.
Li ZhangyuDepartment of Neurosurgery, The First Affiliated Hospital of Xiamen University, Xiamen, Fujian, China.
Zhou LiweiDepartment of Neurosurgery, The First Affiliated Hospital of Xiamen University, Xiamen, Fujian, China.
Li YukuiDepartment of Neurosurgery, The First Affiliated Hospital of Xiamen University, Xiamen, Fujian, China.
Chen SifangDepartment of Neurosurgery, The First Affiliated Hospital of Xiamen University, Xiamen, Fujian, China.
Tan GuoweiDepartment of Neurosurgery, The First Affiliated Hospital of Xiamen University, Xiamen, Fujian, China.
First Affiliated Hospital of Xiamen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study investigates the extent of resection, duration of surgery, intraoperative blood loss, and postoperative complications in patients with high-grade glioma who received surgery with or without sodium fluorescein guidance. Methods: A single-center retrospective cohort study was conducted on 112 patients who visited our department and underwent surgery between July 2017 and June 2022, with 61 in the fluorescein group and 51 in the non-fluorescein group. Baseline characteristics, intraoperative blood loss, surgery duration, resection extent, and postoperative complications were documented. Results: The duration of surgery was significantly shorter in the fluorescein group than in the non-fluorescein group (P = 0.022), especially in patients with tumors in the occipital lobes (P = 0.013). More critically, the gross total resection (GTR) rate was significantly higher in the fluorescein group than in the non-fluorescein group (45.9% vs. 19.6%, P = 0.003). The postoperative residual tumor volume (PRTV) was also significantly lower in the fluorescein group than in the non-fluorescein group (0.40 [0.12-7.11] cm Conclusions: Fluorescein-guided resection of high-grade gliomas using a special operating microscope is a feasible, safe, and convenient technique that significantly improves GTR rates and reduces postoperative residual tumor volume when compared to conventional white light surgery without fluorescein guidance. This technique is particularly advantageous for patients with tumors located in non-verbal, sensory, motor, and cognitive areas such as the temporal and occipital lobes, and does not increase the incidence of postoperative complications.

Indexed as

extent of resectionfluorescein-guided surgerygross-total resectionhigh-grade gliomasodium fluorescein

Identifiers

PMID37333818
PMCPMC10272354
OpenAlexW4379229141

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.