Evidence map›Paper›PMID 41835258›Full record

ReviewFrontiers in surgery2026

The digital evolution of surgical planning: a systematic review of immersive and interactive technologies.

Waleed Daifallah Khubzan, Shuruq Awad Alharati, Rimas Warid Aljuaid, Dhay Saleem Algethami, Suhaiyh Sanad Alotibi, Haya Msfeir Alotaibi, Shaden Sultan Aljuaid, Rimas Salem Almalki, Mohammad Eid M Mahfouz

Abstract readReview
In one paragraph

Review in Frontiers in surgery, 2026. 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. Article
  2. Review
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

9 authors.

Waleed Daifallah Khubzan *Faculty of Medicine, Taif University, Taif, Saudi Arabia.
Shuruq Awad Alharati *Faculty of Medicine, Taif University, Taif, Saudi Arabia.
Rimas Warid Aljuaid *Faculty of Medicine, Taif University, Taif, Saudi Arabia.
Dhay Saleem Algethami *Faculty of Medicine, Taif University, Taif, Saudi Arabia.
Suhaiyh Sanad Alotibi *Faculty of Medicine, Taif University, Taif, Saudi Arabia.
Haya Msfeir Alotaibi *Faculty of Medicine, Taif University, Taif, Saudi Arabia.
Shaden Sultan Aljuaid *Faculty of Medicine, Taif University, Taif, Saudi Arabia.
Rimas Salem Almalki *Faculty of Medicine, Taif University, Taif, Saudi Arabia.
Mohammad Eid M Mahfouz *Surgery Department, Faculty of Medicine, Taif University, Taif, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Immersive and interactive technologies such as Virtual Reality (VR), Augmented Reality (AR), and Mixed Reality (MR) are reshaping surgical planning by enhancing anatomical visualization, enabling personalized procedures, and improving intraoperative navigation and decision-making across diverse surgical specialties. Methods: This systematic review was conducted in accordance with the PRISMA guidelines, and was registered in PROSPERO (CRD420251066149), analyzing 30 studies (1,270 participants) from PubMed, Google Scholar Web of Science and Ovid MEDLINE up to February 2025. Included studies evaluated VR, AR, or MR in preoperative or intraoperativesurgical planning, reporting outcomes on accuracy, time efficiency, or plan modifications. Risk of bias was assessed using RoB 2.0 for RCTs and ROBINS-I for non-randomized studies. Results: VR was the most utilized technology (17 studies), improving spatial understanding and prompting plan modifications in 32%-52% of cases (e.g., lung segmentectomies, TAVR). AR (8 studies) enhanced intraoperative accuracy, reducing pedicle screw placement errors (98% vs. 91.7% control) and procedure times (e.g., 50% faster spinal screw placement). MR (2 studies) demonstrated potential in reducing thoracic epidural needle adjustments (7.2 vs. 14.4 movements) and sentinel node biopsy durations (3.6 vs. 7.9 min). Heterogeneity in study designs and outcomes limited meta-analysis. Conclusion: VR enhanced anatomical understanding and preoperative planning, while AR, and MR were better for procedural accuracy and intraoperative workflow. Future multicenter trials with standardized protocols are needed to establish long-term clinical efficacy and cost-effectiveness in diverse surgical settings. Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420251066149, PROSPERO CRD420251066149.

Indexed as

augmented realityimmersive technologyintraoperative navigationmixed realitypreoperative visualizationsurgical planningsystematic reviewvirtual reality

Identifiers

PMID41835258
PMCPMC12979114

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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.