{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T10:20:22Z","timestamp":1785147622860,"version":"3.55.0"},"reference-count":34,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,1]]},"abstract":"\n OBJECTIVE<\/jats:title>\n The ongoing war in Ukraine has introduced many challenges to an already overburdened and resource-limited medical system. Longitudinal collaborations, material support, educational outreach, and surgical mentorship are essential for improving outcomes and standards of neurosurgical care in extreme settings such as in times of war.<\/jats:p>\n <\/jats:sec>\n \n METHODS<\/jats:title>\n Operating in Ukraine since 2016 through the coordination of Razom, the Co-Pilot Project has organized multiple United States\u2013based mission trips to Ukraine to support local physicians during wartime, including a trip between April and May of 2023.<\/jats:p>\n <\/jats:sec>\n \n RESULTS<\/jats:title>\n A team of two anesthesiologists, two neurosurgeons, a neurointerventional radiologist, and an industry representative providing technical expertise aided in the instruction and performance of complex neurosurgical and neurovascular procedures by Ukrainian physicians at St. Panteleimon Hospital and St. Nicholas Children\u2019s Hospital in Lviv. Such efforts are crucial for helping to address the sharp rise in elective neurosurgical volume caused by the increase in internally displaced persons in Western Ukraine since February 2022. In an illustrative case, the authors provide an in-depth description of a foramen magnum meningioma resection via a far lateral craniotomy in a 48-year-old female.<\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS<\/jats:title>\n Despite the supply shortages and logistical challenges brought on by war, the Co-Pilot Project continues to utilize a long-term approach to continually improve the operative capabilities of Ukrainian neurosurgeons through both in-person and virtual collaborations. It is hoped that the lessons learned from a recent trip to Ukraine will help to inform and inspire other global neurosurgery initiatives in the future.<\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/2024.12.focus24602","type":"journal-article","created":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T04:32:47Z","timestamp":1740803567000},"page":"E16","source":"Crossref","is-referenced-by-count":1,"title":["The Co-Pilot Project in wartime: lessons from Lviv, Ukraine"],"prefix":"10.3171","volume":"58","author":[{"given":"Christopher","family":"Markosian","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, New Jersey;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oleksandr","family":"Strelko","sequence":"additional","affiliation":[{"name":"Loyola University Chicago Stritch School of Medicine, Maywood, Illinois;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeff F.","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, State University of New York Upstate Medical University, Syracuse, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Viktoriia","family":"Kuts-Karpenko","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Clinical Municipal Communal Emergency Hospital, Lviv, Ukraine;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Shapiro","sequence":"additional","affiliation":[{"name":"Hackensack Anesthesiology Associates, Hackensack, New Jersey;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roksolana","family":"Vaskul","sequence":"additional","affiliation":[{"name":"North America Partners in Anesthesia, Piscataway, New Jersey;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mykhailo","family":"Lovha","sequence":"additional","affiliation":[{"name":"Department of Pediatric Neurosurgery, St. Nicholas Children\u2019s Hospital, Lviv, Ukraine;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuriy","family":"Flys","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, St. Panteleimon Hospital, Lviv, Ukraine;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maksim","family":"Shapiro","sequence":"additional","affiliation":[{"name":"Departments of Radiology and"},{"name":"Neurology, New York University Grossman School of Medicine, New York, New York;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan A.","family":"Forbes","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Cincinnati College of Medicine, Cincinnati, Ohio; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luke D.","family":"Tomycz","sequence":"additional","affiliation":[{"name":"Epilepsy Institute of New Jersey, Jersey City, New Jersey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"10331","key":"b1","series-title":"Lancet","first-page":"1206","article-title":"Meeting the health challenges of displaced populations from Ukraine","volume":"399","author":"Ioffe Y","year":"2022","unstructured":"Ioffe Y, Abubakar I, Issa R, Spiegel P, Kumar BN. 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