¿Cómo entrenar para el uso del exoscopio? Utilización de un novedoso simulador de exoscopía de bajo costo por residentes de neurocirugía

Premio Beca AANC-FLANC. XV Jornadas de Neurocirugía 2019 de AANC

Abstract

Introduction: To analyze the impact of training in a low-cost simulation station of exoscopy, used by residents of neurosurgery.
Materials and methods: Six residents of neurosurgery were recruited, all of them having no previous experience in the use of the exoscope. An exoscopy simulation station, including a computer, a webcam and a light source, was developed. All the participants performed an introductory tutorial, an initial exercise of 5 sutures (each suture was classified as correct and incorrect), evaluating the time to complete this exercise and the efficacy (defined as the relation between correct sutures and the total). Posteriorly, 3 training sessions of 1 hour and a final evaluation with the same characteristics as the initial one were performed by all the participants. Both evaluations were studied by a senior neurosurgeon who gave individualized punctuation and feedback to the participant.
Results: The average time of the initial exercise was 31 minutes 59 seconds, with an average efficiency of 70%. After training, the average time was 18 minutes, 12 seconds, with an efficiency of 80%.
Conclusion: The simulator training demonstrated the improvement of the exoscopic technique of the evaluated residents. Because of the benefits that were observed, and also its low cost, we believe that the implementation of this device will be useful to all neurosurgeons interested in this technique.