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Mixed Reality Ultrasound-Guided Mini-ECIRS with Apple Vision Pro™ - First Case Report.

Roberto Montoro1, Fabio C Vicentini2,3, Ricardo T S Ugino3

  • 1Divisão de Urologia, Hospital Ana Costa, Santos, SP, Brasil.

International Braz J Urol : Official Journal of the Brazilian Society of Urology
|February 6, 2025
PubMed
Summary
This summary is machine-generated.

Apple Vision Pro (AVP) enhances minimally invasive urological surgery by providing multiscreen and 3D visualization. This mixed reality technology improves ergonomics and safety during complex procedures like Mini-Endoscopic Combined Intra-Renal Surgery (Mini-ECIRS).

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Area of Science:

  • Urology
  • Surgical Technology
  • Mixed Reality

Background:

  • Endourological surgeries often require multiple monitors, leading to ergonomic challenges.
  • Apple Vision Pro (AVP) integrates virtual reality (VR) and augmented reality (AR) for advanced simulations and visualizations.
  • VR and AR technologies are increasingly used in healthcare for training, therapy, and surgical assistance.

Purpose of the Study:

  • To demonstrate the technique of Ultrasound-Guided Mini-Endoscopic Combined Intra-Renal Surgery (Mini-ECIRS) using Apple Vision Pro (AVP).
  • To evaluate the use of AVP for multiscreen visualization and 3D reconstruction in a complex renal stone case.
  • To report the first instance of AVP-assisted Mini-ECIRS.

Main Methods:

  • A 40-year-old female with complex renal stones underwent Ultrasound-Guided Mini-ECIRS.
  • Apple Vision Pro was utilized for mixed reality visualization, providing simultaneous access to multiple virtual screens.
  • The procedure involved ureterolithotomy, holmium laser dusting, and ultrasound-guided renal access facilitated by AVP.

Main Results:

  • The AVP provided enhanced ergonomics and safety by displaying multiple screens within the surgeon's field of view.
  • Simultaneous visualization of nephroscope and ureteroscope screens aided in efficient stone localization.
  • The surgery was completed uneventfully in 2 hours, resulting in a stone-free patient discharged postoperatively.

Conclusions:

  • Apple Vision Pro offers valuable multiscreen and 3D capabilities for complex endourological procedures.
  • AVP enhances surgical ergonomics, safety, and reproducibility, particularly for surgeries like Mini-ECIRS requiring simultaneous visual data.
  • This technology represents a significant advancement in surgical visualization and assistance.