• Joham Choque-Velasquez, Roberto Colasanti, Juhani Collan, and Riina Kinnunen.
• Department of Neurosurgery, Helsinki University Central Hospital, Helsinki, Finland. Electronic address: johchove@hotmail.com.
• World Neurosurg. 2018 Apr 1; 112: 126-130.

ObjectiveMicrosurgical skills and eye-hand coordination need continuous training to be developed and refined. However, well-equipped microsurgical laboratories are not so widespread as their setup is expensive. Herein, we present a novel microsurgical training system that requires a high-resolution personal computer screen, smartphones, and virtual reality glasses.MethodsA smartphone placed on a holder at a height of about 15-20 cm from the surgical target field is used as the webcam of the computer. A specific software is used to duplicate the video camera image. The video may be transferred from the computer to another smartphone, which may be connected to virtual reality glasses.ResultsUsing the previously described training model, we progressively performed more and more complex microsurgical exercises. It did not take long to set up our system, thus saving time for the training sessions.ConclusionOur proposed training model may represent an affordable and efficient system to improve eye-hand coordination and dexterity in using not only the operating microscope but also endoscopes and exoscopes.Copyright © 2018 Elsevier Inc. All rights reserved.

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