Evidence map›Paper›PMID 39409997›Full record

ReviewCancers2024

Efficacy and Safety of Fluorescence-Guided Surgery Compared to Conventional Surgery in the Management of Colorectal Cancer: A Systematic Review and Meta-Analysis.

Michael G Fadel, Elham Zonoobi, María Rita Rodríguez-Luna, Kohei Mishima, Frédéric Ris, Michele Diana, Alexander L Vahrmeijer, Silvana Perretta, Hutan Ashrafian, Matyas Fehervari

Abstract readReview
In one paragraph

Review in Cancers, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Observational
  3. Review
  4. 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

10 authors.

Michael G FadelDepartment of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK.ORCID 0000-0002-3305-4270
Elham ZonoobiEdinburgh Molecular Imaging Limited, Nine Edinburgh Bioquarter, Edinburgh EH16 4UX, UK.
María Rita Rodríguez-LunaDepartment of General Surgery, Hospital de Barcelona, 08001 Barcelona, Spain.ORCID 0000-0002-6560-0176
Kohei MishimaResearch Institute Against Digestive Cancer (IRCAD), 67000 Strasbourg, France.
Frédéric RisDepartment of Surgery, University Hospital of Geneva, 1205 Geneva, Switzerland.ORCID 0000-0001-7421-6101
Michele DianaDepartment of Surgery, University Hospital of Geneva, 1205 Geneva, Switzerland.
Alexander L VahrmeijerDepartment of Surgery, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands.
Silvana PerrettaResearch Institute Against Digestive Cancer (IRCAD), 67000 Strasbourg, France.
Hutan AshrafianDepartment of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK.
Matyas FehervariDepartment of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK.ORCID 0000-0002-0796-5150

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of fluorescence agents and imaging systems is a promising adjunct in the surgical management of colorectal cancer. This systematic review and meta-analysis aimed to assess the safety and efficacy of fluorescence-guided surgery in the management of colorectal cancer, with a comparison to conventional (non-fluorescence-guided) surgery.

methodsA literature search of MEDLINE, Embase, Emcare, and CINAHL databases was performed for studies that reported data on the outcomes of fluorescence-guided surgery, with or without a comparison group undergoing conventional surgery, for colorectal cancer between January 2000 and January 2024. A meta-analysis was performed using random-effect models, and between-study heterogeneity was assessed.

results35 studies of 3217 patients with colorectal cancer were included: 26 studies (964 patients) reported on fluorescence-guided surgery and 9 studies (2253 patients) reported on fluorescence versus conventional surgery. The weighted mean of the cancer detection rate of fluorescence-guided surgery was 71% (95% CI 0.55-0.85), with no significant difference in lymph node yield ratio (WMD -0.04; 95% CI -0.10-0.02;

conclusionsFluorescence-guided surgery is a safe and effective approach in the management of colorectal cancer, potentially reducing blood loss and complications. Further randomised controlled trials are required comparing fluorescence-guided surgery with conventional surgery to determine its prognostic benefit and where it should precisely fit within the management pathway of colorectal cancer.

Indexed as

anastomotic leakagecolorectal cancerefficacyfluorescence-guided surgeryindocyanine greensafety

Identifiers

PMID39409997
PMCPMC11476237

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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.