Does VR surgical planning improve patient outcomes?

“There was no mortality during the follow-up (mean = 2.5 years).”

“There were no complications or positive margins noted in the VR group.”

“The 30-day postoperative complication rate decreased from 12.9% to 10.7% (absolute reduction 2.2%; 95% CI: 0.2-4.1%; p = 0.037), while rehospitalization rates declined from 9.1% to 4.3% (p = 0.012).”

12.9%

“Nevertheless, the estimated blood loss (median 150 mL vs. 100 mL, P = 0.054) and incidence of severe complications (6.4% vs. 0%, P = 0.094) did not differ significantly between the XR and non-XR groups.”

P = 0.054

“The estimated intraoperative blood loss was also lower in the MR group compared to the control group (58.50(53.00 63.00) ml vs. 77.00(72.00 86.00) ml, p < 0.001).”

p < 0.001

“Conversion occurred in 10/39 SI cases and no VR cases (p = 0.045); intraoperative complications occurred in 5/39 and 0/11 (p = 0.20), and postoperative complications in 6/39 and 0/11 (p = 0.16).”

p = 0.045

“Compared with the MR (-) group, intraoperative blood loss and hospital stay were decreased, and the number of lymph nodes harvested around the middle colic artery/vein were increased without prolonging the operative time in the MR (+) group.”

“The mean extent of resection achieved was 94.88% (range: 78.6%-100%).”

94.88%

“VR-based surgical planning was associated with significantly smaller craniotomy sizes and shorter hospital stays.”

“The surgical complication rate was zero.”

“All patients had negative resection margins, indicating equivalent therapeutic outcomes between the two groups.”

“The total postoperative complications and hospitalization days in Group A were significantly less than those in Group B [14 (37.84%) vs 35 (60.34%), P = 0.032 and 12.05 ± 4.04 d vs 13.78 ± 4.13 d, P = 0.049, respectively].”

P = 0.032

“There were no intraoperative complications in any patient.”

“There were no perioperative complications for patients treated with open surgery.”

“Surgical tumor resections were associated with an overall complication rate comparable to the literature.”

“Complete resection of enhancing tumor (CRET) was achieved in 30 cases (85.7%), subtotal resection in 5 cases (14.3%), neurological function improved in 34 cases (97.1%) after operation,and 1 case had no improvement compared with that before(2.9%).”

85.7%

“No statistically significant differences were found among the age, complications, or inpatient hospitalization times.”

“The use of XR did not result in significant additional costs, and no differences in complication rates were identified.”

“The MR-assisted group had modest improvements in SFR compared to the control group (RR = 1.09; 95% CI 1.00-1.18; p = 0.044; I 2 = 17.3%, p = 0.29).”

RR = 1.09

“Only one study reported a reproductive outcome-pregnancy rates in a retrospective matched series of 34 patients, which did not differ between groups-and no study reported live birth, obstetric, or long-term reproductive-safety outcomes.”

“Use of a simulated environment for mapping perforators appeared to reduce complications (wound breakdown, flap revision, flap loss, infection); however, this failed to reach statistical significance (odds ratio 0.6; 95% CI 0.3-1.3; P=0.20).”

P=0.20

“Despite its potential, further research is needed to assess the full impact of VR technologies on surgical outcomes and educational efficacy in head and neck oncology decision making.”

“Though safely implemented, AR failed to improve outcomes over standard techniques in this initial experience”

“Surgeons involved in separating craniopagus twins have increasingly utilized tools such as CAD/CAM models, VSP and AR/VR to plan and execute successful separation, and these tools are associated with higher success rates than historical controls.”

“Preoperative iVR did not significantly improve patient-specific outcomes of operative time, blood loss, complications, and length of stay, but may decrease fluoroscopy time.”

“The majority (82%) included cranial based applications related to tumor surgery with 34% showing improved resection rates and functional outcomes.”

34%

“Existing evidence demonstrates improvement in clinical outcomes, surgical planning and intra-operative guidance, as well as training.”

“The final separation, completed in 2 stages over 31 hours, resulted in successful independent circulations and recovery.”

“Despite early symptomatic improvement, systemic ventricular function did not recover sufficiently to obviate the need for heart transplantation, which was successfully performed two months post-procedure.”

“We report the successful transapical device closure of a large left ventricular pseudoaneurysm following a Ross procedure for aortic valve IE.”

“Complete tumor resection was achieved without neurological or vascular complications and without breach of the upper aerodigestive tract, with complete resolution of dysphagia and no recurrence at the 3-month follow-up.”

“No intraoperative complications related to VR or AR were observed.”

“The application of AR technology facilitated precise tumor localization, reduced the operation time, and prevented damage to vessels and adjacent anatomical structures.”

“There were no occurrences of Clavien-Dindo grade≥II complications.”

“No complications were reported during or after the surgery and the dog completely recovered.”

“The use of preoperative virtual reality simulation enabled the safe and precise execution of direct aortic transcatheter aortic valve implantation via anterior right mini-thoracotomy.”

“The tumor location was confirmed close to the liver, and a feeding artery and vein were identified from the forward and retroflexed views ( Fig. 3 , Fig. 4 a,b ). gEFTR ( Video 1 ) was then completed safely, with no bleeding.”

“The procedure incorporated VR for navigation and ICG fluorescence for real-time vascular mapping, facilitating precise dissection and preservation of critical structures.”

“The patient underwent successful biventricular repair via the Rastelli procedure and AVSD repair.”

“The patient was discharged home on postoperative day 3 with no complications.”

“Procedural success rate was 100%.”

100%

“Successful atrial septoplasty performed via the internal jugular vein and anomalous pulmonary vein was followed by stenting of ductus arteriosus.”

“All leads were extracted and no complications were registered.”

“Novel techniques, including ultrasonography-guided placement of a guiding marker and strategic port-site placement facilitated by HoloLens2, ensured accurate tumor identification and laparoscopic resection with minimal blood loss and no intraoperative complications.”

“EFTR was safely completed without any intraoperative adverse events ( Video 1 ).”

“Gross total resection and favorable functional outcome were finally achieved.”

“VR technology combined with reduction plasty of the femoral head can achieve satisfactory short-term effectiveness in the treatment of coxa plana.”

“Based on our experience, the application of these technologies have added value to the surgical planning of ST and its outcomes in the treatment of CTS.”

“One short-term and three long-term ventricular assist device system were successfully clinically implanted after application of this technique.”

“Through the combined use of routine 2D images and an interactive 3D anatomical model, an interhemispheric transtentorial approach was used to remove 98% of the lesion with successful functional outcomes.”

98%

“The patient was cured without any complications.”

“There were no complications, and no patients suffered permanent neurological deficits postoperatively.”

“There were no complications during the postoperative course.”

“The mass was completely resected in one piece uneventfully.”

“We report the successful endoscopic closure of a post-radiotherapy TOF using preprocedural CT scan with holographic three-dimensional reconstruction and an Amplatzer atrial septal device.”

“Both techniques were used (8 clinical cases) for preoperative planning and intraoperative navigation, which allowed surgeons to verify the radicality of the operation, to have visual control of all anatomical structures near the zone of interest”

“We integrated the MR technique with a 3D surgical template to successfully accomplish the surgery.”

“The early mortality and morbidity were 0%, and the patency of the graft was 100%.”

0%

“After preprocedural simulation using virtual reality, we successfully completed box-lesion, ablation line from superior vena cava to inferior vena cava, left atrial appendage (LAA) excision, and PLSVC ablation.”

“Three (3) patients developed postoperative complications: one had right bundle branch block and ST-segment change, one had chest drainage >7 days (>40 mL/day) and one had pneumonia.”

“All aneurysm clipping and microvascular decompression procedures were completed without complications.”

“The modified transtrochanteric curved varus osteotomy for the treatment of ONFH is theoretically feasible, and the short-term effectiveness of this operation combined with VR technology is satisfactory.”

“The AVM was safely resected using navigation integrated with VR; careful arterial devascularization preceded resection of the draining veins and then the AVM nidus.”

“In another case, the hologram enabled a safe Gliisonean pedicle approach for hepato-cellular carcinoma with a hilar anatomical anomaly.”

“Given the rarity of pineocytoma,5 the novelty of endoscopic resection of solid tumors in the region, and the challenge of "keyhole" approaches to deep-lying targets, VR rehearsal facilitated the achievement of the surgical goal and avoided the morbidity of a more extensive exposure.”

“Complete resections were achieved and neither patient suffered any approach-related complications.”

“All patients underwent successful resection of tumor under the guidance of 3D visualization and VR technology.”

“With the help of virtual reality, surgeons could adequately assess the condition of carcinoma and the security of operation and ensured the safety of operations.”