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CC BY-NC-ND 4.0 · Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery 2022; 41(04): e348-e361
DOI: 10.1055/s-0042-1758221
Original Article

The Learning Curve in Skullbase Surgery Part 2–From the Microsurgical Lab Training to the Operative Room

A Curva de Aprendizado em Cirurgia de Base do Crânio - Do laboratório de microcirurgia à sala cirúrgica
Gustavo Rassier Isolan 
1   Department of neurosurgery, The Center for Advanced Neurology and Neurosurgery (CEANNE), Porto Alegre, RS, Brazil
2   Department of neurosurgery, Paraná Evangelical Mackenzie University (FEMPAR), Curitiba, PR, Brazil
3   Department of neurotology, The Center for Neurotology and Acoustic Neuroma (CNNA), Porto Alegre, RS, Brazil
,
Jander Monteiro 
1   Department of neurosurgery, The Center for Advanced Neurology and Neurosurgery (CEANNE), Porto Alegre, RS, Brazil
,
Marco Antônio Schlindwein Vaz 
1   Department of neurosurgery, The Center for Advanced Neurology and Neurosurgery (CEANNE), Porto Alegre, RS, Brazil
,
Joel Lavinsky 
1   Department of neurosurgery, The Center for Advanced Neurology and Neurosurgery (CEANNE), Porto Alegre, RS, Brazil
3   Department of neurotology, The Center for Neurotology and Acoustic Neuroma (CNNA), Porto Alegre, RS, Brazil
4   Department of neurotology, Lavinsky Clinic, Porto Alegre, RS, Brazil
,
Ricardo Lopes de Araújo 
5   Surgical Innovations Laboratory for Skull Base Microneurosurgery, Department of Neurological Surgery, Weill Cornell Medical College, New York, NY, United States
,
Eberval Gadelha Figueiredo 
6   Department of Neurosurgery, Universidade de São Paulo, São Paulo, SP, Brazil
,
Samir Aler Bark 
1   Department of neurosurgery, The Center for Advanced Neurology and Neurosurgery (CEANNE), Porto Alegre, RS, Brazil
2   Department of neurosurgery, Paraná Evangelical Mackenzie University (FEMPAR), Curitiba, PR, Brazil
,
José Fernando Polanski 
2   Department of neurosurgery, Paraná Evangelical Mackenzie University (FEMPAR), Curitiba, PR, Brazil
,
Carmem Austrália Paredes Ribas Filho 
2   Department of neurosurgery, Paraná Evangelical Mackenzie University (FEMPAR), Curitiba, PR, Brazil
,
Jurandir Marcondes Ribas Filho 
2   Department of neurosurgery, Paraná Evangelical Mackenzie University (FEMPAR), Curitiba, PR, Brazil
,
Osvaldo Malafaia 
2   Department of neurosurgery, Paraná Evangelical Mackenzie University (FEMPAR), Curitiba, PR, Brazil
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Abstract

In this second part, the authors review and suggest a methodology for studies in skull base surgery and training in microsurgical laboratory, based on their experiences and reflections. Not only are the foundations for the acquisition of microsurgical skills presented, but also what is needed to be an effective skullbase surgeon with good results. The present article reflects in particular the philosophy of professor Evandro de Oliveira and also serves to present to the neurosurgical community a new state-of-the-art laboratory for hands-on courses in Brazil, at the Faculdade Evangélica Mackenzie do Paraná.

Resumo

Nesta segunda parte, os autores revisam e sugerem uma metodologia para o estudo em cirurgia de base de crânio e treinamento em laboratório de microcirurgia baseado em suas experiencias e reflexões. Não apenas os fundamentos para a aquisição de habilidades microcirúrgicas estão presentes, como também, o que é necessário para ser um eficiente cirurgião de base de crânio com bons resultados. Este artigo reflete, em particular, a filosofia do Professor Evandro de Oliveira, além de servir para apresentar a comunidade neurocirúrgica o novo “estado da arte” em laboratórios de cursos “hands-on” no Brasil, na Faculdade Evangélica Mackenzie do Paraná.

Keywords

skullbase - learning curve - microsurgical laboratory

Palavras-chave

Base de crânio - Curva de aprendizado - Laboratório de microcirurgia

Note

Some small parts of the present article were published previously in Portuguese by the senior author in a previous article*, but with a focus on the learning. Following ABNT (Brazilian Association for Technical Standards) and copyright rules (law number 9,610), these parts are identified by quotation marks.


*Isolan GR. A construção do conhecimento pelo jovem neurocirurgião: ética, ciência e a importância do treinamento em laboratório de microcirurgia. J Bras Neurocirurg 20 (3): 314–334


This paper, divided in two parts, is a tribute to Professor Evandro de Oliveira, MD, PhD (1945 - 2021)




Publication History

Received: 29 July 2022

Accepted: 18 August 2022

Article published online:
16 December 2022

© 2022. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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