Surgical training technology for cerebrovascular anastomosis

Masakazu Higurashi, Yi Qian, Massimiliano Zecca, Young Kwang Park, Mitsuo Umezu, Michael Kerin Morgan

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)554-558
Number of pages5
JournalJournal of Clinical Neuroscience
Volume21
Issue number4
DOIs
Publication statusPublished - 2014
Externally publishedYes

Fingerprint

Technology
Moyamoya Disease
Neurosurgery
Cadaver
Computer Simulation
Mental Competency
Aneurysm

Keywords

  • Anastomosis
  • Cerebrovascular surgeon
  • Competence
  • Microscope
  • Simulation
  • Surgical training
  • Vascular

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology
  • Physiology (medical)
  • Medicine(all)

Cite this

Surgical training technology for cerebrovascular anastomosis. / Higurashi, Masakazu; Qian, Yi; Zecca, Massimiliano; Park, Young Kwang; Umezu, Mitsuo; Morgan, Michael Kerin.

In: Journal of Clinical Neuroscience, Vol. 21, No. 4, 2014, p. 554-558.

Research output: Contribution to journalArticle

Higurashi, M, Qian, Y, Zecca, M, Park, YK, Umezu, M & Morgan, MK 2014, 'Surgical training technology for cerebrovascular anastomosis', Journal of Clinical Neuroscience, vol. 21, no. 4, pp. 554-558. https://doi.org/10.1016/j.jocn.2013.07.029
Higurashi, Masakazu ; Qian, Yi ; Zecca, Massimiliano ; Park, Young Kwang ; Umezu, Mitsuo ; Morgan, Michael Kerin. / Surgical training technology for cerebrovascular anastomosis. In: Journal of Clinical Neuroscience. 2014 ; Vol. 21, No. 4. pp. 554-558.
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