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Surgical training technology for cerebrovascular anastomosis
journal contribution
posted on 2015-05-20, 16:12 authored by Masakazu Higurashi, Yi Qian, Massimiliano ZeccaMassimiliano Zecca, Young-Kwang Park, Mitsuo Umezu, Michael K. MorganCerebrovascular 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 NEUROSCIENCEVolume
21Issue
4Pages
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
2014Notes
This article is closed access.ISSN
0967-5868Publisher version
Language
- en