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This seminar mainly focuses on hands-on and lecture on vascular anastomosis, endovascular treatment, endoscope, 3D image creation. In addition, this year we have surgical treatment of brain tumor from Professor Takashi Maruyama at Tokyo Women's Medical University, Professor Akira Ishii from the Department of Neurosurgery at the Graduate School of Medicine, Kyoto University, Dr. Kanno Tanigawa, Department of Neurosurgery, Sapporo Yoshinaikai Hospital We are planning to give you more cerebrovascular surgical treatment.