Brain and Spine (Jan 2024)
Simulation to become a better neurosurgeon. An international prospective controlled trial: The Passion study
- Claudia Fanizzi,
- Giovanni Carone,
- Alessandra Rocca,
- Roberta Ayadi,
- Veronika Petrenko,
- Cecilia Casali,
- Martina Rani,
- Marta Giachino,
- Lydia Viviana Falsitta,
- Enrico Gambatesa,
- Tommaso Francesco Galbiati,
- Eleonora Francesca Orena,
- Irene Tramacere,
- Nicole Irene Riker,
- Alessandro Mocca,
- Karl Schaller,
- Torstein Ragnar Meling,
- Francesco DiMeco,
- Alessandro Perin,
- Abdelaziz Najib,
- Adrian Ndroqi,
- Ana Tomas-Biosca,
- Anatoli Dimitrov,
- Antanas Budenas,
- Augustinas Fedaravicius,
- Aicha Ouchene,
- Dauleac Corentin,
- Djenaba Bah,
- Friedrich Erhart,
- Fahrudin Alić,
- Foughali Mehdi,
- Hajar Bechri,
- Jagoš Golubović,
- Julien Delaunois,
- Angela Rampini,
- Karolis Simaitis,
- Milan Lepic,
- Mirel Grada,
- Miroslav Fimic,
- Mohamed Amgad Elsayed Matter,
- Benachour Mohamed Safouane,
- Nebojsa Lasica,
- Olga Parras,
- Ran Xu,
- Demaerel Rik,
- Sandra Rutkowska,
- Margherita Castaldo,
- Tatyana Sarnecki,
- Angela Elia,
- Tobias Rossmann,
- Volodymyr Smolanka,
- Fatima Fakhro,
- Yinqian Wang,
- Yakun Yang,
- Hu Yeshuai,
- Bianca Baldassarre,
- Giuseppe Di Perna,
- Lei Qi,
- Ye Zhongxing,
- Alice Lucifero,
- Yuhao Zhao,
- Vittoria Cojazzi,
- Gianluca Mezzini,
- Bektaşoğlu Pınar Kuru,
- Marina Minichiello,
- Wenping Xiong,
- Yan Cui,
- Zhigang Tan,
- Yue Lu,
- Li Xu,
- Deng Gang,
- Xiaoyang Tao,
- Norbert Svoboda,
- Shiqiang Wang,
- Zhijie Zhoul,
- Chang Tao,
- Antonio D'Ammando,
- Fabio Grassia,
- Dong Wang,
- Jidong Sun,
- Yanwei Chen,
- Zongdang Wei,
- Andrew Stevens,
- Niko Njiric,
- Marco Cancedda,
- Ahmet Faruk Özdemir,
- Burak Tahmazoglu,
- Edoardo Porto,
- Namer Thana,
- Aqsa Adil,
- Francesco Crisà
Affiliations
- Claudia Fanizzi
- Department of Neurosurgery, Fondazione I.R.C.C.S. Istituto Neurologico “C. Besta”, Milano, Italy; Besta NeuroSim Center, Fondazione I.R.C.C.S. Istituto Neurologico Nazionale ''C. Besta'', Milano, Italy
- Giovanni Carone
- Department of Neurosurgery, Fondazione I.R.C.C.S. Istituto Neurologico “C. Besta”, Milano, Italy; Besta NeuroSim Center, Fondazione I.R.C.C.S. Istituto Neurologico Nazionale ''C. Besta'', Milano, Italy
- Alessandra Rocca
- Besta NeuroSim Center, Fondazione I.R.C.C.S. Istituto Neurologico Nazionale ''C. Besta'', Milano, Italy
- Roberta Ayadi
- Department of Neurosurgery, Fondazione I.R.C.C.S. Istituto Neurologico “C. Besta”, Milano, Italy; Besta NeuroSim Center, Fondazione I.R.C.C.S. Istituto Neurologico Nazionale ''C. Besta'', Milano, Italy
- Veronika Petrenko
- Besta NeuroSim Center, Fondazione I.R.C.C.S. Istituto Neurologico Nazionale ''C. Besta'', Milano, Italy
- Cecilia Casali
- Department of Neurosurgery, Fondazione I.R.C.C.S. Istituto Neurologico “C. Besta”, Milano, Italy; Besta NeuroSim Center, Fondazione I.R.C.C.S. Istituto Neurologico Nazionale ''C. Besta'', Milano, Italy
- Martina Rani
- Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
- Marta Giachino
- Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
- Lydia Viviana Falsitta
- Besta NeuroSim Center, Fondazione I.R.C.C.S. Istituto Neurologico Nazionale ''C. Besta'', Milano, Italy
- Enrico Gambatesa
- Department of Neurosurgery, Fondazione I.R.C.C.S. Istituto Neurologico “C. Besta”, Milano, Italy; Besta NeuroSim Center, Fondazione I.R.C.C.S. Istituto Neurologico Nazionale ''C. Besta'', Milano, Italy
- Tommaso Francesco Galbiati
- Department of Neurosurgery, Fondazione I.R.C.C.S. Istituto Neurologico “C. Besta”, Milano, Italy; Besta NeuroSim Center, Fondazione I.R.C.C.S. Istituto Neurologico Nazionale ''C. Besta'', Milano, Italy
- Eleonora Francesca Orena
- Department of Neurosurgery, Fondazione I.R.C.C.S. Istituto Neurologico “C. Besta”, Milano, Italy
- Irene Tramacere
- Department of Neurosurgery, Fondazione I.R.C.C.S. Istituto Neurologico “C. Besta”, Milano, Italy
- Nicole Irene Riker
- Besta NeuroSim Center, Fondazione I.R.C.C.S. Istituto Neurologico Nazionale ''C. Besta'', Milano, Italy
- Alessandro Mocca
- Department of Psychology, Università Cattolica del Sacro Cuore, Milan, Italy
- Karl Schaller
- Department of Clinical Neurosciences, Division of Neurosurgery, Geneva University Hospitals & Faculty of Medicine, Geneva, Switzerland; Department of Clinical Neurosciences, Division of Neurosurgery, Geneva University Hospitals & Faculty of Medicine, and SFITS, Geneva, Switzerland
- Torstein Ragnar Meling
- Besta NeuroSim Center, Fondazione I.R.C.C.S. Istituto Neurologico Nazionale ''C. Besta'', Milano, Italy; Department of Neurosurgery, The National Hospital of Denmark, Rigshospitalet, Copenhagen, Denmark
- Francesco DiMeco
- Department of Neurosurgery, Fondazione I.R.C.C.S. Istituto Neurologico “C. Besta”, Milano, Italy; Besta NeuroSim Center, Fondazione I.R.C.C.S. Istituto Neurologico Nazionale ''C. Besta'', Milano, Italy; Department of Pathophysiology and Transplantation, University of Milano, Milano, Italy; Department of Neurological Surgery, Johns Hopkins Medical School, Baltimore, MD, USA
- Alessandro Perin
- Department of Neurosurgery, Fondazione I.R.C.C.S. Istituto Neurologico “C. Besta”, Milano, Italy; Besta NeuroSim Center, Fondazione I.R.C.C.S. Istituto Neurologico Nazionale ''C. Besta'', Milano, Italy; Department of Life Sciences, University of Trieste, Trieste, Italy; Corresponding author. Department of Neurosurgery, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, 20133, Milan, Italy.
- Abdelaziz Najib
- Neurosurgery Department, EHS Ali Ait Idir, Algeria
- Adrian Ndroqi
- Neurosurgery Department, University Hospital Centre ''Mother Teresa'', Tirana, Albania
- Ana Tomas-Biosca
- Neurosurgery Department, Hospital Universitario de Cruces, Spain
- Anatoli Dimitrov
- Department of Neurosurgery, University Hospital Sofiamed, Sofia, Bulgaria
- Antanas Budenas
- Department of Neurosurgery, Hospital of Lithuanian University of Health Sciences, Kaunas, Lithuania
- Augustinas Fedaravicius
- Department of Neurosurgery, The Hospital of Lithuanian University of Health Sciences, Lithuania
- Aicha Ouchene
- Neurosurgery Departement, Salim Zemirli El Harrach Hospital, Algeria
- Dauleac Corentin
- Department of Neurosurgery, Hôpital Neurologique et Neurochirurgical Pierre Wertheimer, Hospices Civils de Lyon, France
- Djenaba Bah
- Neurosurgery Department, University Hospital Centre ''Mother Teresa'', Tirana, Albania
- Friedrich Erhart
- Department of Neurosurgery, Medical University Vienna, 1090, Vienna, Austria
- Fahrudin Alić
- Department of Neurosurgery, Cantonal Hospital Zenica, Zenica, Bosnia and Herzegovina
- Foughali Mehdi
- Neurosurgery Department, University Hospital Centre ''Mother Teresa'', Tirana, Albania
- Hajar Bechri
- Neurosurgical Departement, Hôpital des Spécialités, Rabat, Morocco
- Jagoš Golubović
- Faculty of Medicine, University of Novi Sad, Department of Neurosurgery, University Clinical Centre of Vojvodina, Serbia
- Julien Delaunois
- Department of Neurosurgery, Cliniques Universitaires Saint-Luc, Université Cath-olique de Louvain, Brussels, Belgium
- Angela Rampini
- Neurosurgery Unit, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Italy
- Karolis Simaitis
- Department of Neurosurgery, The Hospital of Lithuanian University of Health Sciences, Lithuania
- Milan Lepic
- Clinic for Neurosurgery, Military Medical Academy, Belgrade, Serbia
- Mirel Grada
- Neurosurgery Department, University Hospital Centre ''Mother Teresa'', Tirana, Albania
- Miroslav Fimic
- Clinic of Neurosurgery, Clinical Center of Vojvodina, Novi Sad, Serbia
- Mohamed Amgad Elsayed Matter
- Neurosurgery Department, Hospital of Suez Canal University, Egypt
- Benachour Mohamed Safouane
- Neurosurgery Department, University Hospital Centre ''Mother Teresa'', Tirana, Albania
- Nebojsa Lasica
- University of Novi Sad, Faculty of Medicine, Novi Sad, Serbia
- Olga Parras
- Neurosurgery Department, Clinic University of Navarra, Spain
- Ran Xu
- Neurosurgery Department, Charité Universitatsmedizin, Berlin, Germany
- Demaerel Rik
- Department of Neurosurgery, University Hospital KU Leuven, Belgium
- Sandra Rutkowska
- Department of Neuroscience ''Rita Levi Montalcini'', Neurosurgery Unit, University of Turin, Turin, Italy
- Margherita Castaldo
- Department of Neuroscience ''Rita Levi Montalcini'', Neurosurgery Unit, University of Turin, Turin, Italy
- Tatyana Sarnecki
- Neurosurgery Department, Krankenhaus der Marmherzigen Brüder, Trier, Germany
- Angela Elia
- Neurosurgery Unit, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Italy
- Tobias Rossmann
- Neurosurgery Department, Clinic Donaustadt, Vienna, Austria
- Volodymyr Smolanka
- Uzhhorod Regional Clonical Centre of Neurosurgery and Neurology, Germany
- Fatima Fakhro
- Division of Neurosurgery, Neurosciences Department, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia
- Yinqian Wang
- Sanbo Brain Hospital Capital Medical University, Beijing, PR China
- Yakun Yang
- Sanbo Brain Hospital Capital Medical University, Beijing, PR China
- Hu Yeshuai
- Sanbo Brain Hospital Capital Medical University, Beijing, PR China
- Bianca Baldassarre
- Department of Neuroscience ''Rita Levi Montalcini'', Neurosurgery Unit, University of Turin, Turin, Italy
- Giuseppe Di Perna
- Department of Neuroscience ''Rita Levi Montalcini'', Neurosurgery Unit, University of Turin, Turin, Italy
- Lei Qi
- Neurosurgery Department, The First Affiliated Hospital Xi’an Jiaotong University, Xi’an, PR China
- Ye Zhongxing
- Neurosurgery Department, The Second Peoples Hospital of Fujian Province (The Second Affiliated Hospital of Fujian University of Traditional Chinese Medicine), PR China
- Alice Lucifero
- Neurosurgery Unit, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Italy
- Yuhao Zhao
- Neurosurgery Department, The First Hospital of Jilin University, Changchun, PR China
- Vittoria Cojazzi
- Neurosurgery Department, San Carlo Borromeo Hospital, Milan, Italy
- Gianluca Mezzini
- Neurosurgery Unit, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, Italy
- Bektaşoğlu Pınar Kuru
- University of Health Sciences, Faith Sultan Mehmet Education and Research Hospital, Turkey
- Marina Minichiello
- Neurosurgery Department, Fondazione IRCCS Istituto Neurologico, Nazionale “C. Besta”, via Celoria 11, 20133, Milan, Italy
- Wenping Xiong
- Neurosurgery Department, Zhongnan Hospital of Wuhan University, Whuan, PR China
- Yan Cui
- Neurosurgery Department, Xiangya Hospital of Central South University, PR China
- Zhigang Tan
- Neurosurgery Department, The Second Xiangya Hospital of Central South University, Changsha, PR China
- Yue Lu
- Neurosurgery Department, Nanjing Drum Tower Hospital, Nanjing, PR China
- Li Xu
- The Affiliated Suzhou Hospital of Nanjing Medical University, Nanjing, PR China
- Deng Gang
- Neurosurgery Department, Renmin Hospital of Wuhan University, PR China
- Xiaoyang Tao
- Neurosurgery Department, The Affiliated Suzhou Hospital of Nanjing Medical University, Nanjing, PR China
- Norbert Svoboda
- 1st Faculty of Medicine, Charles University in Prague and Military University Hospital Prague, Czech Republic
- Shiqiang Wang
- Neurosurgical Center, The Cancer Hospital of Chongqing University, Chongqing, PR China
- Zhijie Zhoul
- Neurosurgery Department, Suzhou Wuzhong People's Hospital, Suzhou, PR China
- Chang Tao
- Air Force Military Medical University, Tang Du Hospital, Xi'an, PR China
- Antonio D'Ammando
- Neurosurgery Department, Fondazione IRCCS Istituto Neurologico, Nazionale “C. Besta”, via Celoria 11, 20133, Milan, Italy
- Fabio Grassia
- Neurosurgery Department, Fondazione IRCCS Istituto Neurologico, Nazionale “C. Besta”, via Celoria 11, 20133, Milan, Italy
- Dong Wang
- Neurosurgery Department, General Hospital of Tianjin Medical University, PR China
- Jidong Sun
- Neurosurgery Department, Xijing Hospital, Xi'an, PR China
- Yanwei Chen
- Neurosurgery Department, Xijing Hospital, Xi'an, PR China
- Zongdang Wei
- Neurosurgery Department, The Fourth Affiliated Hospital of Guangxi Medical University, Guangxi, PR China
- Andrew Stevens
- West Midlands Postgraduate School of Surgery - Neurosurgery, Edgbaston Birmingham, United Kingdom
- Niko Njiric
- Neurosurgery Department, University Hospital Centre, Zagreb, Croatia
- Marco Cancedda
- Neurosciences, Unit of Neurosurgery, Hospital Trust of Verona, Verona, Italy
- Ahmet Faruk Özdemir
- Neurosurgery Department, İstanbul University- Cerrahpaşa, Cerrahpaşa Faculty of Medicine, Turkey
- Burak Tahmazoglu
- Neurosurgery Departement, Cherrahpasa Medical School, Instanbul, Turkey
- Edoardo Porto
- Neurosurgery Department, Fondazione IRCCS Istituto Neurologico, Nazionale “C. Besta”, via Celoria 11, 20133, Milan, Italy
- Namer Thana
- Neurosurgery Department, King Abdulaziz Medical City, Saudi Arabia
- Aqsa Adil
- Neurosurgery Department, SANA Klinukum Offenbach, Germany
- Francesco Crisà
- Neurosurgery Department, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy
- Journal volume & issue
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Vol. 4
p. 102829
Abstract
Introduction: Surgical training traditionally adheres to the apprenticeship paradigm, potentially exposing trainees to an increased risk of complications stemming from their limited experience. To mitigate this risk, augmented and virtual reality have been considered, though their effectiveness is difficult to assess. Research question: The PASSION study seeks to investigate the improvement of manual dexterity following intensive training with neurosurgical simulators and to discern how surgeons' psychometric characteristics may influence their learning process and surgical performance. Material and methods: Seventy-two residents were randomized into the simulation group (SG) and control group (CG). The course spanned five days, commencing with assessment of technical skills in basic procedures within a wet-lab setting on day 1. Over the subsequent core days, the SG engaged in simulated procedures, while the CG carried out routine activities in an OR. On day 5, all residents' technical competencies were evaluated. Psychometric measures of all participants were subjected to analysis. Results: The SG demonstrated superior performance (p < 0.0001) in the brain tumour removal compared to the CG. Positive learning curves were evident in the SG across the three days of simulator-based training for all tumour removal tasks (all p-values <0.05). No significant differences were noted in other tasks, and no meaningful correlations were observed between performance and any psychometric parameters. Discussion and conclusion: A brief and intensive training regimen utilizing 3D virtual reality simulators enhances residents' microsurgical proficiency in brain tumour removal models. Simulators emerge as a viable tool to expedite the learning curve of in-training neurosurgeons.