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. 2025 Jul 30;14(15):5385. doi: 10.3390/jcm14155385

Table 1.

Clinical studies using XR technology for surgical navigation in hepato-biliary surgery.

Ref. n Intervention/Surgery Performed Results Significant Findings
[33]
85 Augmented reality navigation system/laparoscopic anatomical hepatectomy for primary liver cancer Length of stay:
Intervention = 7 days
Control = 10 days
p = 0.003
Decreased length of stay and estimated blood loss in the augmented reality group
Estimated blood loss:
Intervention = 200 mL
Control = 300 mL
p = 0.002
[34] 45 Mixed reality navigation combined with intra-operative ultrasound/laparoscopic anatomical hepatectomy for primary liver cancer Estimated blood loss:
Intervention = 103 mL
Control = 259 mL
p < 0.001
Complication rates:
Intervention = 1
Control = 7
p = 0.021
Decreased estimated blood loss, complication rates and operative time in the mixed reality group
Operative time:
Intervention = 135 min
Control = 199 min
p < 0.001
[35] 7 Augmented reality navigation for pancreaticoduodenectomy Estimated blood loss:
Intervention = 901 mL
Control = 825 mL
p > 0.05
No significant differences
Operative time:
Intervention = 412 min
Control = 425 min
p > 0.05
[36] 27 Augmented reality navigation for laparoscopic cholecystectomy Estimated blood loss:
Intervention = 0 mL
Control = 0 mL
p > 0.05
No significant differences
Operative time:
Intervention = 74 min
Control = 58 min
p > 0.05