{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:44:14Z","timestamp":1782953054670,"version":"3.54.5"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T00:00:00Z","timestamp":1778284800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T00:00:00Z","timestamp":1782950400000},"content-version":"vor","delay-in-days":54,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Tech Coloproctol"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Minimally invasive right hemicolectomy (RH) with complete mesocolic excision (CME) is technically demanding due to variable mesenteric vascular anatomy and the need for precise dissection. Intraoperative visualisation tools such as three-dimensional (3D) reconstructions, augmented reality (AR) and mixed reality (MR) are increasingly used to address these challenges. This review evaluates current evidence on their operative performance, safety and oncologic metrics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Following Preferred Reporting Items for Systematic Reviews and Meta-Analyse (PRISMA) 2020 guidelines, a PubMed search (updated July 2025) identified English-language studies from 2000 to 2025 reporting intraoperative use of 3D vascular models, AR or MR guidance in robotic or laparoscopic RH. A total of 5 studies comprising 284 RH cases were included: 1 randomised trial, 2 comparative cohorts and 2 feasibility series. Data was extracted on operative time, blood loss, lymph node yield, conversions, complications and user feedback. A narrative synthesis and comparative table summarise the findings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Across the studies, 1\u201344 RH cases with 3D guidance were reported (total cohorts: 3\u2013112). With 3D assistance, operative time and blood loss were unchanged or reduced: one matched study reported 3\u00a0mL versus 10\u00a0mL of blood loss (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Lymph node yield was maintained (~28\u201333 nodes), with one study noting improved central node retrieval. Conversion and complication rates were also unchanged or improved. Surgeons consistently reported enhanced anatomic orientation and procedural confidence.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Intraoperative 3D vascular reconstructions are emerging as feasible and potentially valuable aids in RH with CME. Early evidence suggests improved vascular identification and reduced blood loss without compromising oncologic quality. Further studies are needed to confirm long-term benefits and broader applicability.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10151-026-03301-z","type":"journal-article","created":{"date-parts":[[2026,5,9]],"date-time":"2026-05-09T06:24:13Z","timestamp":1778307853000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intraoperatively available 3D vascular reconstruction navigation in robotic and laparoscopic right hemicolectomy with complete mesocolic excision: a systematic review (2000\u20132025)"],"prefix":"10.1007","volume":"30","author":[{"given":"V.","family":"Milovanov","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Benjamin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Y. M. A.","family":"Mohsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. A. P.","family":"Slesser","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,9]]},"reference":[{"issue":"4","key":"3301_CR1","doi-asserted-by":"publisher","first-page":"354","DOI":"10.1111\/j.1463-1318.2008.01735.x","volume":"11","author":"W Hohenberger","year":"2009","unstructured":"Hohenberger W, Weber K, Matzel K, Papadopoulos T, Merkel S (2009) Standardized surgery for colonic cancer: complete mesocolic excision and central ligation--Technical notes and outcome. Colorectal Dis 11(4):354\u2013364. https:\/\/doi.org\/10.1111\/j.1463-1318.2008.01735.x","journal-title":"Colorectal Dis"},{"issue":"6","key":"3301_CR2","doi-asserted-by":"publisher","first-page":"2058","DOI":"10.1007\/s00464-012-2710-9","volume":"27","author":"FS Mari","year":"2013","unstructured":"Mari FS, Nigri G, Pancaldi A et\u00a0al. (2013) Role of CT angiography with three-dimensional reconstruction of mesenteric vessels in laparoscopic colorectal resections: a randomized controlled trial. Surg Endosc 27(6):2058\u20132067. https:\/\/doi.org\/10.1007\/s00464-012-2710-9","journal-title":"Surg Endosc"},{"issue":"10","key":"3301_CR3","doi-asserted-by":"publisher","first-page":"2122","DOI":"10.1111\/codi.16744","volume":"25","author":"A Moynihan","year":"2023","unstructured":"Moynihan A, Khan MF, Cahill RA (2023) Intra\u2010operative in\u2010line holographic display of patient\u2010specific anatomy via a three\u2010dimensional virtual model during laparoscopic right hemicolectomy for colon cancer: video correspondence \u2013 A video vignette. Colorectal Dis 25(10):2122\u20132123. https:\/\/doi.org\/10.1111\/codi.16744","journal-title":"Colorectal Dis"},{"issue":"2","key":"3301_CR4","doi-asserted-by":"publisher","first-page":"158","DOI":"10.1177\/1553350612446353","volume":"20","author":"F Volont\u00e9","year":"2013","unstructured":"Volont\u00e9 F, Pugin F, Buchs NC et\u00a0al. (2013) Console-integrated stereoscopic OsiriX 3D volume-rendered images for da Vinci colorectal robotic surgery. Surg Innov 20(2):158\u2013163. https:\/\/doi.org\/10.1177\/1553350612446353","journal-title":"Surg Innov"},{"issue":"2","key":"3301_CR5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2025.109584","volume":"51","author":"S Jer\u00ed-McFarlane","year":"2025","unstructured":"Jer\u00ed-McFarlane S, Garc\u00eda-Granero \u00c1, Mart\u00ednez-Ortega MA et\u00a0al. (2025) Tailored-surgery for locally advanced colon cancer based on 3D mathematical reconstruction surgical planner: observational comparative non-randomized study. Eur J Surg Oncol 51(2):109584. https:\/\/doi.org\/10.1016\/j.ejso.2025.109584","journal-title":"Eur J Surg Oncol"},{"issue":"5","key":"3301_CR6","doi-asserted-by":"publisher","first-page":"359","DOI":"10.1016\/j.cireng.2023.01.006","volume":"101","author":"A Garcia-Granero","year":"2023","unstructured":"Garcia-Granero A, Jer\u00ed Mc-Farlane S, Gamund\u00ed Cuesta M, Gonz\u00e1lez-Argente FX (2023) Application of 3D-reconstruction and artificial intelligence for complete mesocolic excision and D3 lymphadenectomy in colon cancer. Cirug\u00eda Espa\u00f1ola (English Edition) 101(5):359\u2013368. https:\/\/doi.org\/10.1016\/j.cireng.2023.01.006","journal-title":"Cirug\u00eda Espa\u00f1ola (English Edition)"},{"key":"3301_CR7","doi-asserted-by":"publisher","DOI":"10.1016\/j.media.2019.101588","volume":"60","author":"G Samei","year":"2020","unstructured":"Samei G, Tsang K, Kesch C et\u00a0al. (2020) A partial augmented reality system with live ultrasound and registered preoperative MRI for guiding robot-assisted radical prostatectomy. Med Image Anal 60:101588. https:\/\/doi.org\/10.1016\/j.media.2019.101588","journal-title":"Med Image Anal"},{"issue":"4","key":"3301_CR8","doi-asserted-by":"publisher","first-page":"896","DOI":"10.1016\/j.urology.2008.11.040","volume":"73","author":"LM Su","year":"2009","unstructured":"Su LM, Vagvolgyi BP, Agarwal R, Reiley CE, Taylor RH, Hager GD (2009) Augmented reality during robot-assisted laparoscopic partial nephrectomy: toward real-time 3D-CT to stereoscopic video registration. Urology 73(4):896\u2013900. https:\/\/doi.org\/10.1016\/j.urology.2008.11.040","journal-title":"Urology"},{"issue":"2","key":"3301_CR9","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1016\/j.urology.2013.08.049","volume":"83","author":"A Hughes-Hallett","year":"2014","unstructured":"Hughes-Hallett A, Mayer EK, Marcus HJ et\u00a0al. (2014) Augmented reality partial nephrectomy: examining the current status and future perspectives. Urology 83(2):266\u2013273. https:\/\/doi.org\/10.1016\/j.urology.2013.08.049","journal-title":"Urology"},{"issue":"5","key":"3301_CR10","doi-asserted-by":"publisher","first-page":"834","DOI":"10.1111\/bju.14549","volume":"123","author":"F Porpiglia","year":"2019","unstructured":"Porpiglia F, Checcucci E, Amparore D et\u00a0al. (2019) Augmented-reality robot-assisted radical prostatectomy using hyper-accuracy three-dimensional reconstruction (HA3D\u2122) technology: a radiological and pathological study. BJU Int 123(5):834\u2013845. https:\/\/doi.org\/10.1111\/bju.14549","journal-title":"BJU Int"},{"key":"3301_CR11","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71","volume":"29","author":"MJ Page","year":"2021","unstructured":"Page MJ, McKenzie JE, Bossuyt PM et\u00a0al. (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 29:n71. https:\/\/doi.org\/10.1136\/bmj.n71","journal-title":"BMJ"},{"issue":"11","key":"3301_CR12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2024.108597","volume":"50","author":"EC Kearns","year":"2024","unstructured":"Kearns EC, Moynihan A, Dalli J et\u00a0al. (2024) Clinical validation of 3D virtual modelling for laparoscopic complete mesocolic excision with central vascular ligation for proximal colon cancer. Eur J Surg Oncol 50(11):108597. https:\/\/doi.org\/10.1016\/j.ejso.2024.108597","journal-title":"Eur J Surg Oncol"},{"issue":"1","key":"3301_CR13","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-025-99961-2","volume":"29","author":"S Ryu","year":"2025","unstructured":"Ryu S, Imaizumi Y, Nakashima S et\u00a0al. (2025) Advancing precision, safety, and education in D3 lymph node dissection for right hemicolectomy using mixed reality technology. Sci Rep 29(1):15079. https:\/\/doi.org\/10.1038\/s41598-025-99961-2","journal-title":"Sci Rep"},{"issue":"6","key":"3301_CR14","doi-asserted-by":"publisher","first-page":"719","DOI":"10.1097\/dcr.0000000000001077","volume":"61","author":"L Guerriero","year":"2018","unstructured":"Guerriero L, Quero G, Diana M et\u00a0al. (2018) Virtual reality exploration and planning for precision colorectal surgery. Dis Colon Rectum 61(6):719\u2013723. https:\/\/doi.org\/10.1097\/dcr.0000000000001077","journal-title":"Dis Colon Rectum"},{"key":"3301_CR15","doi-asserted-by":"publisher","first-page":"S36","DOI":"10.1016\/j.cireng.2024.01.006","volume":"102","author":"U Bracale","year":"2024","unstructured":"Bracale U, Iacone B, Tedesco A et\u00a0al. (2024) The use of mixed reality in the preoperative planning of colorectal surgery: Preliminary experience with a narrative review. Cir Esp Engl Ed 102:S36-44. https:\/\/doi.org\/10.1016\/j.cireng.2024.01.006","journal-title":"Cir Esp Engl Ed"},{"issue":"1","key":"3301_CR16","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1016\/j.ejso.2022.08.007","volume":"49","author":"G Romano","year":"2023","unstructured":"Romano G, Di Buono G, Galia M et\u00a0al. (2023) Role of preoperative CT angiography with multimodality imaging reconstruction to perform laparoscopic complete mesocolic excision (CME) and central vascular ligation (CVL) in right-sided colon cancer: is it really useful? A prospective clinical study. Eur J Surg Oncol 49(1):209\u2013216. https:\/\/doi.org\/10.1016\/j.ejso.2022.08.007","journal-title":"Eur J Surg Oncol"},{"issue":"3","key":"3301_CR17","doi-asserted-by":"publisher","DOI":"10.1111\/codi.70025","volume":"27","author":"J Fletcher","year":"2025","unstructured":"Fletcher J, Lung P, Van Eetvelde E et\u00a0al. (2025) Inter\u2010rater and intra\u2010rater reliability of multi\u2010slice CT and three\u2010dimensional reconstructed imaging analysis of mesenteric vascular anatomy for planning and performing complete mesocolic excision. Colorectal Dis 27(3):e70025. https:\/\/doi.org\/10.1111\/codi.70025","journal-title":"Colorectal Dis"}],"container-title":["Techniques in Coloproctology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10151-026-03301-z","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10151-026-03301-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10151-026-03301-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T23:50:40Z","timestamp":1782949840000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10151-026-03301-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,9]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,12]]}},"alternative-id":["3301"],"URL":"https:\/\/doi.org\/10.1007\/s10151-026-03301-z","relation":{},"ISSN":["1123-6337","1128-045X"],"issn-type":[{"value":"1123-6337","type":"print"},{"value":"1128-045X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,9]]},"assertion":[{"value":"30 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 February 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 May 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}},{"value":"This article is a systematic review and does not involve direct patient data or require ethical approval. The review has been conducted in accordance with recognised standards for integrity and transparency in research reporting.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Not applicable. This systematic review did not involve human participants or individual patient data.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Human ethics and consent to participate"}}],"article-number":"87"}}