背景:由于需要精确和灵巧,吻合训练是神经外科的基础。生物模型,虽然现实,目前的限制,如可用性,伦理问题,以及生物污染的风险。合成模型,另一方面,提供耐用性和标准化条件,尽管他们有时缺乏解剖现实主义。这项研究旨在评估和比较吻合训练模型在颅内外大脑旁路手术中的效率。确定那些增强最佳显微外科技能发展和参与者体验的特征。
方法:于2024年3月至2024年6月举行了神经外科研讨会,共有5项血管技术,22名外科医生参加。测试的模型是人类胎盘,Wistar老鼠,鸡翅动脉,鼻饲管,和UpSurgeOnMycro模拟器。用于测量这些模型的量表是主要特征评分和评估评分。这些分数让我们能够衡量,定性和定量,耐用性,解剖学相似性,各种模拟场景,生物污染的风险,具体基础设施的伦理考虑和缺点。
结果:人类胎盘模型,Wistar大鼠模型,UpSurgeOn模型被认为是最有效的培训。人类胎盘和Wistar大鼠模型因解剖真实感而备受推崇,而UpSurgeOn模型在耐用性和高级模拟场景方面表现出色。还考虑了道德和成本影响。
结论:该研究确定了人类胎盘和UpSurgeOn模型是颅外搭桥手术训练的最佳模型。强调神经外科需要多样化和有效的培训模式。
BACKGROUND: Training in anastomosis is fundamental in neurosurgery due to the precision and dexterity required. Biological models, although realistic, present limitations such as availability, ethical concerns, and the risk of biological contamination. Synthetic models, on the other hand, offer durability and standardized conditions, although they sometimes lack anatomical realism. This
study aims to evaluate and compare the efficiency of anastomosis training models in the intra-extracranial cerebral bypass procedure, identifying those characteristics that enhance optimal microsurgical skill development and participant experience.
METHODS: A neurosurgery workshop was held from March 2024 to June 2024 with 5 vascular techniques and the participation of 22 surgeons. The models tested were the human placenta, the Wistar rat, the chicken wing artery, the nasogastric feeding tube, and the UpSurgeOn Mycro simulator. The scales used to measure these models were the Main Characteristics Score and the Evaluation Score. These scores allowed us to measure, qualitatively and quantitatively, durability, anatomical similarity, variety of simulation scenarios, risk of biological contamination, ethical considerations and disadvantages with specific infrastructure.
RESULTS: The human placenta model, Wistar rat model, and UpSurgeOn model were identified as the most effective for training. The human placenta and Wistar rat models were highly regarded for anatomical realism, while the UpSurgeOn model excelled in durability and advanced simulation scenarios. Ethical and cost implications were also considered.
CONCLUSIONS: The
study identifies the human placenta and UpSurgeOn models as optimal for training in intra-extracranial bypass procedures, emphasizing the need for diverse and effective training models in neurosurgery.