Role of Surgical Simulation in Neurological Surgery and Aneurysm Clipping: The State of the Art
The role of simulation in surgical training has been implemented in a variety of specialties to improve surgical skills and the application of those skills prior to utilization in real-world practice. Neurological surgery has, in recent years, seen a substantial increase in available simulation platforms as well as the elegance with which these systems operate. The surgical rehearsal platform (SRP) was developed by Surgical Theater LLC (Mayfield, Ohio) to augment neurosurgical residency training in intracranial aneurysm clipping and allow practicing surgeons to “pre-live the future” by better anticipating the surgical environment and predict more accurately a proper configuration of clips to treat a particular patient. This advancement comes at a crucial time when endovascular technology for aneurysm treatment has seen its own exponential growth and improvement. The rehearsal platform renders patient-specific radiological data to recreate the intraoperative experience, and a recent study demonstrated favorable increases in operative efficiency following use of the SRP. Future endeavors to expand the technology to other neurosurgical interventions will include skull base meningioma resection, microvascular decompression, and transnasal pituitary tumor resection.
KeywordsSimulation Neurological surgery Aneurysm Technology Aneurysm clipping Education Training
A “trainee” using the SRP simulation (MP4 12659 kb)
- 2.Bina RW, Lemole GM, Dumont TM. On resident duty hour restrictions and neurosurgical training: review of the literature. J Neurosurg. 2015;124(March):1–7.Google Scholar
- 7.Mitha AP, Almekhlafi MA, Janjua MJJ, Albuquerque FC, McDougall CG. Simulation and augmented reality in endovascular neurosurgery: lessons from aviation. Neurosurgery. 2012;72(suppl. 1):107–14.Google Scholar
- 8.Wald ML. Plane crew is credited for nimble reaction. New York Times. 15 Jan 2009:A25.Google Scholar
- 16.Education AC for GM. ACGME Program Requirements for Graduate Medical Education in Emergency Medicine. 2013;2015(August 3).Google Scholar
- 17.Initiative J. The Neurological Surgery Milestone Project. 2015;(July).Google Scholar
- 19.Liu JKC, Kshettry VR, Recinos PF, Kamian K, Schlenk RP, Benzel EC. Establishing a surgical skills laboratory and dissection curriculum for neurosurgical residency training. J Neurosurg. 2015;123(November):1–8.Google Scholar
- 26.Gallagher AG, Seymour NE, Jordan-Black J-A, Bunting BP, McGlade K, Satava RM. Prospective, randomized assessment of transfer of training (ToT) and transfer effectiveness ratio (TER) of virtual reality simulation training for laparoscopic skill acquisition. Ann Surg. 2013;257(6):1025–31.CrossRefGoogle Scholar
- 32.Chan S, Conti F, Salisbury K, Blevins NH. Virtual reality simulation in neurosurgery: technologies and evolution. Neurosurgery. 2012;72(suppl. 1):154–64.Google Scholar
- 34.Luciano C, Banerjee P, Lemole GM, Charbel F. Second generation haptic ventriculostomy simulator using the ImmersiveTouch system. Stud Health Technol Inform. 2006;119:343–8.Google Scholar
- 39.Surgical Theater. Press Releases [Internet]. Mayfield (OH): [cited 2016 June 9]. Available from: http://www.surgicaltheater.net/site/news-events/press-releases.