Evidence map›Paper›PMID 41184142›Full record

Trial reportInvestigative and clinical urology2025

Application of virtual reality in optimizing surgical outcomes and resident training in percutaneous nephrolithotomy: A randomized control trial.

Ankur Mittal, Gurpremjit Singh, Vikas K Panwar, Deepak Kumar, Omang Agarwal, Arup K Mandal

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Investigative and clinical urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. Impact of three-dimensional reconstruction in preoperative planning for partial nephrectomy: A prospective study.Indian journal of urology : IJU : journal of the Urological Society of India
    Article
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

6 authors.

Ankur MittalDepartment of Urology, All India Institute of Medical Sciences, Rishikesh, India.ORCID 0000-0002-8040-9935
Gurpremjit SinghDepartment of Urology, Medanta the Medicity, Gurugram, India. gurpremjitaiims@gmail.com.ORCID 0000-0003-1376-810X
Vikas K PanwarDepartment of Urology, All India Institute of Medical Sciences, Rishikesh, India.ORCID 0000-0001-6441-6775
Deepak KumarDepartment of Urology, All India Institute of Medical Sciences, Rishikesh, India.ORCID 0000-0002-9424-0798
Omang AgarwalDepartment of Urology, All India Institute of Medical Sciences, Rishikesh, India.ORCID 0009-0007-1444-770X
Arup K MandalDepartment of Urology, All India Institute of Medical Sciences, Rishikesh, India.ORCID 0000-0002-4498-8394

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePercutaneous nephrolithotomy (PCNL) necessitates that the urologist comprehensively understands the stone's location and its relation to the intrarenal anatomy. We evaluated the use of virtual reality (VR) as a preoperative tool for planning for PCNL surgery and its assessment for training among residents in PCNL. MATERIALS AND

methodsThis prospective, randomized control trial took place between May 2021 to June 2022. Resident and consultant surgeons rated their understanding of the anatomy with computed tomography (CT) alone and after CT+VR. The CT scans from patients randomized to the intervention group created a patient-specific three-dimensional VR model (Anatomage software version 6.02).

resultsThe trial enrolled 90 participants and was randomized to the control group (CT alone) and the VR group. The mean age of the participants was 42.09±13.48 years. There were 63 males (70.0%) and 27 females (30.0%). Residents had an improved understanding of the location of the stone, size of the stone, shape, orientation of the calyx, optimal entry of the calyx, and navigation. Residents had a better ability to formulate a surgical plan with VR models. The consultant surgeon's assessment showed CT and VR had non-significant results for understanding based on the above parameters. Preoperative evaluation in patients in the VR group with S.T.O.N.E score >8 showed a statistically significant better understanding of consultants (p<0.05). They recommend VR to colleagues if patients have a S.T.O.N.E score >8 (p<0.05).

conclusionsVR improved the understanding of PCNL for residents in all cases and consultants in complex anatomy cases.

Indexed as

Internship and ResidencyKidney CalculiNephrolithotomy, PercutaneousUrologyVirtual RealityAdultClinical CompetenceFemaleHumansMaleMiddle AgedProspective StudiesTomography, X-Ray ComputedTreatment OutcomeEducationNephrolithotomy, percutaneousSimulation trainingUrologyVirtual reality

Identifiers

PMID41184142
PMCPMC12599425

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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.