Abstract
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.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Carlin AM, Gasevic E, Shepard AD. Effect of the 80-hour work week on resident operative experience in general surgery. Am J Surg. 2007;193(3):326–30.
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.
Stain SC, Hoyt DB, Hunter JG, Joyce G, Hiatt JR. American surgery and the affordable care act. JAMA Surg. 2014;149(9):984–5.
Papaspyros SC, Kar A, O’Regan D. Surgical ergonomics. Analysis of technical skills, simulation models and assessment methods. Int J Surg. 2015;18:83–7.
Caffrey M Jr. Toward a history-based doctrine for wargaming: Technical report, Defense Technical Information Center Document. Available from: http://www.airpower.maxwell. af.mil/airchronicles/cc/caffrey.html. Accessed Aug 2013.
Singh H, Kalani M, Acosta-Torres S, El Ahmadieh TY, Loya J, Ganju A. History of simulation in medicine: from resusci annie to the ann myers medical center. Neurosurgery. 2013;73(suppl. 4):9–14.
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.
Wald ML. Plane crew is credited for nimble reaction. New York Times. 15 Jan 2009:A25.
Agha RA, Fowler AJ. The role and validity of surgical simulation. Int Surg. 2015;100(2):350–7.
Parson BA, Blencowe NS, Hollowood AD, Grant JR. Surgical training: the impact of changes in curriculum and experience. J Surg Educ. 2011;68(1):44–51.
Walter AJ. Surgical education for the twenty-first century: beyond the apprentice model. Obstet Gynecol Clin N Am. 2006;33(2):233–6.
Ziv A, Erez D, Munz Y, Vardi A. The Israel Centre for Medical Simulation: a paradigm for cultural change in medical education. Acad Med. 2006;81(12):1091–7.
Seymour NE, Gallagher AG, Roman SA. Virtual reality training improves operating room performance. Ann Surg. 2002;236(4):458–64.
Molyneux AJ, Birks J, Clarke A, Sneade M, Kerr RSC. The durability of endovascular coiling versus neurosurgical clipping of ruptured cerebral aneurysms: 18 year follow-up of the UK cohort of the international subarachnoid aneurysm trial (ISAT). Lancet. 2015;385(9969):691–7.
Bambakidis NC, Selman WR, Sloan AE. Surgical rehearsal platform: potential uses in microsurgery. Neurosurgery. 2013;73(suppl. 4):122–6.
Education AC for GM. ACGME Program Requirements for Graduate Medical Education in Emergency Medicine. 2013;2015(August 3).
Initiative J. The Neurological Surgery Milestone Project. 2015;(July).
Barnes RW, Lang NP, Whiteside MF. Halstedian technique revisited. Innovations in teaching surgical skills. Ann Surg. 1989;210(1):118–21.
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.
Robison RA, Liu CY, Apuzzo MLJ. Man, mind, and machine: the past and future of virtual reality simulation in neurologic surgery. World Neurosurg. 2011;76(5):419–30.
Castillo R, Buckel E, Leon F, Varas J, Alvarado J, Achurra P, et al. Effectiveness of learning advanced laparoscopic skills in a brief intensive laparoscopy training program. J Surg Educ. 2015;72(4):648–53.
Harrop J, Lobel DA, Bendok B, Sharan A, Rezai AR. Developing a neurosurgical simulation-based educational curriculum: an overview. Neurosurgery. 2013;73(suppl. 4):25–9.
Satava RM. Emerging medical applications of virtual reality: a surgeon’s perspective. Artif Intell Med. 1994;6(4):281–8.
Malone HR, Syed ON, Downes MS, D’ambrosio AL, Quest DO, Kaiser MG. Simulation in neurosurgery: a review of computer-based simulation environments and their surgical applications. Neurosurgery. 2010;67(4):1105–16.
Sedlack RE, Baron TH, Downing SM, Schwartz AJ. Validation of a colonoscopy simulation model for skills assessment. Am J Gastroenterol. 2007;102(1):64–74.
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.
O’Leary JD, O’Sullivan O, Barach P, Shorten GD. Improving clinical performance using rehearsal or warm-up. Acad Med. 2014;89(10):1416–22.
Zheng B, Fu B, Al-Tayeb TA, Hao YF, Qayumi AK. Mastering instruments before operating on a patient: the role of simulation training in tool use skills. Surg Innov. 2014;21(6):637–42.
Lobel DA, Elder JB, Schirmer CM, Bowyer MW, Rezai ARA. Novel craniotomy simulator provides a validated method to enhance education in the management of traumatic brain injury. Neurosurgery. 2013;73(suppl. 1):57–65.
Kockro RA, Serra L, Tseng-Tsai Y, Chan C, Yih-Yian S, Gim-Guan C, et al. Planning and simulation of neurosurgery in a virtual reality environment. Neurosurgery. 2000;46(1):117–8.
Schirmer CM, Mocco J, Elder JB. Evolving virtual reality simulation in neurosurgery. Neurosurgery. 2013;73(suppl. 1):127–37.
Chan S, Conti F, Salisbury K, Blevins NH. Virtual reality simulation in neurosurgery: technologies and evolution. Neurosurgery. 2012;72(suppl. 1):154–64.
Alaraj A, Luciano CJ, Bailey DP, Elsenousi A, Roitberg BZ, Bernardo A, et al. Virtual reality cerebral aneurysm clipping simulation with real-time haptic feedback. Neurosurgery. 2015;11(1):52–8.
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.
Banerjee PP, Luciano CJ, Lemole GM, Charbel FT, Oh MY. Accuracy of ventriculostomy catheter placement using a head- and hand-tracked high-resolution virtual reality simulator with haptic feedback. J Neurosurg. 2007;107(3):515–21.
Alotaibi FE, AlZhrani GA, Mullah MAS, Sabbagh AJ, Azarnoush H, Winkler-Schwartz A, et al. Assessing bimanual performance in brain tumor resection with NeuroTouch, a virtual reality simulator. Neurosurgery. 2015;11(1):89–98.
Beier F, Sismanidis E, Stadie A, Schmieder K, Männer R. An aneurysm clipping training module for the neurosurgical training simulator NeuroSim. Stud Health Technol Inform. 2012;173:42–7.
Dunkin B, Adrales GL, Apelgren K, Mellinger JD. Surgical simulation: a current review. Surg Endosc. 2007;21(3):357–66.
Surgical Theater. Press Releases [Internet]. Mayfield (OH): [cited 2016 June 9]. Available from: http://www.surgicaltheater.net/site/news-events/press-releases.
Chugh AJ, Pace JR, Singer J, Tatsuoka C, Hoffer A, Selman WR, et al. Use of a surgical rehearsal platform and improvement in aneurysm clipping measures: results of a prospective, randomized trial. J Neurosurg. 2017;126(3):838–44.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Electronic Supplementary Material
A “trainee” using the SRP simulation (MP4 12659 kb)
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Ju, C., Pace, J.R., Bambakidis, N.C. (2018). Role of Surgical Simulation in Neurological Surgery and Aneurysm Clipping: The State of the Art. In: Alaraj, A. (eds) Comprehensive Healthcare Simulation: Neurosurgery. Comprehensive Healthcare Simulation. Springer, Cham. https://doi.org/10.1007/978-3-319-75583-0_15
Download citation
DOI: https://doi.org/10.1007/978-3-319-75583-0_15
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-75582-3
Online ISBN: 978-3-319-75583-0
eBook Packages: MedicineMedicine (R0)