Evidence map›Paper›PMID 40554527›Full record

ArticlePloS one2025

The VIPR-1 trial (Visualizing Ischemia in the Pancreatic Remnant): Assessing the role of intraoperative indocyanine green perfusion in predicting postoperative pancreatic leaks and fistulas: Protocol for a phase II clinical trial.

Gustavo Salgado-Garza, Annika Willy, Flavio G Rocha, Skye C Mayo, Brett C Sheppard, Patrick J Worth

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06084013 (Assessing the Role of Intraoperative Indocyanine Green Perfusion of the Transected Pancreas in Predicting Postoperative Pancreatic Leaks), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT06084013 recruitingnot on this map

Assessing the Role of Intraoperative Indocyanine Green Perfusion of the Transected Pancreas in Predicting Postoperative Pancreatic Leaks

TypeobservationalSponsorOHSU Knight Cancer InstituteRan2024 to 2028Enrolled55ConditionsPancreatic CarcinomaArmsNon-Interventional Study
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Gustavo Salgado-GarzaOregon Health & Science University, Department of Surgery, Portland, Oregon, United States of America.ORCID 0000-0002-6696-4043
Annika WillyOregon Health & Science University, Department of Surgery, Portland, Oregon, United States of America.
Flavio G RochaOregon Health & Science University, Department of Surgery, Portland, Oregon, United States of America.
Skye C MayoOregon Health & Science University, Department of Surgery, Portland, Oregon, United States of America.
Brett C SheppardOregon Health & Science University, Department of Surgery, Portland, Oregon, United States of America.
Patrick J WorthOregon Health & Science University, Department of Surgery, Portland, Oregon, United States of America.ORCID 0000-0001-9600-0678

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surgery of the pancreas has come a long way since its inception; however, postoperative morbidity is still high. Pancreatic leaks and fistulas are common complications in patients undergoing surgery to remove the pancreas. Fistulas delay subsequent oncological care after surgery and prolong the hospital stay. Hypoperfusion of the pancreas has been proposed as one factor leading to fistulas. Indocyanine green (ICG) injection allows the surgeon to evaluate blood perfusion to tissue in real-time. This protocol describes a trial that aims to assess the effectiveness of intraoperative ICG metrics of the cut edge of the remnant pancreas to predict postoperative fistulas. A single group will participate in an observational, surgeon-blinded, phase II trial. ICG measurements of the cut edge of the pancreas will be recorded before reconstruction. International Study Group on Pancreatic Surgery criteria for pancreatic fistula will be used to define leaks and fistulas. The study objective is to analyze the correlation between ICG measurements and the development or absence of both biochemical leak and clinically relevant fistula formation. Currently, limited objective intraoperative predictors exist for predicting postoperative fistulas. Having a reliable predictive tool could decrease the healthcare burden posed by fistulas. The findings of this trial will provide conclusions on the usefulness of ICG measurements in predicting postoperative pancreatic fistulas and leaks. This clinical trial is registered in ClinicalTrials.gov with the ID NCT06084013. The current protocol version is v1.1.

Indexed as

Indocyanine GreenIschemiaPancreasPancreatectomyPancreatic FistulaPostoperative ComplicationsClinical Trials, Phase II as TopicFemaleHumansMaleObservational Studies as TopicIndocyanine Green

Identifiers

PMID40554527
PMCPMC12186879

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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.