The application of indocyanine green fluorescence imaging to determine intersegmental plane during thoracoscopic segmentectomy: A meta-analysis and systematic review
To investigate whether the application of intravenous indocyanine green fluorescence imaging(ICG-FI) had advantage in intersegmental plane visualization and perioperative outcome than using traditional inflation-deflation method(control group) in thoracoscopic segmentectomy. We searched PubMed, Emba...
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Elsevier
2025-01-01
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| Series: | Asian Journal of Surgery |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958424015720 |
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| author | Dinghang Chen Ye Lin Hui Xu Shuchen Chen Zhinuan Hong Mingqiang Kang |
| author_facet | Dinghang Chen Ye Lin Hui Xu Shuchen Chen Zhinuan Hong Mingqiang Kang |
| author_sort | Dinghang Chen |
| collection | DOAJ |
| description | To investigate whether the application of intravenous indocyanine green fluorescence imaging(ICG-FI) had advantage in intersegmental plane visualization and perioperative outcome than using traditional inflation-deflation method(control group) in thoracoscopic segmentectomy. We searched PubMed, Embase, Cochrane Library, EMBASE, Wanfang Database, VIP Database, and CNKI Database to include comparative studies focusing on the comparisons of ICG-FI and control, up to December 2022. We used standard mean differences (SMD, continuous variables) or risk ratios (RR, categorical variables) with their corresponding 95 % confidence interval (CI) were used to assess pooled effects. This analysis was conducted according to the PRISMA guideline. Total, seven published studies with 905 patients (ICG-FI group n = 428, control group n = 477) were included for further analysis. The ICG-FI group was significantly associated with less bleeding during the surgery (SMD = −0.23,95 % CI: −0.08∼-0.38, P < 0.05), shorter surgery time (SMD = −0.87, 95 % CI: −1.75∼-0.17, P < 0.05) and intersegmental boundary line (IBL) presentation time (SMD = −4.50, 95 % CI: −4.97∼-4.07, P < 0.01). The ICG-FI group had shorter postoperative hospitalization time (SMD = −0.18, 95 % CI: −0.34∼-0.03), P < 0.05), and the drainage duration (SMD = −0.18, 95 % CI: −0.34∼-0.03,P < 0.05) than that in the control group. The ICG-FI group also showed the less postoperative complications (RR = 0.75, 95 % CI: 0.64–0.88). There were no significant differences in the number of lymph node resection. No significant publication bias were found in this analysis. Compared with inflation-deflation method, application of ICG-FI in thoracoscopic segmentectomy could reduce operation time, IBL presentation time, length of hospital stay, intraoperative blood loss, and overall complication incidence. |
| format | Article |
| id | doaj-art-bc5fc3c0f92e4aa0bac7ac8679fe8a39 |
| institution | Kabale University |
| issn | 1015-9584 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj-art-bc5fc3c0f92e4aa0bac7ac8679fe8a392024-12-28T05:21:14ZengElsevierAsian Journal of Surgery1015-95842025-01-014813239The application of indocyanine green fluorescence imaging to determine intersegmental plane during thoracoscopic segmentectomy: A meta-analysis and systematic reviewDinghang Chen0Ye Lin1Hui Xu2Shuchen Chen3Zhinuan Hong4Mingqiang Kang5Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, 350001, China; Key Laboratory of Cardio-Thoracic Surgery(Fujian Medical University), Fujian Province University, Fuzhou, China; Key Laboratory of Ministry of Education for Gastrointestinal Cancer, Fujian Medical University, Fuzhou, China; Fujian Key Laboratory of Tumor Microbiology, Fujian Medical University, Fuzhou, ChinaDepartment of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, 350001, China; Key Laboratory of Cardio-Thoracic Surgery(Fujian Medical University), Fujian Province University, Fuzhou, China; Key Laboratory of Ministry of Education for Gastrointestinal Cancer, Fujian Medical University, Fuzhou, China; Fujian Key Laboratory of Tumor Microbiology, Fujian Medical University, Fuzhou, ChinaDepartment of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, 350001, China; Key Laboratory of Cardio-Thoracic Surgery(Fujian Medical University), Fujian Province University, Fuzhou, China; Key Laboratory of Ministry of Education for Gastrointestinal Cancer, Fujian Medical University, Fuzhou, China; Fujian Key Laboratory of Tumor Microbiology, Fujian Medical University, Fuzhou, ChinaDepartment of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, 350001, China; Key Laboratory of Cardio-Thoracic Surgery(Fujian Medical University), Fujian Province University, Fuzhou, China; Key Laboratory of Ministry of Education for Gastrointestinal Cancer, Fujian Medical University, Fuzhou, China; Fujian Key Laboratory of Tumor Microbiology, Fujian Medical University, Fuzhou, China; Corresponding author. Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, 350001, China.Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, 350001, China; Key Laboratory of Cardio-Thoracic Surgery(Fujian Medical University), Fujian Province University, Fuzhou, China; Key Laboratory of Ministry of Education for Gastrointestinal Cancer, Fujian Medical University, Fuzhou, China; Fujian Key Laboratory of Tumor Microbiology, Fujian Medical University, Fuzhou, China; Corresponding author. Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, 350001, China.Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, 350001, China; Key Laboratory of Cardio-Thoracic Surgery(Fujian Medical University), Fujian Province University, Fuzhou, China; Key Laboratory of Ministry of Education for Gastrointestinal Cancer, Fujian Medical University, Fuzhou, China; Fujian Key Laboratory of Tumor Microbiology, Fujian Medical University, Fuzhou, China; Corresponding author. Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, 350001, China.To investigate whether the application of intravenous indocyanine green fluorescence imaging(ICG-FI) had advantage in intersegmental plane visualization and perioperative outcome than using traditional inflation-deflation method(control group) in thoracoscopic segmentectomy. We searched PubMed, Embase, Cochrane Library, EMBASE, Wanfang Database, VIP Database, and CNKI Database to include comparative studies focusing on the comparisons of ICG-FI and control, up to December 2022. We used standard mean differences (SMD, continuous variables) or risk ratios (RR, categorical variables) with their corresponding 95 % confidence interval (CI) were used to assess pooled effects. This analysis was conducted according to the PRISMA guideline. Total, seven published studies with 905 patients (ICG-FI group n = 428, control group n = 477) were included for further analysis. The ICG-FI group was significantly associated with less bleeding during the surgery (SMD = −0.23,95 % CI: −0.08∼-0.38, P < 0.05), shorter surgery time (SMD = −0.87, 95 % CI: −1.75∼-0.17, P < 0.05) and intersegmental boundary line (IBL) presentation time (SMD = −4.50, 95 % CI: −4.97∼-4.07, P < 0.01). The ICG-FI group had shorter postoperative hospitalization time (SMD = −0.18, 95 % CI: −0.34∼-0.03), P < 0.05), and the drainage duration (SMD = −0.18, 95 % CI: −0.34∼-0.03,P < 0.05) than that in the control group. The ICG-FI group also showed the less postoperative complications (RR = 0.75, 95 % CI: 0.64–0.88). There were no significant differences in the number of lymph node resection. No significant publication bias were found in this analysis. Compared with inflation-deflation method, application of ICG-FI in thoracoscopic segmentectomy could reduce operation time, IBL presentation time, length of hospital stay, intraoperative blood loss, and overall complication incidence.http://www.sciencedirect.com/science/article/pii/S1015958424015720Indocyanine green (ICG)Inflation-deflation methodIntersegmental boundary line (IBL)Meta-analysisSegmentectomy |
| spellingShingle | Dinghang Chen Ye Lin Hui Xu Shuchen Chen Zhinuan Hong Mingqiang Kang The application of indocyanine green fluorescence imaging to determine intersegmental plane during thoracoscopic segmentectomy: A meta-analysis and systematic review Asian Journal of Surgery Indocyanine green (ICG) Inflation-deflation method Intersegmental boundary line (IBL) Meta-analysis Segmentectomy |
| title | The application of indocyanine green fluorescence imaging to determine intersegmental plane during thoracoscopic segmentectomy: A meta-analysis and systematic review |
| title_full | The application of indocyanine green fluorescence imaging to determine intersegmental plane during thoracoscopic segmentectomy: A meta-analysis and systematic review |
| title_fullStr | The application of indocyanine green fluorescence imaging to determine intersegmental plane during thoracoscopic segmentectomy: A meta-analysis and systematic review |
| title_full_unstemmed | The application of indocyanine green fluorescence imaging to determine intersegmental plane during thoracoscopic segmentectomy: A meta-analysis and systematic review |
| title_short | The application of indocyanine green fluorescence imaging to determine intersegmental plane during thoracoscopic segmentectomy: A meta-analysis and systematic review |
| title_sort | application of indocyanine green fluorescence imaging to determine intersegmental plane during thoracoscopic segmentectomy a meta analysis and systematic review |
| topic | Indocyanine green (ICG) Inflation-deflation method Intersegmental boundary line (IBL) Meta-analysis Segmentectomy |
| url | http://www.sciencedirect.com/science/article/pii/S1015958424015720 |
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