Frontiers in Surgery最新文献

{"title":"The incidence and risk factors of intraoperative bacterial contamination in primary total knee arthroplasty.","authors":"Lijun Xing, Fengyue Liu, Enrun Li, Yuling Kang, Kunyuan Tan, Juhong Li","doi":"10.3389/fsurg.2024.1458403","DOIUrl":"10.3389/fsurg.2024.1458403","url":null,"abstract":"<p><strong>Background: </strong>Infection is a devasting complication after arthroplasty. Identifying potential sources contributing to intraoperative bacterial transmission can help to reduce surgical-site infections.</p><p><strong>Objective: </strong>The aim of this study was to identify the incidence and risk factors of intraoperative bacterial contamination (IBC) in primary total knee arthroplasty (TKA) procedures.</p><p><strong>Methods: </strong>Active surveillance cultures were used to detect IBC from 125 consecutive unilateral primary TKAs. The cultures were taken from different sites (surgical instruments, gloves of surgeons and surgical incisions) at different time points (before surgery, 30 min and at the end of the surgery) during arthroplasty procedures. Patient characteristics, including age, height, body weight, body mass index, comorbidity of diabetes mellitus, operative duration, intraoperative blood loss, types of prophylactic antibiotics were recorded. The white blood cell level before, the 3rd and 7th day after surgery were measured and recorded. In addition, patients were also followed for fever and surgical-site infections within 14 days after surgery.</p><p><strong>Results: </strong>In total, 1,000 cultures were taken. 91 (9.1%) of them showed an IBC. None of bacterial cultures of gloves and instruments before surgery were positive. At 30 min from the beginning of the procedure, 29 cultures (7.7%) from 16 patients (12.8%) showed a contamination. At the end of the surgery, 62 cultures (16.5%) from 32 patients (25.6%) showed a contamination. There were 15 cases (12.0%) of fever within 14 days after surgery, of which 11 cases with IBC, and 4 cases without IBC. No postoperative surgical-site infection occurred in all consecutive unilateral primary TKAs. The binomial logistic regression analyses confirmed that operative duration was the risk factor of IBC [OR 1.137 (95% CI 1.023 to 1.322), <i>p</i> = 0.014]. Moreover, compared to control group, the patients with IBC had a greater change of white blood cell level in the 3rd day after surgery (<i>p</i> = 0.022), and a higher risk of fever within 14 days after surgery (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>The bacterial contamination rate during primary TKA is relatively high, despite the practice of standard preventive measures. Intraoperative bacterial contamination increases with long operating time, which may be one of the factors contributing to fever and leukocytosis after surgery.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"11 ","pages":"1458403"},"PeriodicalIF":1.6,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11582028/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Localized abdominal wall metastasis of papillary renal cell carcinoma: a case report.","authors":"Chadi Nahal, Claire Wunker, Jennifer Keller","doi":"10.3389/fsurg.2024.1413188","DOIUrl":"10.3389/fsurg.2024.1413188","url":null,"abstract":"<p><strong>Introduction: </strong>Papillary renal cell carcinoma accounts for one tenth of all renal cell carcinomas. Compared to other renal cell carcinoma subtypes, it is more often localized at the time of diagnosis and rarely metastasizes to the skin. There are no previously reported cases of cutaneous papillary renal cell carcinoma localized to the abdominal wall which we present here.</p><p><strong>Case presentation: </strong>A 77 year-old female with multiple previous cancers, including a stage 1 left papillary renal cell carcinoma, treated with partial nephrectomy 32 months prior to presentation, was found to have a left upper abdominal wall mass on interval screening computed tomography. Fine needle aspiration was performed, obtaining limited tissue, followed by incisional biopsy. Histology and immunohistochemistry were consistent with renal cell carcinoma. She underwent operative excision of the abdominal wall mass with reconstruction using mesh and left posterior rectus fascial release. Histology and immunohistochemistry of the operative specimen reconfirmed the diagnosis of cutaneous metastasis of renal cell carcinoma. She was treated with adjuvant pembrolizumab and has no existing evidence of disease.</p><p><strong>Conclusions: </strong>Papillary renal cell carcinoma metastasized to the skin is uncommon, especially when localized to the abdominal wall without any other sites of metastases. Metastasis should be on the differential diagnosis when evaluating newly identified abdominal masses in patients with a history of papillary renal cell carcinoma. When localized, abdominal wall metastasis of papillary renal cell carcinoma can be effectively treated with resection and reconstruction, followed by systemic therapy when indicated.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"11 ","pages":"1413188"},"PeriodicalIF":1.6,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11582055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transoral penetrating craniocerebral injury: a case report and literature review.","authors":"Hang Xue, Wei Li, Weitao Zhang, Lei Sun, Yubo Li, Hongfa Yang","doi":"10.3389/fsurg.2024.1455178","DOIUrl":"10.3389/fsurg.2024.1455178","url":null,"abstract":"<p><p>A penetrating brain injury is a rare type of neurosurgical trauma associated with extremely high mortality and disability rates. Penetrating skull base injuries caused by arrows seldom occur because injuries caused by such weapons are more likely to be accidental. However, the number of self-inflicted injuries is increasing, and these injuries have varying patterns and high mortality rates. We report a case of a transoral penetrating craniocerebral injury caused by an arrow in a suicidal patient. Preoperative imaging is crucial for detecting and planning the surgical approach. Surgery is an effective treatment for this type of injury. Additionally, we reviewed previous case reports on this type of injury to provide recommendations for its clinical detection and treatment.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"11 ","pages":"1455178"},"PeriodicalIF":1.6,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11582062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transoral robotic salivary surgery for hilarparenchymal submandibular stones.","authors":"Pasquale Capaccio, Matteo Lazzeroni, Sara Torretta, Lorenzo Salvatore Solimeno, Valentina Cristofaro, Michele Proh, Giovanni Cammaroto, Giuseppe Meccariello, Claudio Vicini, Lorenzo Pignataro","doi":"10.3389/fsurg.2024.1471207","DOIUrl":"10.3389/fsurg.2024.1471207","url":null,"abstract":"<p><strong>Objectives: </strong>A prospective interventional study was designed to describe our series of patients with submandibular stones undergoing sialendoscopy-assisted TORSS (trans-oral robotic salivary surgery) by means of Si or Xi Da Vinci robotic system between January 2019 and June 2023, in order to assess safety and effectiveness of the procedure.</p><p><strong>Methods: </strong>54 adult patients with submandibular stones undergoing sialendoscopy-assisted TORSS between January 2019-June 2023.</p><p><strong>Results: </strong>The global success rate was 81.5%, with better surgical outcomes in patients with palpable hilar/hilo-parenchymal stones compared to non-palpable pure parenchymal ones (92.7 vs. 46.2%). In addition, the mean stone size in cases failing TORSS was smaller than that documented in successfully treated patients (7.8 ± 1.8 vs. 9.8 ± 2.4 mm). No major untoward effects were observed (transitory lingual nerve dysfunction in 3 patients undergoing Xi Da Vinci surgery). A positive outcome in terms of post-operative surgical pain, patient's satisfaction and recovery time was observed.</p><p><strong>Conclusions: </strong>Intrinsic stone features (such as size, location/palpability) seems to be predictor for surgical success; an accurate pre-operative planning is mandatory to better select which patient can benefit most from TORSS procedure.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"11 ","pages":"1471207"},"PeriodicalIF":1.6,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11582058/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709801","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unilateral biportal endoscopic spine surgery: a meta-analysis unveiling the learning curve and clinical benefits.","authors":"Shu-Xin Liu, Rui-Song Chen, Chien-Min Chen, Li-Ru He, Shang-Wun Jhang, Guang-Xun Lin","doi":"10.3389/fsurg.2024.1405519","DOIUrl":"10.3389/fsurg.2024.1405519","url":null,"abstract":"<p><strong>Objective: </strong>To provide insights into the learning curve of unilateral biportal endoscopic (UBE) spine surgery by synthesizing available evidence on critical points and associated clinical outcomes.</p><p><strong>Methods: </strong>A comprehensive literature search was conducted across multiple databases, yielding a pool of relevant studies. Inclusion criteria encompassed studies reporting on UBE learning curves and quantitative data related to clinical outcomes (operative time, hospital stay, and complications).</p><p><strong>Results: </strong>A total of five studies were included in the analysis, providing six datasets to elucidate the UBE learning curve. Three of the five studies analyzed learning curves using the Cumulative Sum method and identified cutoff points. One study plotted learning curves and determined cutoff points based on surgical time analysis, while the remaining one study (providing two datasets) plotted learning curves using the phased analysis method. The mean value of the cutoff point in terms of the number of cases required to reach proficiency in time to surgery was calculated at 37.5 cases, with a range spanning from 14 to 58 cases. Notably, there was a statistically significant difference in time to surgery between the late group and the early group, with the late group demonstrating a significantly reduced time to surgery (<i>P</i> < 0.0001). Additionally, the determined cutoff points exhibited significant variations when applied to patient outcome parameters, including postoperative hospitalization, postoperative drainage, and surgical complications (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>While the analysis indicates that UBE surgery's learning curve is associated with surgical time, the limited focus on this metric and potential discrepancies in cutoff point determination highlight the need for a more comprehensive understanding.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"11 ","pages":"1405519"},"PeriodicalIF":1.6,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11578948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovative vaginal manipulator technique vs. traditional method for vaginal fornix deployment in robotic sacrocolpopexy.","authors":"Yoshiaki Ota, Kuniaki Ota, Toshifumi Takahashi, Shogo Kawamura, Mitsuru Shiota, Koichiro Shimoya","doi":"10.3389/fsurg.2024.1491233","DOIUrl":"10.3389/fsurg.2024.1491233","url":null,"abstract":"<p><strong>Introduction and hypothesis: </strong>Pelvic organ prolapse (POP) affects approximately 30% of middle-aged and older women, with 11%-19% requiring surgical intervention. Laparoscopic sacrocolpopexy preserves the vaginal axis and length but involves a steep learning curve and longer operation times. Robotic sacrocolpopexy (RSC) addresses these issues, offering enhanced surgical precision. This study aimed to evaluate the feasibility and effectiveness of a novel vaginal manipulator (Hoyte Sacro Tip®; Cooper Surgical, Trumbull, CT, USA) compared with the traditional spatula in RSC.</p><p><strong>Methods: </strong>This retrospective cohort study included 88 females undergoing RSC at Kawasaki Medical School Hospital between January 2021 and December 2023. Patients were divided into two groups: spatula (<i>n</i> = 50) and vaginal manipulator (<i>n</i> = 38). Data on patient demographics, operative outcomes, and postoperative POP quantification (POP-Q) scores were collected.</p><p><strong>Results: </strong>Baseline characteristics were similar between the groups, except for gravidity and hypertension, which were higher in the spatula group than that in the vaginal manipulator group. No significant differences were found in operative time, console time, estimated blood loss, or complication rates between the groups (<i>p</i> = 0.08, 0.12, 0.19, and NA, respectively). Hospital stays were shorter in the vaginal manipulator group (median 6.5 vs. 7.0 days, <i>p</i> = 0.03) than in the spatula group. Both groups showed improved POP-Q scores postoperatively. However, the vaginal manipulator group had significantly lower ΔC scores than that of the spatula group (6.26 ± 3.88 vs. 8.53 ± 3.25, <i>p</i> = 0.02).</p><p><strong>Conclusions: </strong>The vaginal manipulator proved to be a safe and feasible alternative to the traditional spatula, with comparable perioperative outcomes and shorter hospital stays. The manipulator's design facilitated better tissue dissection, potentially improving surgical efficiency.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"11 ","pages":"1491233"},"PeriodicalIF":1.6,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11578927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Open laminectomy vs. minimally invasive laminectomy for lumbar spinal stenosis: a review.","authors":"Utpal K Dhar, Emma Lilly Menzer, Maohua Lin, Timothy O'Connor, Nischal Ghimire, Elias Dakwar, Ioannis D Papanastassiou, Kamran Aghayev, Chi-Tay Tsai, Frank D Vrionis","doi":"10.3389/fsurg.2024.1357897","DOIUrl":"10.3389/fsurg.2024.1357897","url":null,"abstract":"<p><strong>Objectives: </strong>Lumbar spinal stenosis (LSS) refers to a narrowing of the space within the spinal canal, which can occur at any level but is most common in the lumbar spine. Open laminectomy and minimally invasive laminectomy (MIL) procedures are the most common surgical gold standard techniques for treating LSS. This study aims to review clinical and biomechanical literature to draw comparisons between open laminectomy and various MIL techniques. The MIL variation comprises microendoscopic decompression laminotomy, unilateral partial hemilaminectomy, and microendoscopic laminectomy.</p><p><strong>Methods: </strong>A review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We reviewed 25 clinical, 6 finite element, and 3 cadaveric studies associated with treating LSS. We reviewed literature that discusses factors such as operation time, length of hospital stay, postoperative complications, reoperation rate, effect on elderly patients, patients' satisfaction, and adjacent segment disease degeneration for the clinical studies, whereas the range of motion (ROM), von Mises stresses, and stability was compared in biomechanical studies.</p><p><strong>Results: </strong>MIL involves less bone and ligament removal, resulting in shorter hospital stays and lower reoperation and complication rates than open laminectomy. It improves the quality of health-related living standards and reduces postoperative pain. Biomechanical studies suggest that laminectomy and facetectomy increase annulus stress and ROM, leading to segmental instability.</p><p><strong>Conclusion: </strong>Although theoretically, MIL means less tissue injury, pain, and faster recovery in the short term, the long-term results depend on the adequacy of the decompression procedure and tend to be independent of MIL or open laminectomy.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"11 ","pages":"1357897"},"PeriodicalIF":1.6,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11578987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142686550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Compare three deep learning-based artificial intelligence models for classification of calcified lumbar disc herniation: a multicenter diagnostic study.","authors":"Zhiming Liu, Hao Zhang, Min Zhang, Changpeng Qu, Lei Li, Yihao Sun, Xuexiao Ma","doi":"10.3389/fsurg.2024.1458569","DOIUrl":"10.3389/fsurg.2024.1458569","url":null,"abstract":"<p><strong>Objective: </strong>To develop and validate an artificial intelligence diagnostic model for identifying calcified lumbar disc herniation based on lateral lumbar magnetic resonance imaging(MRI).</p><p><strong>Methods: </strong>During the period from January 2019 to March 2024, patients meeting the inclusion criteria were collected. All patients had undergone both lumbar spine MRI and computed tomography(CT) examinations, with regions of interest (ROI) clearly marked on the lumbar sagittal MRI images. The participants were then divided into separate sets for training, testing, and external validation. Ultimately, we developed a deep learning model using the ResNet-34 algorithm model and evaluated its diagnostic efficacy.</p><p><strong>Results: </strong>A total of 1,224 eligible patients were included in this study, consisting of 610 males and 614 females, with an average age of 53.34 ± 10.61 years. Notably, the test datasets displayed an impressive classification accuracy rate of 91.67%, whereas the external validation datasets achieved a classification accuracy rate of 88.76%. Among the test datasets, the ResNet34 model outperformed other models, yielding the highest area under the curve (AUC) of 0.96 (95% CI: 0.93, 0.99). Additionally, the ResNet34 model also exhibited superior performance in the external validation datasets, exhibiting an AUC of 0.88 (95% CI: 0.80, 0.93).</p><p><strong>Conclusion: </strong>In this study, we established a deep learning model with excellent performance in identifying calcified intervertebral discs, thereby offering a valuable and efficient diagnostic tool for clinical surgeons.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"11 ","pages":"1458569"},"PeriodicalIF":1.6,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11576459/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ureteroinguinal hernia: an added advantage for laparoscopy in the management of inguinal hernia-a case report.","authors":"Mostafa Zain, Ossama Kasem, Mohamed Gamal, Ahmed Tayel, Mohamed Abouheba","doi":"10.3389/fsurg.2024.1415875","DOIUrl":"10.3389/fsurg.2024.1415875","url":null,"abstract":"<p><p>Different abdominal organs can herniate into the inguinal canal, including the small bowel, colon, appendix, ovaries, and, less commonly, the urinary bladder and fallopian tubes. Herniation of the ureter within an inguinal hernia is a very rare occurrence. To the best of our knowledge, less than 150 cases have been reported in the literature, including only 15 pediatric cases. A 3-month-old boy presented to our clinic with a left inguinal swelling. Ultrasound of the abdomen and pelvis showed grade 4 left hydronephrosis with a dilated tortuous ureter passing through the left inguinal canal. Further investigation revealed that the patient had a left primary obstructing megaureter with a ureteroinguinal hernia. The case was managed with laparoscopic repair of the inguinal hernia and urethrostomy. The current case proves an additional advantage for laparoscopy as it allows proper visualization of the anatomy and identification of atypical hernias, such as ureteroinguinal hernia.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"11 ","pages":"1415875"},"PeriodicalIF":1.6,"publicationDate":"2024-11-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11576373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142681426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovating neurosurgical training: a comprehensive evaluation of a 3D-printed intraventricular neuroendoscopy simulator and systematic review of the literature.","authors":"Attill Saemann, Adriana De Rosa, Jokin Zubizarreta Oteiza, Neha Sharma, Florian M Thieringer, Jehuda Soleman, Raphael Guzman","doi":"10.3389/fsurg.2024.1446067","DOIUrl":"10.3389/fsurg.2024.1446067","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to develop and evaluate a low-cost 3D-printed simulator to improve the ability of neurosurgical residents to handle and coordinate endoscopes in performing technically demanding procedures such as neuroendoscopic removal of ventricular tumors or endoscopic third ventriculostomy (ETV).</p><p><strong>Methods: </strong>The simulator was developed, printed in-house, and evaluated in a trial involving neurosurgery residents who performed ETV and intraventricular tumor resection tasks using it. Participants completed a questionnaire that assessed various aspects of the simulator's effectiveness, including anatomical visualization, procedural understanding, competency enhancement, and subjective impressions.</p><p><strong>Results: </strong>A total of 12 participants were included in the evaluation. The majority (<i>n</i> = 7, 53.85%) were male, with a mean age of 29.8 ± 3.27 years and 4 ± 2 years of neurosurgical experience. All participants agreed or strongly agreed (4.5 ± 0.50) that the 3D printed simulator helped develop systematic intraventricular visualization and understanding of surgical steps (4.42 ± 0.64). The handling of the endoscope was rated as realistic (4.5 ± 0.50), while the haptic qualities of the tumor were rated lower (3.83 ± 0.80; 3.92 ± 0.64). Training increased competence (4.25 ± 0.45) and coordination skills (4.5 ± 0.50), with 75% (<i>n</i> = 9) feeling more confident with neuroendoscopic instruments and 91.7% (<i>n</i> = 11) in future procedures.</p><p><strong>Conclusion: </strong>The developed 3D-printed simulator offers an accessible and practical training resource for neurosurgical residents, addressing the limitations of traditional training methods. The simulator appears to improve procedural skills and the competence of future neurosurgeons, potentially improving patient safety and outcomes in neurosurgical practice.</p>","PeriodicalId":12564,"journal":{"name":"Frontiers in Surgery","volume":"11 ","pages":"1446067"},"PeriodicalIF":1.6,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11573785/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}