Simulation in neurosurgery—a brief review and commentary
Abstract
Neurosurgery is one of the most technically demanding and liable of all medical professionals. More than 75% of neurosurgical errors are deemed as preventable and technical in nature. Yet in a specialty that requires such high level of technical expertise, with large consequences for error, there are even fewer opportunities for residents in training to practice on the most complicated cases. Although there is no replacement for actual experiences in the operating room, interpersonal mentorship, coaching, and training, there is room to supplement residency education through simulation. Here we review the evidence to support surgical simulation, describe the strengths and weaknesses of existing technologies in direct neurosurgery specific and indirect simulation applications, and advocate for the development of more neurosurgery-specific applications using emerging kinetic technologies.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Cites
The role of deliberate practice in the acquisition of expert performance
Ericsson, K. A., Krampe, R. T., & Tesch-Römer, C. (1993) · Psychological Review · doi:10.1037/0033-295x.100.3.363 · Cited by 9,564 · see citing works
Virtual Reality Training Improves Operating Room Performance
Seymour, N. E., Gallagher, A. G., Roman, S. A., O’Brien, M. K., Bansal, V. K., Andersen, D. K., & Satava, R. M. (2002) · Annals of Surgery · doi:10.1097/00000658-200210000-00008 · Cited by 2,863 · see citing works
Surgical skill and complication rates after bariatric surgery
Birkmeyer, J. D., Finks, J. F., O'Reilly, A., Oerline, M., Carlin, A. M., Nunn, A. R., Dimick, J., Banerjee, M., & Birkmeyer, N. J. O. (2013) · New England Journal of Medicine · doi:10.1056/nejmsa1300625 · Cited by 1,504 · see citing works
Malpractice Risk According to Physician Specialty
Jena, A. B., Seabury, S., Lakdawalla, D., & Chandra, A. (2011) · New England Journal of Medicine · doi:10.1056/nejmsa1012370 · Cited by 1,180 · see citing works
The Impact of Video Games on Training Surgeons in the 21st Century
Rosser, J. C. (2007) · Archives of Surgery · doi:10.1001/archsurg.142.2.181 · Cited by 687 · see citing works
A critical review of simulation‐based mastery learning with translational outcomes
McGaghie, W. C., Issenberg, S. B., Barsuk, J. H., & Wayne, D. B. (2014) · Medical Education · doi:10.1111/medu.12391 · Cited by 660 · see citing works
Proving the Effectiveness of Virtual Reality Simulation for Training in Laparoscopic Surgery
Aggarwal, R. K., Ward, J., Balasundaram, I., Sains, P., Athanasiou, T., & Darzi, A. W. (2007) · Annals of Surgery · doi:10.1097/sla.0b013e3180f61b09 · Cited by 457 · see citing works
Simulation-Based Medical Education: An Ethical Imperative
Ziv, A., Wolpe, P. R., Small, S., et al. (2006) · Simulation in Healthcare The Journal of the Society for Simulation in Healthcare · doi:10.1097/01.sih.0000242724.08501.63 · Cited by 365 · see citing works
Simulation Improves Resident Performance in Catheter-Based Intervention
Chaer, R. A., DeRubertis, B. G., Lin, S., Bush, H. L., Karwowski, J., Birk, D. M., Morrissey, N. J., Faries, P. L., McKinsey, J. F., & Kent, K. C. (2006) · Annals of Surgery · doi:10.1097/01.sla.0000234932.88487.75 · Cited by 268 · see citing works
Mental Practice Enhances Surgical Technical Skills
Arora, S., Aggarwal, R. K., Sirimanna, P., Moran, A. P., Grantcharov, T., Kneebone, R. L., Sevdalis, N., & Darzi, A. W. (2011) · Annals of Surgery · doi:10.1097/sla.0b013e318207a789 · Cited by 260 · see citing works
Delorme, S., Laroche, D., DiRaddo, R. W., et al. (2012) · Operative Neurosurgery · doi:10.1227/neu.0b013e318249c744 · Cited by 207 · see citing works
VIRTUAL REALITY IN NEUROSURGICAL EDUCATION
Lemole, G. M., Banerjee, P. P., Luciano, C., Neckrysh, S., & Charbel, F. T. (2007) · Neurosurgery · doi:10.1227/01.neu.0000279734.22931.21 · Cited by 205 · see citing works
Malone, H. R., Syed, O. N., Downes, M. S., D’Ambrosio, A. L., Quest, D. O., & Kaiser, M. G. (2010) · Neurosurgery · doi:10.1227/neu.0b013e3181ee46d0 · Cited by 171 · see citing works
Alaraj, A. M., Charbel, F. T., Birk, D. M., et al. (2012) · Neurosurgery · doi:10.1227/neu.0b013e3182753093 · Cited by 147 · see citing works
Virtual Reality Simulation in Neurosurgery
Chan, S., Conti, F., Salisbury, K., et al. (2012) · Neurosurgery · doi:10.1227/neu.0b013e3182750d26 · Cited by 146 · see citing works
Development and validation of mental practice as a training strategy for laparoscopic surgery
Arora, S., Aggarwal, R. K., Sevdalis, N., Moran, A. P., Sirimanna, P., Kneebone, R. L., & Darzi, A. W. (2009) · Surgical Endoscopy · doi:10.1007/s00464-009-0624-y · Cited by 118 · see citing works
Malpractice Risk According to Physician Specialty
Jena, A. B., Seabury, S. A., Lakdawalla, D., et al. (2012) · Obstetrical & Gynecological Survey · doi:10.1097/ogx.0b013e318247c521 · Cited by 96 · see citing works
Neural correlates of motor imagery for elite archers
Chang, Y., Lee, J., Seo, J., Song, H., Kim, Y., Lee, H. J., Kim, H. J., Lee, J., Kim, W., Woo, M., et al. (2010) · NMR in Biomedicine · doi:10.1002/nbm.1600 · Cited by 95 · see citing works
Ryan, J. R., Chen, T., Nakaji, P., et al. (2015) · World Neurosurgery · doi:10.1016/j.wneu.2015.06.016 · Cited by 75 · see citing works
Lynch, G., Nieto, K., Puthenveettil, S., et al. (2014) · Journal of neurosurgery · doi:10.3171/2014.10.jns132436 · Cited by 74 · see citing works
ADVANCED VIRTUAL ENDOSCOPY FOR ENDOSCOPIC TRANSSPHENOIDAL PITUITARY SURGERY
Wolfsberger, S., Neubauer, A., Bühler, K., et al. (2006) · Neurosurgery · doi:10.1227/01.neu.0000245594.61828.41 · Cited by 72 · see citing works
Pal, S., & Aggarwal, S. (2014) · Current Medicine Research and Practice · doi:10.1016/j.cmrp.2014.09.003 · Cited by 71 · see citing works
Advanced Virtual Endoscopic Pituitary Surgery
Neubauer, A., Wolfsberger, S., Forster, M.-T., et al. (2005) · IEEE Transactions on Visualization and Computer Graphics · doi:10.1109/tvcg.2005.70 · Cited by 66 · see citing works
PROSPECTIVE ERROR RECORDING IN SURGERY
Stone, S. S. D., & Bernstein, M. (2007) · Neurosurgery · doi:10.1227/01.neu.0000255466.22387.15 · Cited by 60 · see citing works
Simulation and Augmented Reality in Endovascular Neurosurgery
Mitha, A. P., Almekhlafi, M., Janjua, M. J. J., et al. (2012) · Neurosurgery · doi:10.1227/neu.0b013e31827981fd · Cited by 57 · see citing works
The Effect of Video Game “Warm-up” on Performance of Laparoscopic Surgery Tasks
Rosser, J. C., Gentile, D. A., Hanigan, K., & Danner, O. K. (2012) · JSLS Journal of the Society of Laparoscopic & Robotic Surgeons · doi:10.4293/108680812x13291597715664 · Cited by 56 · see citing works
Laboratory-Based Instruction for Skin Closure and Bowel Anastomosis for Surgical Residents
Jensen, A. R. (2008) · Archives of Surgery · doi:10.1001/archsurg.143.9.852 · Cited by 37 · see citing works
The Virtual Brain Project--development of a neurosurgical simulator.
Larsen, O. V., Haase, J., Østergaard, L. R., et al. (2001) · PubMed · Cited by 29 · see citing works
To everything there is a season and a time to every purpose: retirement and the neurosurgeon
Rovit, R. L. (2004) · Journal of neurosurgery · doi:10.3171/jns.2004.100.6.1123 · Cited by 25 · see citing works
Thines, L., Durand, A., Penchet, G., et al. (2014) · Neurochirurgie · doi:10.1016/j.neuchi.2014.03.004 · Cited by 21 · see citing works
Virtual environment-based training simulator for endoscopic third ventriculostomy.
Brown, N., Natsupakpong, S., Johannsen, S., et al. (2006) · PubMed · Cited by 18 · see citing works
Haptic ventriculostomy simulation in a grid environment
Çakmak, H. K., Maaß, H., Trantakis, C., et al. (2009) · Computer Animation and Virtual Worlds · doi:10.1002/cav.272 · Cited by 12 · see citing works
Neurosurgery Learning from the Airline Industry
Jabbour, P. M., & Rosenwasser, R. H. (2010) · World Neurosurgery · doi:10.1016/j.wneu.2010.10.047 · Cited by 6 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Hickmann, A.-K., Ferrari, A., Bozinov, O., Stienen, M. N., & Ostendorp, C. (2022) · Neurosurgical Focus · doi:10.3171/2022.5.focus22193 · Cited by 17 · see citing works
- Authors
- Cobb, M. I.-P. H., Taekman, J. M., Zomorodi, A. R., Gonzalez, L. F., & Turner, D. A.
- Affiliations
- Duke University (US)
- Duke Medical Center (US)
- Corresponding author
- Cobb, Mary In-Ping Huang
- Venue
- World Neurosurgery
- Publisher
- Elsevier BV
- Published
- 2016-05
- Volume
- 89
- Pages
- 583-586
- ISSN
- 1878-8750 (ISSN-L)
- OpenAlex
- W2210589899
- Cited by
- 46
- References
- 33
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 7 · 2023: 7 · 2022: 6 · 2021: 3 · 2020: 2 · 2019: 8 · 2018: 4 · 2017: 3
- FWCI
- 0.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- World Neurosurgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Surgery › Surgical Simulation and Training
- Health Sciences › Medicine › Physiology › Simulation-Based Education in Healthcare
- Physical Sciences › Engineering › Biomedical Engineering › Anatomy and Medical Technology
- Keywords
- surgical simulation, neurosurgery, surgical training, neurosurgery residents, surgical errors, simulation-based education, surgical skills training
- MeSH terms
- Brain Diseases, Competency-Based Education, Computer-Assisted Instruction, Computer Simulation, Humans, Neurosurgery
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review