Training in Cerebral Aneurysm Clipping Using Self-Made 3-Dimensional Models

作者: Toshihiro Mashiko , Naoki Kaneko , Takehiko Konno , Keisuke Otani , Rie Nagayama

DOI: 10.1016/J.JSURG.2016.12.010

关键词:

摘要: Introduction Recently, there have been increasingly fewer opportunities for junior surgeons to receive on-the-job training. Therefore, we created custom-built three-dimensional (3D) surgical simulators training in connection with cerebral aneurysm clipping. Methods Three patient-specific models were composed of a trimmed skull, retractable brain, and hollow elastic its parent artery. The brain using 3D printers via casting technique. artery made by printing lost-wax Four residents 2 neurosurgeons attended the courses. trainees retracted observed arteries aneurysmal neck, selected clip(s), clipped neck an aneurysm. duration simulation was recorded. A senior neurosurgeon then assessed trainee's technical skill explained how improve his/her performance procedure video actual surgery. Subsequently, trainee attempted clipping again, same model. After course, each skill. critiqued usefulness model effectiveness course. Results Trainees succeeded performing line Their skills tended upon completion Conclusion These are easy create, believe that they very useful techniques needed

参考文章(21)
Bruce L. Tai, Deborah Rooney, Francesca Stephenson, Peng-Siang Liao, Oren Sagher, Albert J. Shih, Luis E. Savastano, Development of a 3D-printed external ventricular drain placement simulator: technical note. Journal of Neurosurgery. ,vol. 123, pp. 1070- 1076 ,(2015) , 10.3171/2014.12.JNS141867
Vicknes Waran, Vairavan Narayanan, Ravindran Karuppiah, Sarah L. F. Owen, Tipu Aziz, Utility of multimaterial 3D printers in creating models with pathological entities to enhance the training experience of neurosurgeons. Journal of Neurosurgery. ,vol. 120, pp. 489- 492 ,(2014) , 10.3171/2013.11.JNS131066
Makoto Oishi, Masafumi Fukuda, Tetsuya Hiraishi, Naoki Yajima, Yosuke Sato, Yukihiko Fujii, Interactive virtual simulation using a 3D computer graphics model for microvascular decompression surgery. Journal of Neurosurgery. ,vol. 117, pp. 555- 565 ,(2012) , 10.3171/2012.5.JNS112334
George KC Wong, Canon XL Zhu, Anil T Ahuja, Wai S Poon, None, CRANIOTOMY AND CLIPPING OF INTRACRANIAL ANEURYSM IN A STEREOSCOPIC VIRTUAL REALITY ENVIRONMENT Neurosurgery. ,vol. 61, pp. 564- 569 ,(2007) , 10.1227/01.NEU.0000290904.46061.0D
Kazuya FUTAMI, Mitsutoshi NAKADA, Masayuki IWATO, Daisuke KITA, Tadao MIYAMORI, Junkoh YAMASHITA, Simulation of clipping position for cerebral aneurysms using three-dimensional computed tomography angiography. Neurologia Medico-chirurgica. ,vol. 44, pp. 6- 13 ,(2004) , 10.2176/NMC.44.6
Sébastien Delorme, Denis Laroche, Robert DiRaddo, Rolando F. Del Maestro, NeuroTouch: a physics-based virtual simulator for cranial microneurosurgery training. Neurosurgery. ,vol. 71, pp. 32- 42 ,(2012) , 10.1227/NEU.0B013E318249C744
Hamed Azarnoush, Gmaan Alzhrani, Alexander Winkler-Schwartz, Fahad Alotaibi, Nicholas Gelinas-Phaneuf, Valérie Pazos, Nusrat Choudhury, Jawad Fares, Robert DiRaddo, Rolando F. Del Maestro, Neurosurgical virtual reality simulation metrics to assess psychomotor skills during brain tumor resection computer assisted radiology and surgery. ,vol. 10, pp. 603- 618 ,(2015) , 10.1007/S11548-014-1091-Z
Toshihiro Mashiko, Takehiko Konno, Naoki Kaneko, Eiju Watanabe, Training in Brain Retraction Using a Self-Made Three-Dimensional Model World Neurosurgery. ,vol. 84, pp. 585- 590 ,(2015) , 10.1016/J.WNEU.2015.03.058
Paul S D’Urso, Robert G Thompson, R.Leigh Atkinson, Michael J Weidmann, Michael J Redmond, Bruce I Hall, Susan J Jeavons, Mark D Benson, W.John S Earwaker, Cerebrovascular biomodelling: a technical note Surgical Neurology. ,vol. 52, pp. 490- 500 ,(1999) , 10.1016/S0090-3019(99)00143-3