Effect of augmented reality navigation technology on perioperative safety in partial nephrectomies: A meta-analysis and systematic review

AimTo evaluate the impact of augmented reality surgical navigation (ARSN) technology on short-term outcomes of partial nephrectomy (PN).MethodsA systematic literature search was conducted in PubMed, Embase, Cochrane, and Web of Science for eligible studies published through March 28, 2022. Two resea...

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Main Authors: Cong Cheng, MaCheng Lu, Ye Zhang, XingQian Hu
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-04-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2023.1067275/full
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author Cong Cheng
MaCheng Lu
Ye Zhang
XingQian Hu
author_facet Cong Cheng
MaCheng Lu
Ye Zhang
XingQian Hu
author_sort Cong Cheng
collection DOAJ
description AimTo evaluate the impact of augmented reality surgical navigation (ARSN) technology on short-term outcomes of partial nephrectomy (PN).MethodsA systematic literature search was conducted in PubMed, Embase, Cochrane, and Web of Science for eligible studies published through March 28, 2022. Two researchers independently performed the article screening, data extraction and quality review. Data analysis was performed using Cochrane Review Manager software.ResultsA total of 583 patients from eight studies were included in the analysis, with 313 in the ARSN-assisted PN group (AR group) and 270 in the conventional PN group (NAR group). ARSN-assisted PN showed better outcomes than conventional surgery in terms of operative time, estimated blood loss, global ischemia rate, warm ischemia time, and enucleation rate. However, there were no significant differences in the rate of Conversion to radical nephrectomy (RN), postoperative estimated glomerular filtration rate (eGFR), positive margin rate, and postoperative complication rate.ConclusionThe utilization of ARSN can improve the perioperative safety of PN. Compared with conventional PN, ARSN-assisted PN can reduce intraoperative blood loss, shorten operative time, and improve renal ischemia. Although direct evidence is lacking, our results still suggest a potential advantage of ARSN in improving renal recovery after PN. However, as the ARSN system is still in an exploratory stage, its relevance in PN have been poorly reported. Additional high-quality randomized controlled trial (RCT) studies will be required to confirm the effect of ARSN on PN.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=301798, identifier PROSPERO ID: CRD42022301798.
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spelling doaj.art-7d443570ba034134bd56509be373488b2023-04-12T05:14:31ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-04-011010.3389/fsurg.2023.10672751067275Effect of augmented reality navigation technology on perioperative safety in partial nephrectomies: A meta-analysis and systematic reviewCong ChengMaCheng LuYe ZhangXingQian HuAimTo evaluate the impact of augmented reality surgical navigation (ARSN) technology on short-term outcomes of partial nephrectomy (PN).MethodsA systematic literature search was conducted in PubMed, Embase, Cochrane, and Web of Science for eligible studies published through March 28, 2022. Two researchers independently performed the article screening, data extraction and quality review. Data analysis was performed using Cochrane Review Manager software.ResultsA total of 583 patients from eight studies were included in the analysis, with 313 in the ARSN-assisted PN group (AR group) and 270 in the conventional PN group (NAR group). ARSN-assisted PN showed better outcomes than conventional surgery in terms of operative time, estimated blood loss, global ischemia rate, warm ischemia time, and enucleation rate. However, there were no significant differences in the rate of Conversion to radical nephrectomy (RN), postoperative estimated glomerular filtration rate (eGFR), positive margin rate, and postoperative complication rate.ConclusionThe utilization of ARSN can improve the perioperative safety of PN. Compared with conventional PN, ARSN-assisted PN can reduce intraoperative blood loss, shorten operative time, and improve renal ischemia. Although direct evidence is lacking, our results still suggest a potential advantage of ARSN in improving renal recovery after PN. However, as the ARSN system is still in an exploratory stage, its relevance in PN have been poorly reported. Additional high-quality randomized controlled trial (RCT) studies will be required to confirm the effect of ARSN on PN.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=301798, identifier PROSPERO ID: CRD42022301798.https://www.frontiersin.org/articles/10.3389/fsurg.2023.1067275/fullpartial nephrectomyradical nephrectomynephron-sparing surgeryperioperative safetyaugmented reality navigation technology
spellingShingle Cong Cheng
MaCheng Lu
Ye Zhang
XingQian Hu
Effect of augmented reality navigation technology on perioperative safety in partial nephrectomies: A meta-analysis and systematic review
Frontiers in Surgery
partial nephrectomy
radical nephrectomy
nephron-sparing surgery
perioperative safety
augmented reality navigation technology
title Effect of augmented reality navigation technology on perioperative safety in partial nephrectomies: A meta-analysis and systematic review
title_full Effect of augmented reality navigation technology on perioperative safety in partial nephrectomies: A meta-analysis and systematic review
title_fullStr Effect of augmented reality navigation technology on perioperative safety in partial nephrectomies: A meta-analysis and systematic review
title_full_unstemmed Effect of augmented reality navigation technology on perioperative safety in partial nephrectomies: A meta-analysis and systematic review
title_short Effect of augmented reality navigation technology on perioperative safety in partial nephrectomies: A meta-analysis and systematic review
title_sort effect of augmented reality navigation technology on perioperative safety in partial nephrectomies a meta analysis and systematic review
topic partial nephrectomy
radical nephrectomy
nephron-sparing surgery
perioperative safety
augmented reality navigation technology
url https://www.frontiersin.org/articles/10.3389/fsurg.2023.1067275/full
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