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Surgical training technology for cerebrovascular anastomosis

journal contribution
posted on 20.05.2015 by Masakazu Higurashi, Yi Qian, Massimiliano Zecca, Young-Kwang Park, Mitsuo Umezu, Michael K. Morgan
Cerebrovascular anastomosis (for example in the management of Moyamoya disease or complex aneurysms) is a rarely performed but essential procedure in neurosurgery. Because of the complexity of this technique and the infrequent clinical opportunities to maintain skills relevant to this surgery, laboratory training is important to develop a consistent and competent performance of cerebrovascular anastomosis. We reviewed the literature pertaining to the training practices surrounding cerebrovascular anastomosis in order to understand the ways in which trainees should best develop these skills. A wide variety of training methods have been described. These may be classified into five general categories, according to training materials used, being synthetic material, living animal, animal carcass, human cadaver, and computer simulation. Ideally, a novice begins training with non-biological material. After gaining sufficient dexterity, the trainee will be able to practice using biological materials followed by high fidelity models prior to actual surgery. Unfortunately, the effectiveness of each model has generally, to our knowledge, only been judged subjectively. Objective quantification methods are necessary to accelerate the acquisition of competence.

History

School

  • Mechanical, Electrical and Manufacturing Engineering

Published in

JOURNAL OF CLINICAL NEUROSCIENCE

Volume

21

Issue

4

Pages

554 - 558 (5)

Citation

HIGURASHI, M. ... et al, 2014. Surgical training technology for cerebrovascular anastomosis. Journal of Clinical Neuroscience, 21 (4), pp. 554 - 558.

Publisher

© Elsevier Ltd.

Version

VoR (Version of Record)

Publisher statement

This work is made available according to the conditions of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) licence. Full details of this licence are available at: https://creativecommons.org/licenses/by-nc-nd/4.0/

Publication date

2014

Notes

This article is closed access.

ISSN

0967-5868

Language

en

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