Evidence map›Paper›PMID 37973806›Full record

Trial reportNature communications2023

Indocyanine green fluorescence imaging-guided versus conventional laparoscopic lymphadenectomy for gastric cancer: long-term outcomes of a phase 3 randomised clinical trial.

Qi-Yue Chen, Qing Zhong, Zhi-Yu Liu, Ping Li, Guang-Tan Lin, Qiao-Ling Zheng, Jia-Bin Wang, Jian-Xian Lin, Jun Lu, Long-Long Cao and 12 more

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase III
In one paragraph

Trial report in Nature communications, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03050879 (Prospective Randomized Controlled Trials on Clinical Outcomes of Indocyanine Green Tracer Using in Laparoscopic Gastrectomy With Lymph Node Dissection for Gastric Cancer), which is not on this map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 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.

NCT03050879 phase2completednot on this map

Prospective Randomized Controlled Trials on Clinical Outcomes of Indocyanine Green Tracer Using in Laparoscopic Gastrectomy With Lymph Node Dissection for Gastric Cancer

TypeinterventionalSponsorFujian Medical UniversityRan2017 to 2019Enrolled266ConditionsStomach Neoplasms, Indocyanine GreenArmsIndocyanine Green Tracer
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  8. Design of a Wobble-Scheme Heterojunction for Catalytic Cancer Therapy.Small (Weinheim an der Bergstrasse, Germany) · 2026
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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

22 authors.

Qi-Yue Chen *Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Qing Zhong *Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China.ORCID 0000-0002-8214-9129
Zhi-Yu Liu *Department of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Ping LiDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Guang-Tan LinDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Qiao-Ling ZhengDepartment of Pathology, Fujian Medical University Union Hospital, Fuzhou, China.
Jia-Bin WangDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Jian-Xian LinDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Jun LuDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Long-Long CaoDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Mi LinDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Ru-Hong TuDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Ze-Ning HuangDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Gui-Rong ZengDiagnostic Pathology Center, Fujian Medical University, Fuzhou, China.
Mei-Chen JiangDepartment of Pathology, Fujian Medical University Union Hospital, Fuzhou, China.
Hua-Gen WangDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Xiao-Bo HuangDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Kai-Xiang XuDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Yi-Fan LiDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Chao-Hui ZhengDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China. wwkzch@163.com.ORCID 0000-0003-0157-5167
Jian-Wei XieDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China. xjwhw2019@163.com.
Chang-Ming HuangDepartment of Gastric Surgery, Fujian Medical University Union Hospital, Fuzhou, China. hcmlr2002@163.com.ORCID 0000-0002-0019-885X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Indocyanine green (ICG) fluorescence imaging-guided lymphadenectomy has been demonstrated to be effective in increasing the number of lymph nodes (LNs) retrieved in laparoscopic gastrectomy for gastric cancer (GC). Previously, we reported the primary outcomes and short-term secondary outcomes of a phase 3, open-label, randomized clinical trial (NCT03050879) investigating the use of ICG for image-guided lymphadenectomy in patients with potentially resectable GC. Patients were randomly (1:1 ratio) assigned to either the ICG or non-ICG group. The primary outcome was the number of LNs retrieved and has been reported. Here, we report the primary outcome and long-term secondary outcomes including three-year overall survival (OS), three-year disease-free survival (DFS), and recurrence patterns. The per-protocol analysis set population is used for all analyses (258 patients, ICG [n = 129] vs. non-ICG group [n = 129]). The mean total LNs retrieved in the ICG group significantly exceeds that in the non-ICG group (50.5 ± 15.9 vs 42.0 ± 10.3, P < 0.001). Both OS and DFS in the ICG group are significantly better than that in the non-ICG group (log-rank P = 0.015; log-rank P = 0.012, respectively). There is a difference in the overall recurrence rates between the ICG and non-ICG groups (17.8% vs 31.0%). Compared with conventional lymphadenectomy, ICG guided laparoscopic lymphadenectomy is safe and effective in prolonging survival among patients with resectable GC.

Indexed as

LaparoscopyStomach NeoplasmsHumansIndocyanine GreenLymph Node ExcisionLymph NodesOptical ImagingIndocyanine Green

Identifiers

PMID37973806
PMCPMC10654517

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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.