Evidence map›Paper›PMID 42774022›Full record

ReviewBJUI compass2026

Mixed reality applications in percutaneous stone surgery: A systematic review and meta-analysis of stone-free rate and perioperative complications.

Christopher Yong-Zyn Lo, Frida Toscano, John Joson Ng, Du Jingzeng, Archan Khandekhar, Hemendra Shah, Robert Marcovich, Julio Ojalvo, Sarvesh Saini, Jonathan Katz

Abstract readReview
In one paragraph

Review in BJUI compass, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Christopher Yong-Zyn LoDepartment of Urology Singapore General Hospital Singapore.ORCID https://orcid.org/0009-0001-2323-8789
Frida ToscanoAnahuac North University Mexico City Mexico.
John Joson NgDuke-NUS Medical School Singapore.ORCID https://orcid.org/0000-0002-6862-6187
Du JingzengDepartment of Urology Singapore General Hospital Singapore.
Archan KhandekharDepartment of Urology University of Miami Coral Gables Florida USA.ORCID https://orcid.org/0000-0003-3177-3439
Hemendra ShahDepartment of Urology University of Miami Coral Gables Florida USA.ORCID https://orcid.org/0000-0002-4273-5502
Robert MarcovichDepartment of Urology University of Miami Coral Gables Florida USA.
Julio OjalvoDepartment of Computer Science University of Miami Coral Gables Florida USA.ORCID https://orcid.org/0009-0007-4189-4572
Sarvesh SainiDepartment of Computer Science University of Miami Coral Gables Florida USA.
Jonathan KatzDepartment of Urology University of Miami Coral Gables Florida USA.ORCID https://orcid.org/0009-0005-2175-0227

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: The aim of this study is to evaluate the effect of mixed reality (MR)-assisted percutaneous nephrolithotomy (PCNL) on stone-free rate (SFR), perioperative complications and operative efficiency. Methods: A search of PubMed, Embase and Web of Science from inception to February 2026 followed PRISMA guidelines. Studies comparing MR-assisted versus standard fluoroscopic or ultrasound-guided PCNL were included. Risk of bias was assessed using RoB2 and ROBINS-I. Random-effects meta-analyses calculated standardized mean differences (SMD) or risk ratios (RR) with 95% confidence intervals (CI). Results: Nine studies ( Conclusions: MR-assisted PCNL is associated with an apparent increase in SFR while maintaining comparable operative parameters and complication rates compared with standard techniques. Heterogeneity in these technologies and their applications limits generalizability. Larger, adequately powered standardized trials are recommended to interrogate key outcome measures including SFR and complication rates.

Indexed as

augmented realitycomplicationsECIRSmixed realityPCNLpercutaneous stone surgerystone‐free ratevirtual reality

Identifiers

PMID42774022
PMCPMC13593396

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.