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Research Library · Independent literature review

General & GI surgery: VR and AR surgical planning research

The library holds 21 General & GI surgery studies, published 2017–2026; 13 of them since 2024.

Study designs: 4 comparative or prospective studies, 2 retrospective studies and 15 case reports, case series and technical reports.

General & GI surgery: studies by questionBar chart. General & GI surgery: studies by question. Patient outcomes 9, Department adoption 7, Prefer 3D planning 5, Anatomy understanding 5, Accuracy 3.RESEARCH LIBRARY · INDEPENDENT LITERATURE REVIEWGeneral & GI surgery: studies byquestion21 studies in the libraryPatient outcomes9Department adoption7Prefer 3D planning5Anatomy understanding5Accuracy3Positive findingMixedDescriptiveNo significant differenceRealize Medical Research Library · 631 studies · updated 2026-10-03

Key findings by question

Quoted from the studies. Each question lists the studies that report on it.

Do surgeons actually want to plan in 3D?

Of 5 studies with a finding on this question: 3 report a positive finding, 2 mixed. These reflect what each study's authors report.

  • Positive finding
    “The results of the Likert scale showed higher scores in the MR group than non-MR group.”

    Shi 2023 · Comparative study · n: 92 patients

  • Positive finding
    “The virtual stereoscopic display was critical for the surgical team to successfully separate the twins and provides a useful case study for the use of virtual reality technology in surgical planning.”

    Juhnke 2019 · Case report · n: 1 patient

  • Positive finding
    “The vast majority of surgeons interviewed scored their quality and usefulness as very good.”

    Sampogna 2017 · Feasibility study · n: 15 patients

Does it improve anatomical understanding?

Of 5 studies with a finding on this question: 4 report a positive finding, 1 descriptive. These reflect what each study's authors report.

  • Positive finding
    “The results indicated significant improvements in anatomy understanding and surgical precision.”

    Di Mitri 2024 · Comparative study · n: 3 patients

  • Positive finding
    “Confidence in the operative plan after VRM compared to 2D imaging also increased for both surgeons (by 15% and 8% for the operating and consulting surgeons, respectively).”

    Lyuksemburg 2023 · Cohort study (retrospective + prospective) · n: 20 patients

  • Positive finding
    “However, by immersing ourselves in virtual reality, we could comprehend the spatial relationships between the gastric wall, tumor, and surrounding arteries.”

    Uozumi 2024 · Case report (video/image) · n: 1 patient

Is the planning accurate?

Of 3 studies with a finding on this question: 2 report a positive finding, 1 mixed. These reflect what each study's authors report.

  • Positive finding
    “The concordance of the operative plan with VRM was higher than with 2D imaging (92% versus 54% for the operating surgeon and 69% versus 23% for the consulting surgeon).”

    Lyuksemburg 2023 · Cohort study (retrospective + prospective) · n: 20 patients

  • Positive finding
    “This case demonstrates that AR improves diagnostic accuracy, enhances intervention planning, and minimizes surgical risks.”

    Grebenkov 2025 · Case report · n: 1 patient

  • Mixed
    “The median deviation between AR3D model and the gamma probe localization was 12 mm (range 0-40 mm), with 43% of cases ≤ 10 mm.”

    Adawi 2026 · Prospective cohort · n: 10 patients

Does it affect patient outcomes?

Of 9 studies with a finding on this question: 2 report a positive finding, 7 descriptive. These reflect what each study's authors report.

  • Positive finding
    “There was a significant difference in the mean intraoperative bleeding volume between the two groups, but it was reduced in the MR group.”

    Shi 2023 · Comparative study · n: 92 patients

  • Positive finding
    “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.”

    Ryu 2025 · Retrospective cohort · n: 192 patients

  • Descriptive
    “No AR-related complications occurred.”

    Adawi 2026 · Prospective cohort · n: 10 patients

General & GI surgery studies on this questionAll specialties

Will my department actually use it?

Of 7 studies with a finding on this question: 4 report a positive finding, 2 descriptive, 1 no significant difference. These reflect what each study's authors report.

  • Positive finding
    “Furthermore, this technology facilitated collaborative decision-making and streamlined surgical workflows.”

    Di Mitri 2024 · Comparative study · n: 3 patients

  • Positive finding
    “Retrospectively, VRM were unable to be created in one patient due to a poor quality 2D image; the remainder (86%) were successfully able to be created and examined.”

    Lyuksemburg 2023 · Cohort study (retrospective + prospective) · n: 20 patients

  • Positive finding
    “Successful implementation was observed in 10 colorectal cancer cases, showcasing the effectiveness of MR in improving preoperative planning and its intraoperative application.”

    Bracale 2024 · Case series · n: 10 patients

Studies (21)

Augmented Reality Based 3D Modelling for Sentinel Lymph Node Localization in Cutaneous Melanoma: A Pilot Study #

Adawi Q et al. · Journal of Surgical Oncology · 2026

General & GI surgery · Prospective cohort · n: 10 patients

“The median deviation between AR3D model and the gamma probe localization was 12 mm (range 0-40 mm), with 43% of cases ≤ 10 mm.”

12 mm

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Advancing Pediatric Surgery: The Use of HoloLens 2 for 3D Anatomical Reconstructions in Preoperative Planning #

Di Mitri M et al. · Children (Basel, Switzerland) · 2024

General & GI surgery · Comparative study · n: 3 patients

“The results indicated significant improvements in anatomy understanding and surgical precision.”

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Virtual Reality for Preoperative Planning in Complex Surgical Oncology: A Single-Center Experience #

Lyuksemburg V et al. · The Journal of surgical research · 2023

General & GI surgery · Cohort study (retrospective + prospective) · n: 20 patients

“Retrospectively, VRM were unable to be created in one patient due to a poor quality 2D image; the remainder (86%) were successfully able to be created and examined.”

86%

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Mixed reality in primary retroperitoneal tumour surgery: Evaluation of preoperative and intraoperative application value #

Shi X et al. · The international journal of medical robotics + computer assisted surgery · 2023

General & GI surgery · Comparative study · n: 92 patients

“The results of the Likert scale showed higher scores in the MR group than non-MR group.”

DOIPubMed

Virtual Reality for Preoperative Planning and Education in Pediatric Surgery: Preliminary Results for the Treatment of Congenital Malformations and Tumors #

Pelizzo G et al. · World journal of surgery · 2025

General & GI surgery · Retrospective case series · n: 50 patients

“Compared to conventional imaging, preoperative VR simulations modified the surgical approach in 75.0% of cases”

75.0%

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Advancing precision, safety, and education in D3 lymph node dissection for right hemicolectomy using mixed reality technology #

Ryu S et al. · Scientific reports · 2025

General & GI surgery · Retrospective cohort · n: 192 patients

“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.”

DOIPubMedFree full text

Abdominal mixed reality visualization based on quadric error metric simplification #

Zhang W et al. · 2026 9th International Conference on Advanced Electronic Technology, Computers and Software Engineering (AETCSE) · 2026

General & GI surgery · Technical development

DOI

Immersive Virtual Reality 3-Dimensional Model for Rectal Cancer Surgical Planning #

Mazirka P et al. · Diseases of the colon and rectum · 2026

General & GI surgery · Technical note

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Augmented Reality in Surgery for Recurrent Pelvic Tumors: Clinical Case #

Grebenkov VG et al. · Creative Surgery and Oncology · 2025

General & GI surgery · Case report · n: 1 patient

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

DOI

Preoperative virtual reality-guidance for safe gastric endoscopic full-thickness resection with a suitable closure strategy #

Nishiyama N et al. · Endoscopy · 2025

General & GI surgery · Case report (video/image) · n: 1 patient

“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.”

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Advancing Neuroblastoma Surgery through the Clinical Integration of Virtual Reality and Indocyanine Green Fluorescence-Guided Imaging: A Case Report #

Paraboschi I et al. · European journal of pediatric surgery reports · 2025

General & GI surgery · Case report · n: 1 patient

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

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The use of mixed reality in the preoperative planning of colorectal surgery: Preliminary experience with a narrative review #

Bracale U et al. · Cirugia espanola · 2024

General & GI surgery · Case series · n: 10 patients

“Successful implementation was observed in 10 colorectal cancer cases, showcasing the effectiveness of MR in improving preoperative planning and its intraoperative application.”

DOIPubMed

3D-SARC: A Pilot Study Testing the Use of a 3D Augmented-Reality Model with Conventional Imaging as a Preoperative Assessment Tool for Surgical Resection of Retroperitoneal Sarcoma #

Mor E et al. · Annals of surgical oncology · 2024

General & GI surgery · Feasibility study · n: 13 patients

“When the surgical team was asked to evaluate whether the 3DAR better prepared the surgeon for planned surgical resection, 10 responses favored the 3DAR, 5 favored the 2D CT scans and 11 showed no difference (p = 0.074).”

p = 0.074

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Successful laparoscopic retroperitoneal tumor resection using mixed reality and guiding marker techniques #

Tohi Y et al. · IJU case reports · 2024

General & GI surgery · Case report · n: 1 patient

“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.”

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Computed tomography-based virtual reality-guided preoperative simulation for endoscopic full-thickness resection of a gastric submucosal tumor #

Uozumi T et al. · Endoscopy · 2024

General & GI surgery · Case report (video/image) · n: 1 patient

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

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Echo-Endoscopy Combined with Virtual Reality: A Whole Perspective of Laparoscopic Common Bile Duct Exploration in Children #

Destro F et al. · Children (Basel, Switzerland) · 2023

General & GI surgery · Case series · n: 4 patients

“The introduction in the clinical practice of a preoperative study with Virtual Reality allows a better survey of the malformation and a tailored treatment.”

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Exploring the Potential of Three-Dimensional Imaging, Printing, and Modeling in Pediatric Surgical Oncology: A New Era of Precision Surgery #

Valls-Esteve A et al. · Children (Basel, Switzerland) · 2023

General & GI surgery · Case series · n: 3 patients

“The results demonstrate that these new imaging and modeling techniques offer a promising alternative for planning complex pediatric oncological cases.”

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Practical Application of Augmented/Mixed Reality Technologies in Surgery of Abdominal Cancer Patients #

Ivanov VM et al. · Journal of imaging · 2022

General & GI surgery · Case series · n: 8 patients

“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”

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Retroperitoneal teratoma resection assisted by 3-dimensional visualization and virtual reality: A case report #

Liu T et al. · World journal of clinical cases · 2021

General & GI surgery · Case report · n: 1 patient

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Use of virtual reality for pre-surgical planning in separation of conjoined twins: A case report #

Juhnke B et al. · Proceedings of the Institution of Mechanical Engineers. Part H, Journal of engineering in medicine · 2019

General & GI surgery · Case report · n: 1 patient

“The surgical plan to close the 1-mm interatrial communication was significantly modified based on the pre-procedural spatial awareness of the anatomy presented in the virtual visualization.”

DOIPubMed

Show the other 1 studies

Routine clinical application of virtual reality in abdominal surgery #

Sampogna G et al. · Minimally invasive therapy & allied technologies · 2017

General & GI surgery · Feasibility study · n: 15 patients

“Preoperative surgical planning and intraoperative guidance was feasible for all patients included in the study.”

DOIPubMed

Browse the whole library

Summarises published research on VR/AR surgical planning across all platforms. Not product labelling. For Elucis indications see /elucis.

Intended for healthcare professionals.

Summaries and quotes describe each study's methods and the findings its authors report. They are not claims by Realize Medical and may contain errors: please read the original paper. Inclusion is not an endorsement of any product or use.