Feasibility and practicality of a novel teaching aid for microvascular anastomosis simulation training in neurosurgery generated by 3D printing.

IF 1.6 4区 医学 Q2 SURGERY
Frontiers in Surgery Pub Date : 2025-04-30 eCollection Date: 2025-01-01 DOI:10.3389/fsurg.2025.1546573
Guosheng Shi, Huiling Ren, Dawei Zhao, Yunwei Cui, Xiang Su, Suwei Yan, Wei Bu
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Abstract

Background: This study aimed to develop a novel teaching aid for microvascular anastomosis training in neurosurgery using 3D printing technology based on CT and MRI imaging data, and to evaluate its effectiveness and practicality.

Methods: Based on CT or MRI imaging data, a 3D model integrating micro-vessels, skull, and brain tissue was fabricated and connected to a peristaltic pump and a pipeline system to create a teaching aid for microvascular anastomosis simulation training. Twenty senior medical students were recruited and divided into two groups: a control group, which trained using traditional soft rubber tubes, and an observation group, which trained using the 3D-printed teaching aid. Following the training, participants from both groups performed chicken wing artery anastomosis. The training outcomes, including the patency rate of vascular anastomosis, the time required to complete the anastomosis, and the trainees' surgical performance, were evaluated. Additionally, six experienced neurosurgeons were recruited to teach the course using both teaching aids for two hours each. They were then surveyed via a questionnaire to assess and rate the effectiveness of the teaching aids.

Results: The observation group demonstrated a significantly higher patency rate of vascular anastomosis, a shorter time to complete the anastomosis, and higher scores for surgical proficiency and procedural standardization compared to the control group (all P < 0.001). Additionally, the neurosurgeons provided positive evaluations of the novel 3D-printed teaching aid, awarding high scores for its practicality, scientific rigor, and overall effectiveness.

Conclusion: The novel 3D-printed teaching aid serves as an effective tool for microvascular anastomosis training in neurosurgery, offering significant advantages such as enhanced training effectiveness, high-fidelity simulation, cost efficiency, and customization capabilities.

3D打印神经外科微血管吻合模拟训练新型教具的可行性与实用性。
背景:本研究旨在基于CT和MRI影像资料,利用3D打印技术开发一种新型神经外科微血管吻合训练教具,并评价其有效性和实用性。方法:基于CT或MRI成像数据,制作微血管、颅骨、脑组织三维模型,连接蠕动泵和管道系统,制作微血管吻合模拟训练教具。招募了20名医学院高年级学生,将其分为两组:对照组使用传统软胶管进行训练,观察组使用3d打印教具进行训练。训练结束后,两组患者均行鸡翅动脉吻合术。评估培训结果,包括血管吻合通畅率、完成吻合所需时间、学员手术表现。此外,还招募了六名经验丰富的神经外科医生来教授这门课程,他们分别使用两种教学辅助工具,每次授课两小时。然后通过问卷调查对他们进行调查,以评估和评价教学辅助工具的有效性。结果:观察组血管吻合通畅率明显高于对照组,完成吻合时间明显短于对照组,手术熟练度和操作规范化评分明显高于对照组(均P)。新型3d打印教具是神经外科微血管吻合训练的有效工具,具有增强训练效果、高保真模拟、成本效益和定制能力等显著优势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Frontiers in Surgery
Frontiers in Surgery Medicine-Surgery
CiteScore
1.90
自引率
11.10%
发文量
1872
审稿时长
12 weeks
期刊介绍: Evidence of surgical interventions go back to prehistoric times. Since then, the field of surgery has developed into a complex array of specialties and procedures, particularly with the advent of microsurgery, lasers and minimally invasive techniques. The advanced skills now required from surgeons has led to ever increasing specialization, though these still share important fundamental principles. Frontiers in Surgery is the umbrella journal representing the publication interests of all surgical specialties. It is divided into several “Specialty Sections” listed below. All these sections have their own Specialty Chief Editor, Editorial Board and homepage, but all articles carry the citation Frontiers in Surgery. Frontiers in Surgery calls upon medical professionals and scientists from all surgical specialties to publish their experimental and clinical studies in this journal. By assembling all surgical specialties, which nonetheless retain their independence, under the common umbrella of Frontiers in Surgery, a powerful publication venue is created. Since there is often overlap and common ground between the different surgical specialties, assembly of all surgical disciplines into a single journal will foster a collaborative dialogue amongst the surgical community. This means that publications, which are also of interest to other surgical specialties, will reach a wider audience and have greater impact. The aim of this multidisciplinary journal is to create a discussion and knowledge platform of advances and research findings in surgical practice today to continuously improve clinical management of patients and foster innovation in this field.
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