Evidence map›Paper›PMID 40926152›Full record

SynthesisInternational journal of colorectal disease2025

Efficacy and safety of indocyanine green fluorescence imaging in colorectal cancer: a systematic review and meta-analysis of randomized controlled trials.

Abdullah Afridi, Ayesha Zulfiqar, Fatima Sajjad, Iqra Shahid, Hira Habib, Yasir Saleem, Zain Afridi, Asad Iqbal, Fazia Khattak, Farwa Nisa and 6 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of colorectal disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Review
  5. Article
  6. Observational
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

16 authors.

Abdullah AfridiKhyber Medical College, Peshawar, Pakistan.
Ayesha ZulfiqarDow Medical College, Karachi, Pakistan.ORCID http://orcid.org/0009-0003-3018-5667
Fatima SajjadKhyber Medical College, Peshawar, Pakistan.ORCID http://orcid.org/0009-0009-8861-0367
Iqra ShahidKing Edward Medical University, Lahore, Pakistan.ORCID http://orcid.org/0009-0009-7188-1312
Hira HabibAllama Iqbal Medical College, Lahore, Pakistan.ORCID http://orcid.org/0009-0006-4013-4945
Yasir SaleemKhyber Medical College, Peshawar, Pakistan.
Zain AfridiKhyber Medical College, Peshawar, Pakistan.ORCID http://orcid.org/0009-0007-8744-6927
Asad IqbalBacha Khan Medical College, Mardan, Pakistan.ORCID http://orcid.org/0009-0000-2462-1299
Fazia KhattakKhyber Medical College, Peshawar, Pakistan.
Farwa NisaDepartment of Medicine, Fatima Jinnah Medical University, Lahore, Pakistan.
Hanifullah KhanDepartment of Surgery, Khyber Teaching Hospital, Peshawar, Pakistan.
Zaryab BachaKhyber Medical College, Peshawar, Pakistan.ORCID http://orcid.org/0009-0008-6821-5653
Muhammad Abdullah AliKhyber Medical College, Peshawar, Pakistan.ORCID http://orcid.org/0009-0002-3199-7862
Muhammad Hamza KhanKhyber Teaching Hospital, Peshawar, Pakistan.
Rizwan AfridiKhyber Medical College, Peshawar, Pakistan.
Kamil Ahmad KamilInternal Medicine Department, Mirwais Regional Hospital, Kandahar, Afghanistan. Drkamilahmad1@gmail.com.ORCID http://orcid.org/0009-0000-8208-0689

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe primary treatment for colorectal cancer, which is very prevalent, is surgery. Anastomotic leaking poses a significant risk following surgery. Intestinal perfusion can be objectively and instantly assessed with indocyanine green fluorescence imaging, which may lower leakage rates and enhance surgical results.

methodsPubMed, Embase, and Web of Science databases were systematically searched using relevant keywords from inception until 5th of March 2025. Eight studies were included after final screening. Outcomes were reported as overall anastomotic leakage, wound infection, paralytic ileus, mechanical ileus, and post-operative hospital stay. Interstudy heterogeneity was assessed using I

resultsThis meta-analysis includes 4047 patients from eight investigations (2026 indocyanine green (ICG) group, 2021 non-ICG group). Overall anastomotic leak risk was considerably decreased with ICG use (risk ratio (RR) = 0.66; 95% CI: 0.54-0.81; p < 0.0001) and showed no heterogeneity (I

conclusionAlthough indocyanine green fluorescence imaging may marginally lengthen the recovery period and duration of operation, it dramatically lowers anastomotic leakage and wound infections following colorectal surgery, enhancing results.

Indexed as

Colorectal NeoplasmsIndocyanine GreenOptical ImagingAnastomotic LeakHumansPublication BiasRandomized Controlled Trials as TopicTreatment OutcomeIndocyanine GreenColorectal cancerIndocyanine green fluorescence imagingMeta-analysisRandomized controlled trials

Identifiers

PMID40926152
PMCPMC12420736

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.