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[2018/06/20] Cerebrovascular Surgery Simulation training: a gathering of domestic and foreign doctors at National Yang-Ming University

National Yang-Ming University cooperating with Taipei Veterans General Hospital to hold the 13th Lectures and Hands-on Cadaver Dissection Course for Cerebrovascular Microneurosurgery with the aim of helping the advancement of the cerebral revascularization skull base surgery among domestic and foreign doctors


In order to train Southeast Asian and Taiwanese neurosurgeons, National Yang-Ming University Institute of Anatomy and Cell Biology cooperated with Taipei Veterans General Hospital Department of Neurosurgery Neurological Institute to import fourteen human heads from the US in order to hold a cerebral revascularization skull base surgery seminar. For this seminar we invited the world-renowned neurosurgeon, Ali Krisht, to personally guide and teach the 22 Taiwanese and foreign doctors who participated in the seminar. The aim was to advance their skills in the cerebral revascularization skull base surgery, which would allow them to help more patients.


This is the 13th year of this cerebral revascularization skull base surgery training seminar to be held in Taiwan. Due to the advanced equipment available at the National Yang-Ming University Anatomy Laboratory and guidance from excellent teachers, this seminar attracts many Taiwanese and foreign doctors each year. At the seminar this year, doctors from The People's Republic of China, Japan, the Philippines, Singapore, Malaysia, NTU hospital, Kaohsiung Veterans General Hospital, and Kaohsiung Chang Gung Memorial Hospital came and participated in the seminar.



  The invited international neurosurgeon Ali Krisht (left) and Faculty of Medicine Surgical Department assistant Professor Shu. The latter remarked: “this seminar offers the chance for Taiwan to become an important medical training ground in Southeast Asia.”


National Yang-Ming University Faculty of Medicine's surgical department assistant professor Shu remarked that such a seminar as the present one not only is able to improve the abilities of Taiwanese doctors, but it also help train a broad range of Southeast Asian doctors. By doing this, the status of Taiwan in the medicine is increased and the seminar series helps make Taiwan to become one of the more important medical training ground in Southeast Asia. This seminar has already attracted the attention from the international renowned medical training facility, the Aesculap Academy, and they now wish to incorporate National Yang-Ming University as a training center for South Asia. Taipei Veterans General Hospital Department of Neurosurgery's Neurological Institute Neurosurgeon Doctor Chen remarked that the opportunity to cooperate with the Aesculap Academy proves that Taiwan has reached an important level in terms of medical training internationally.


During a doctor’s medical education, teaching relating to anatomy consist s of only 3rd Year gross anatomy and 5th Year neuroanatomy. Often there is no opportunity for students to come into contact with head anatomy. Furthermore, our skull is unlike the compact structure of an apple or pear and it is rather a multilayered structure similar to an orange. It requires complex and difficult surgical operations. Assistant Professor Shu remarked that the seminar was design from a clinical perspective because the students who were participating were all doctors. We hope that by using realistic simulations of the surgical procedures, it will help doctors to truly understand cerebral vascular surgery.


The seminar attracts Taiwanese and foreign doctors participation


In the Asian culture, it is common practice for bodies to be preserved in their entirety, which makes it difficult to obtain human heads in Taiwan. The human heads used in this seminar are all imported from the US. This year, National Yang-Ming University received approval from the Ministry of Health and Welfare to import fourteen human heads from the US. Each head costs around NT$40,000 to NT$50,000 including the import tax, dyeing, and preservation. In order to mimic a realistic operational environment, each head was connected to an extracorporeal circulation machine to simulate real blood flow. In order to respect the generosity of the individuals who had donated their cadavers, each head was also used for the training of neurosurgeons and endoscopic surgery practice by doctors practicing otolaryngology prior to their cremation.


After the seminar, the school ordered 40 mice as a preparation for training in vascular suturing by plastic surgeons and cardiology surgeons. This training session will be held at the end of the month. Such training sessions help to prepare surgeons for when they need to perform vascular suturing during an operation while still maintaining the vital signs of the mice.


Assistant Professor Shu indicated that, with the cooperation with the Aesculap Academy, it is hoped to expand the education provided by these surgical seminars so that they reach an international level, which would make NYMU and Taiwan a major international surgical training educational facility.



  The seminar allows doctors to practice their skills in a realistic environment, which helps them to better understand cerebral vascular surgery.