2020 Volume 48 Issue 6 Pages 401-407
Summary: Although surgery for cerebrovascular disease is an important field for neurosurgeons, the number of enforcements may decrease owing to the development of endovascular intervention. Current neurosurgeons must acquire surgical skills with smaller number of cases. Here, we present our surgical education method with surgical videos and records using information technology to facilitate safe and reliable neurovascular surgery. The author also disclosed the surgical results during their own training period. We consider that sharing surgical experience with each other is the best way to acquire surgical skills with smaller number of cases, the sharing method being our unique audio-visual training by the effective use of information technology. Our audio-visual training is derived from several records of surgical maneuvers on how each trainee and trainer manipulate the microsurgical instruments and proceed with microsurgery. These audio-visual records are synchronized and edited on the same screen, so that trainees watch it repeatedly and learn neurosurgical techniques efficiently. The author performed 39 clippings (20 cases of unruptured and 19 cases of ruptured cerebral aneurysms) and 31 cerebrovascular anastomoses during the neurosurgical specialist terms of 1st and 2nd year under our education method. All cases were successfully completed. We emphasize the importance of neurosurgical education and sharing surgical experience effectively among current neurosurgeons.
