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The e-mémoires of the Académie Nationale de Chirurgie

Virtual Reality and advanced surgical care on management of complex cases: an untapped opportunity for learning and teaching.

Gloria PELLIZZO

Seance of wednesday 05 february 2025 (Communications libres)

DOI number : 10.26299/6spj-rj60/2025.05.05

Abstract

Virtual Reality (VR) offers a detailed anatomical spatial orientation. Patient-specific 3D VR models are generated from reconstructed CT/MRI images of pediatric patients with congenital malformations or tumors. The preoperative VR navigations allow preoperative surgical planning and surgical strategy development (Tailored surgery) based on the anatomic details of the patient.
Personal experience confirms that the preoperative patient-specific simulation VR insights modify the surgical approach in 75.0% of cases, demonstrate superior anatomical resolution, and identify potential intraoperative complications in 92.0% of cases compared to conventional imaging. The intraoperative surgeon feels more confident because and himself in an anatomy he has already experienced.
As a result, preoperative VR navigation demonstrates the feasibility of minimally invasive procedures in 45.6% of complex cases while recommending an open surgical approach in 55.4% of the models.
Other impacts are the cost saving of the operative room (-2 hours/patient) and the hospital stay (-4 days/patient), and the improvement of quality care. Communication with parents results to be improved. Investment in these cutting-edge technologies can be strategic to guarantee an excellent healthcare service in Pediatric Surgery.