The Development of a Virtual Simulator for Training Neurosurgeons to Perform and Perfect Endoscopic Endonasal Transsphenoidal Surgery
| Autor: | Julian E. Bailes, Denis Laroche, Gino De Luca, Patricia Debergue, F. Thibault, Gail Rosseau, Nusrat Choudhury, Anne Cabral, Valérie Pazos, André Neubauer, Jordan Hovdebo, Rolando F. Del Maestro, Di Jiang, Robert DiRaddo, Olivier Comas |
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| Rok vydání: | 2013 |
| Předmět: |
Carotid arteries
medicine.medical_treatment education Neurosurgery Virtual reality computer.software_genre Neurosurgical Procedures User-Computer Interface Software Sphenoid Bone Medicine Humans Computer Simulation Simulation Haptic technology Transsphenoidal surgery Endoscopes training Surgical approach business.industry Internship and Residency Endoscopy Optic Nerve Work in process Surgical Instruments Simulation software Carotid Arteries transsphenoidal virtual reality Surgery Clinical Competence Curriculum Neurology (clinical) Nasal Cavity business computer |
| Zdroj: | Neurosurgery. 73:S85-S93 |
| ISSN: | 1524-4040 0148-396X |
| DOI: | 10.1093/neurosurgery/73.suppl_1.s85 |
| Popis: | BACKGROUND:A virtual reality (VR) neurosurgical simulator with haptic feedback may provide the best model for training and perfecting surgical techniques for transsphenoidal approaches to the sella turcica and cranial base. Currently there are 2 commercially available simulators: NeuroTouch (Cranio and Endo) developed by the National Research Council of Canada in collaboration with surgeons at teaching hospitals in Canada, and the Immersive Touch. Work in progress on other simulators at additional institutions is currently unpublished.OBJECTIVE:This article describes a newly developed application of the NeuroTouch simulator that facilitates the performance and assessment of technical skills for endoscopic endonasal transsphenoidal surgical procedures as well as plans for collecting metrics during its early use.METHODS:The main components of the NeuroTouch-Endo VR neurosurgical simulator are a stereovision system, bimanual haptic tool manipulators, and high-end computers. The software engine continues to evolve, allowing additional surgical tasks to be performed in the VR environment. Device utility for efficient practice and performance metrics continue to be developed by its originators in collaboration with neurosurgeons at several teaching hospitals in the United States. Training tasks are being developed for teaching 1- and 2-nostril endonasal transsphenoidal approaches. Practice sessions benefit from anatomic labeling of normal structures along the surgical approach and inclusion (for avoidance) of critical structures, such as the internal carotid arteries and optic nerves.CONCLUSION:The simulation software for NeuroTouch-Endo VR simulation of transsphenoidal surgery provides an opportunity for beta testing, validation, and evaluation of performance metrics for use in neurosurgical residency training. |
| Databáze: | OpenAIRE |
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