Department of Urology, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji, Kajiicho 465, Kyoto city, Kyoto, Japan.
World J Urol. 2022 Mar;40(3):687-696. doi: 10.1007/s00345-021-03841-z. Epub 2021 Nov 17.
To investigate the impact of virtual reality (VR) technologies on urological surgeries, specifically in the management of prostate cancer and renal cancer.
A non-systematic review of the literature was performed. Medline, Pubmed, and the Cochrane Database were screened for studies regarding the use of VR technologies in the management of prostate and renal cancer.
In the management of prostate cancer, VR technologies have been increasingly applied for diagnosis with magnetic resonance imaging/ultrasound fusion biopsy, surgical training using a simulator, surgical navigation in robot-assisted radical prostatectomy, and targeted focal therapy. In partial nephrectomy, surgical simulation and intra-surgical guidance with three-dimensional VR have been used for better understanding of the hilar vascular information, tumor location, and positional relationships of the tumor-feeding vessel and pyelocaliceal system.
VR contributes to the education, training, and simulation of surgical procedures as well as helping the surgeons to tailor surgical planning on each patient. Further prospective studies are needed to assess the beneficial impacts of this technology for both the physician and patient by objective parameters.
探讨虚拟现实（VR）技术在泌尿外科手术中的应用，特别是在前列腺癌和肾癌的治疗管理中的应用。
对文献进行非系统性综述。检索 Medline、Pubmed 和 Cochrane 数据库，以获取关于 VR 技术在前列腺癌和肾癌治疗管理中应用的研究。
在前列腺癌的治疗管理中，VR 技术已越来越多地应用于磁共振成像/超声融合活检的诊断、模拟器的手术训练、机器人辅助根治性前列腺切除术的手术导航以及靶向聚焦治疗。在部分肾切除术方面，三维 VR 已用于手术模拟和术中指导，以更好地了解肾门血管信息、肿瘤位置以及肿瘤供血血管和肾盂肾盏系统的位置关系。
VR 有助于手术过程的教育、培训和模拟，并帮助外科医生根据每个患者的情况制定手术计划。需要进一步的前瞻性研究来评估这项技术对医生和患者的有益影响，并通过客观参数进行评估。
