Onoda Keisuke, Fujiwara Ren, Sashida Ryohei, Hirokawa Yu, Wakamiya Tomihiro, Michiwaki Yuhei, Tanaka Tatsuya, Shimoji Kazuaki, Suehiro Eiichi, Yamane Fumitaka, Kawashima Masatou, Matsuno Akira
Department of Neurosurgery, International University of Health and Welfare, Narita Hospital.
Department of Neurosurgery, International University of Health and Welfare, Graduate School of Medicine, Narita, Japan.
Surg Neurol Int. 2022 Aug 5;13:344. doi: 10.25259/SNI_494_2022. eCollection 2022.
Novice neurosurgeons require neurosurgical technique training, but the current method is demanding and time consuming. Therefore, it is crucial to perform training using an appropriate and informative method. In this report, we describe our attempts to provide training in neurosurgical techniques using goat brain model and to demonstrate the effectiveness of this model.
Under general anesthesia, the surgery was performed on a male goat in the prone position. A midline liner skin incision was made in the scalp, six burr holes were drilled, a craniectomy was performed, and the dura was incised in an arcuate fashion. We attempted the interhemispheric approach and a retrosigmoid approach.
It was confirmed that common neurosurgical approaches are achievable in this model. Furthermore, anatomical structures such as nerves and blood vessels were similar to those of humans. Moreover, the goat brain was similar in color and texture to that of humans.
Unlike a cadaver brain, brain requires hemostasis and careful dissection, which provides the surgeons a realistic experience of actual neurosurgery.
新手神经外科医生需要进行神经外科技术培训，但目前的方法要求高且耗时。因此，采用合适且信息丰富的方法进行培训至关重要。在本报告中，我们描述了尝试使用山羊脑模型提供神经外科技术培训并证明该模型有效性的过程。
在全身麻醉下，对一只俯卧位的雄性山羊进行手术。在头皮上做一个中线直切口，钻六个骨孔，进行颅骨切除术，并以弧形方式切开硬脑膜。我们尝试了半球间入路和乙状窦后入路。
证实了在该模型中可以实现常见的神经外科入路。此外，神经和血管等解剖结构与人类相似。而且，山羊脑的颜色和质地与人类相似。
与尸体脑不同，山羊脑需要止血和仔细解剖，这为外科医生提供了实际神经外科手术的真实体验。
