Evidence map›Paper›PMID 40555845›Full record

SynthesisSurgical endoscopy2025

The role of indocyanine green fluorescence angiography in the perioperative period for patients after colorectal surgery: a meta-analysis of propensity score-matched studies with trial sequential analysis.

Xianhao Yi, Hao Hu, Hao Shi, Wenjie Wu, Qiulin Huang, Shuai Xiao, Xiangheng Chen

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Surgical endoscopy, 2025. 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
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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

7 authors.

Xianhao Yi *Department of Gastrointestinal Surgery, The First Affiliated Hospital, Hengyang Medical School, University of South China, No.69 Chuanshan Road, Shigu District Hengyang, Hengyang, 421001, Hunan Province, China.
Hao Hu *Department of Gastrointestinal Surgery, The First Affiliated Hospital, Hengyang Medical School, University of South China, No.69 Chuanshan Road, Shigu District Hengyang, Hengyang, 421001, Hunan Province, China.
Hao ShiDepartment of Gastrointestinal Surgery, The First Affiliated Hospital, Hengyang Medical School, University of South China, No.69 Chuanshan Road, Shigu District Hengyang, Hengyang, 421001, Hunan Province, China.
Wenjie WuDepartment of Gastrointestinal Surgery, The First Affiliated Hospital, Hengyang Medical School, University of South China, No.69 Chuanshan Road, Shigu District Hengyang, Hengyang, 421001, Hunan Province, China.
Qiulin HuangDepartment of Gastrointestinal Surgery, The First Affiliated Hospital, Hengyang Medical School, University of South China, No.69 Chuanshan Road, Shigu District Hengyang, Hengyang, 421001, Hunan Province, China.
Shuai XiaoDepartment of Gastrointestinal Surgery, The First Affiliated Hospital, Hengyang Medical School, University of South China, No.69 Chuanshan Road, Shigu District Hengyang, Hengyang, 421001, Hunan Province, China.
Xiangheng ChenDepartment of Gastrointestinal Surgery, The First Affiliated Hospital, Hengyang Medical School, University of South China, No.69 Chuanshan Road, Shigu District Hengyang, Hengyang, 421001, Hunan Province, China. cw9771@163.com.ORCID http://orcid.org/0000-0003-0122-1027

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe utilization of Indocyanine Green (ICG) Fluorescence Angiography (FA) in colorectal surgery is gaining increasing traction. This manuscript employs meta-analysis, propensity score-matched (PSM), and trial sequential analysis (TSA) to compare the perioperative outcomes between colorectal cancer patients who underwent surgery with and without ICG FA. MATERIALS AND

methodsA thorough literature search was conducted across many databases, including PubMed, Embase, Cochrane Library, and Web of Science, from the foundation of each database to November 2024. The quality of the included studies was evaluated using the Newcastle-Ottawa Scale. Meta-analysis was conducted utilizing R language software. The I

resultsA total of 25 studies involving 6877 patients were analyzed, and all utilized PSM. Analysis of the results showed that compared with the Non-ICG group (control group), the ICG group had a low rate of anastomotic leakage (OR 0.50, 95% CI 0.42 to 0.61, P < 0.05), symptomatic anastomotic leakage (OR 0.32, 95% CI 0.21 to 0.49, P < 0.05), total postoperative complications (OR 0.79, 95% CI 0.66 to 0.95, P = 0.01), and reoperation (OR 0.33, 95% CI 0.17 to 0.65, P < 0.05), and a shorter mean postoperative hospital stay (MD - 0.91, 95% CI - 1.41 to - 0.41, P < 0.05).

conclusionICG FA significantly reduces the incidence of anastomotic leaks, symptomatic anastomotic leaks, total postoperative complications, and the need for reoperation while decreasing postoperative hospital stay.

Indexed as

Anastomotic LeakColorectal NeoplasmsFluorescein AngiographyIndocyanine GreenPostoperative ComplicationsColoring AgentsHumansPerioperative PeriodPropensity ScoreColoring AgentsIndocyanine GreenColorectal surgeryIndocyanine green fluorescence angiographyMeta-analysisPropensity score-matched

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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.