Training in endoscopic endonasal transsphenoidal surgery using a skull model and eggs.
Summary of "Training in endoscopic endonasal transsphenoidal surgery using a skull model and eggs."
BACKGROUND:
Recently, endoscopic pituitary surgery is increasingly being used in pituitary surgery. Compared to conventional microscopic pituitary surgery, outcomes have been non-inferior, so endoscopic pituitary surgery has become an established surgical technique. However, this is a highly specialized surgery and sophisticated surgical techniques are required. We report our development of a training model for endoscopic endonasal transsphenoidal surgery.
METHODS:
Our training model is constructed using a skull model and eggs. The sella turcica of the skull model is hollowed out and an egg is placed. The bottom of the egg simulates the sella turcica floor and the egg contents simulate a tumor. Training is conducted using this model in an actual operating room with actual surgical instruments.
RESULTS:
This model is highly realistic and is within acceptable limits as a surgical simulation. Since practice can be repeated, this model is effective for familiarization with endoscopic imaging and to increase technical skills such as drilling and curetting. In addition, variations in eggs, ranging from raw eggs to boiled eggs, can be used to simulate various tumors for training.
CONCLUSIONS:
This training model using a skull model and eggs is useful to improve surgical techniques in endoscopic endonasal transsphenoidal surgery.
Affiliation
Department of Neurosurgery, Kinki University School of Medicine, 377-2, Ohno-Higashi, Osaka-Sayama, Osaka, 589-8511, Japan, okuda@neuro-s.med.kindai.ac.jp.
Journal Details
This article was published in the following journal.
Name: Acta neurochirurgica
ISSN: 0942-0940
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20700751
- DOI: http://dx.doi.org/10.1007/s00701-010-0728-0
Medical and Biotech [MESH] Definitions
Video-assisted Surgery
Endoscopic surgical procedures performed with visualization via video transmission. When real-time video is combined interactively with prior CT scans or MRI images, this is called image-guided surgery (see SURGERY, COMPUTER-ASSISTED).
Thoracic Surgery, Video-assisted
Endoscopic surgery of the pleural cavity performed with visualization via video transmission.
Surgery, Veterinary
A board-certified specialty of VETERINARY MEDICINE, requiring at least four years of special education, training, and practice of veterinary surgery after graduation from veterinary school. In the written, oral, and practical examinations candidates may choose either large or small animal surgery. (From AVMA Directory, 43d ed, p278)
Skull Fractures
Fractures of the skull which may result from penetrating or nonpenetrating head injuries or rarely BONE DISEASES (see also FRACTURES, SPONTANEOUS). Skull fractures may be classified by location (e.g., SKULL FRACTURE, BASILAR), radiographic appearance (e.g., linear), or based upon cranial integrity (e.g., SKULL FRACTURE, DEPRESSED).
Proctoscopy
Endoscopic examination, therapy or surgery of the rectum.
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