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使用注入尸体硅胶的牛脑进行乙状窦后入路的实验室培训。

Laboratory training in the retrosigmoid approach using cadaveric silicone injected cow brain.

作者信息

Turan Suslu Hikmet, Ceylan Davut, Tatarlı Necati, Hıcdonmez Tufan, Seker Askın, Bayrı Yasar, Kılıc Turker

机构信息

Department of Neurosurgery, Dr. Lutfi Kırdar Kartal Education and Research Hospital , Istanbul , Turkey.

出版信息

Br J Neurosurg. 2013 Dec;27(6):812-4. doi: 10.3109/02688697.2013.772095. Epub 2013 Mar 4.

DOI:10.3109/02688697.2013.772095
PMID:23458576
Abstract

BACKGROUND

A neurosurgical laboratory training model is designed for trainees in microneurosurgery to learn to handle surgical microscopes and microneurosurgical instruments. The silicone injection of a fresh cadaveric cow cranium is an alternative to using a cadaveric human brain for becoming familiar with the cerebellopontine angle (CPA) via the retrosigmoid approach. To report an improved method for training in the CPA via the retrosigmoid approach, using a fresh cadaveric cow cranium injected with silicone.

METHODS

The material consists of a cadaveric cow brain injected with silicone. Preparation consists of irrigation of the major vessels followed by injection of silicone, coloured either red or blue.

RESULTS

A three-step approach was designed to simulate microneurosurgical dissection along with the cerebellopontine angle and to dissect cranial nerves emerging from the brain stem.

CONCLUSION

This laboratory training model is useful in allowing trainees to gain experience with the use of an operating microscope and familiarity with the CPA via the retrosigmoid approach. The aim of this study was to develop a novel model and to adapt it to create a life-like neurosurgical training system.

摘要

背景

一种神经外科实验室训练模型是为显微神经外科的学员设计的,用于学习操作手术显微镜和显微神经外科器械。对新鲜的牛尸体颅骨进行硅胶注射,是一种替代使用人类尸体大脑,通过乙状窦后入路熟悉桥小脑角(CPA)的方法。报告一种改进的通过乙状窦后入路在CPA进行训练的方法,使用注射了硅胶的新鲜牛尸体颅骨。

方法

材料包括注射了硅胶的牛尸体大脑。准备工作包括冲洗主要血管,然后注射红色或蓝色的硅胶。

结果

设计了一种三步法,以模拟沿桥小脑角的显微神经外科解剖,并解剖从脑干发出的颅神经。

结论

这种实验室训练模型有助于学员获得使用手术显微镜的经验,并通过乙状窦后入路熟悉CPA。本研究的目的是开发一种新型模型,并对其进行改进以创建一个逼真的神经外科训练系统。

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