The Learning Curve in Skull Base Surgery Part 1-From Historical-Philosophical Concepts to Microsurgical Lab Training

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Citações na Scopus
Tipo de produção
article
Data de publicação
2022
DOI
Web of Science
Título da Revista
ISSN da Revista
Título do Volume
Editora
GEORG THIEME VERLAG KG
Autores
ISOLAN, Gustavo Rassier
MONTEIRO, Jander
VAZ, Marco Antonio Schlindwein
LAVINSKY, Joel
ARAUJO, Ricardo Lopes de
SANTIS, Giuseppe
BUFFON, Viviane
RIBAS FILHO, Carmem Australia Paredes
RIBAS FILHO, Jurandir Marcondes
Citação
BRAZILIAN NEUROSURGERY-ARQUIVOS BRASILEIROS DE NEUROCIRURGIA, v.41, n.4, p.E340-E347, 2022
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
The learning curve reflects surgeons' experience in managing several patients with the same disease. In skull base surgery, the professional's place on the curve could be related to the number of times the same procedure was performed. Where does curve begin? What amount of training is necessary prior to its application in surgical settings? What were the results of the first few skull base tumor surgeries performed by a surgeon who goes on to produce excellent results, and how is reflected in the start of their learning curve? The only way for neurosurgeons to improve their results from the start is with prior training in the microsurgery laboratory. This learning technique is essential to maximize the chance of success of a neurosurgical procedures, minimizing the morbidity rate to which patients are subjected by less experienced neurosurgeons. This article is divided in two parts, and its purpose is to show how training in the microsurgical laboratory fits into the construction of knowledge about skull base surgery, based on authors' experience and reflections. This first part discusses the technical, psychological, and philosophical aspects of medical knowledge, primarily addressing those training in skull base surgery, the principles of some selected philosophical currents, and their influence on the development of current medical knowledge.
Palavras-chave
skull-base, learning curve, microsurgical laboratory
URI
https://observatorio.fm.usp.br/handle/OPI/51530
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MNE
Artigos e Materiais de Revistas Científicas - LIM/62