Augmented reality (AR) technology is transforming minimally invasive surgeries by merging physical and virtual spaces to improve intraoperative guidance and training. We present SurgiKLAR, a mixed reality framework for improved surgical training, to clearly (“klar”) visualize segmented anatomies from preoperative scans coregistered with patient-specific models to simulate surgical procedures. The system is adapted for gynecology surgeries, featuring realistic uterine models and instruments for adaptive simulations, personalized guidance, and real-time alerts. Preliminary evaluations with a 3D-printed phantom demonstrated its potential application in preplanning complex scenarios. We conducted a two-phase user study to evaluate the usability of the SurgiKLAR system. Phase I assessed AR adoption challenges, and Phase II validated usability for training. The user feedback highlighted the importance of accurate visualizations and the need for extensive training programs. Future work involves an extension to diverse surgical domains, improved precision, and enhanced safety, thereby highlighting the transformative potential of cross-reality in surgery.
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