Comment on - "Simulation training approaches in intracranial aneurysm surgery-a systematic review".

With the increasing complexity of intracranial aneurysm surgery and the reduced opportunities for hands-on training, there is a need for effective simulation-based training methods. This systematic review examines 26 studies on various simulation training approaches for intracranial aneurysm clipping, including ex vivo methods, virtual reality platforms, and 3D-printed models. The review evaluates these methods based on their effectiveness, realism, usability, and validation, highlighting that current simulation models are heterogeneous and lack standardization. Most existing simulations fail to replicate the complete microsurgical workflow, and their validation methods vary widely, limiting generalizability. The review recommends developing a standardized, comprehensive, and cost-effective simulation model that incorporates advanced haptic feedback and detailed anatomical features. Future research should focus on creating a universal validation framework to reliably assess simulation efficacy and ensure that neurosurgical trainees receive consistent, high-quality training experiences.