Indocyanine green fluorescence-guided intraoperative detection of peritoneal carcinomatosis: systematic review

BMC Surgery
Gian Luca BaiocchiSimone Giacopuzzi

Abstract

To review the available clinical data about the value of Indocyanine Green (ICG) fluorescence imaging for intraoperative detection of peritoneal carcinomatosis. We conducted a systematic review, according to the PRISMA guidelines, for clinical series investigating the possible role of ICG fluorescence imaging in detecting peritoneal carcinomatosis during surgical treatment of abdominal malignancies. With the aim to analyze actual application in the daily clinical practice, papers including trials with fluorophores other than ICG, in vitro and animals series were excluded. Data on patients and cancer features, timing, dose and modality of ICG administration, sensitivity, specificity and accuracy of fluorescence diagnosis of peritoneal nodules were extracted and analyzed. Out of 192 screened papers, we finally retrieved 7 series reporting ICG-guided detection of peritoneal carcinomatosis. Two papers reported the same cases, thus only 6 series were analyzed, for a total of 71 patients and 353 peritoneal nodules. The investigated tumors were colorectal carcinomas in 28 cases, hepatocellular carcinoma in 16 cases, ovarian cancer in 26 cases and endometrial cancer in 1 case. In all but 4 cases, the clinical setting was an elective in...Continue Reading

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Citations

Jan 13, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·T O VilzB Stoffels
Mar 26, 2021·Journal of Surgical Oncology·Subramanyeshwar Rao ThammineediChandrakanth Are
Apr 12, 2021·BMC Surgery·Gian Luca BaiocchiMarco Catarci
May 30, 2021·Journal of Pediatric Surgery·Richard S WhitlockSanjeev A Vasudevan
Jun 23, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·María Del Pilar Gutiérrez DelgadoJulio Santoyo Santoyo

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Methods Mentioned

BETA
fluorescence imaging
Fluorescence

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