ArticleActa neurochirurgica2024
Even short-term training improves the skills of novice exoscope users: a prospective laboratory experiment.
Article in Acta neurochirurgica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Simulation speeds up adaptation to the 3D exoscope: a randomized controlled trial.Brain & spine · 2026Article
- Basic microsurgical skills can be taught to novices with video material only - a prospective multicenter laboratory study.Brain & spine · 2026Article
- Under forty hours of laboratory training may be sufficient for teaching basic microsurgical skills to novices.Acta neurochirurgica · 2025Article
- Video gaming facilitates adaptation to surgical exoscopes - a laboratory experiment.Acta neurochirurgica · 2025Article
- Comparison of operative microscope and exoscope for execution of microanastomoses on an artificial model.Frontiers in surgery · 2025Article
- Validation of a dynamic 4D microsurgical bypass simulator for training and teaching microvascular anastomosis techniques with blood flow and fluorescence imaging.World neurosurgery: X · 2024Article
- Advancements in surgical skills through short-term training with surgical 3D exoscopes.Neurosurgical review · 2024Article
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Authors and funding
14 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe surgical 3D exoscopes have recently been introduced as an alternative to the surgical microscopes in microneurosurgery. Since the exoscope availability is still limited, it is relevant to know whether even a short-term exoscope training develops the skills needed for performing exoscope-assisted surgeries.
methodsTen participants (six consultants, four residents) performed two laboratory bypass test tasks with a 3D exoscope (Aesculap Aeos®). Six training sessions (6 h) were performed in between (interval of 2-5 weeks) on artificial models. The participants were divided into two groups: test group (n = 6) trained with the exoscope and control group (n = 4) with a surgical microscope. The test task was an artificial end-to-side microsurgical anastomosis model, using 12 interrupted 9-0 sutures and recorded on video. We compared the individual as well as group performance among the test subjects based on suturing time, anastomosis quality, and manual dexterity.
resultsAltogether, 20 bypass tasks were performed (baseline n = 10, follow-up n = 10). The median duration decreased by 28 min and 44% in the exoscope training group. The decrease was steeper (29 min, 45%) among the participants with less than 6 years of microneurosurgery experience compared to the more experienced participants (13 min, 24%). After training, the participants with at least 1-year experience of using the exoscope did not improve their task duration. The training with the exoscope led to a greater time reduction than the training with the microscope (44% vs 17%).
conclusionsEven short-term training with the exoscope led to marked improvements in exoscope-assisted bypass suturing among novice microneurosurgeons. For the more experienced participants, a plateau in the initial learning curve was reached quickly. A much longer-term effort might be needed to witness further improvement in this user group.
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