  Neuro-endoscopy is a challenging minimally invasive neurosurgery that
requires surgical skills to be acquired using training methods different from
the existing apprenticeship model. There are various training systems developed
for imparting fundamental technical skills in laparoscopy where as limited
systems for neuro-endoscopy. Neuro-Endo-Trainer was a box-trainer developed for
endo-nasal transsphenoidal surgical skills training with video based offline
evaluation system. The objective of the current study was to develop a modified
version (Neuro-Endo-Trainer-Online Assessment System (NET-OAS)) by providing a
stand-alone system with online evaluation and real-time feedback. The
validation study on a group of 15 novice participants shows the improvement in
the technical skills for handling the neuro-endoscope and the tool while
performing pick and place activity.
