Neurosurgical training with simulators: a novel neuroendoscopy model

Area of Science:

• Minimally invasive surgery
• Surgical simulation
• Veterinary surgical models

Background:

• Minimally invasive endoscopic techniques necessitate specialized training.
• Simulation-based training accelerates the learning curve and enhances surgical skills.

Purpose of the Study:

• To present a novel neuroendoscopy simulation model utilizing live animals.
• To improve patient safety through realistic surgical training.

Main Methods:

• A simulation model was developed using anesthetized Wistar rats.
• A hydroperitoneum was created to mimic a surgical cavity with relevant anatomical structures and a bleeding tumor.
• Trainee skills and model realism were assessed by trainees and instructors.

Main Results:

• The model is cost-effective and allows for basic and advanced neuroendoscopic procedures.
• Procedures include exploration, fenestration, coagulation, hematoma evacuation, and tumor biopsy/resection.
• Despite not replicating human ventricular anatomy, the model provides reliable simulation in living tissue.

Conclusions:

• The developed training model effectively simulates diverse neuroendoscopic procedures.
• Its simplicity, low cost, reproducibility, and use of live tissue make it a valuable tool for neuroendoscopy training programs.