Nihon Geka Gakkai zasshi最新文献_第7页

[NATURAL ORIFICE TRANSLUMENAL ENDOSCOPIC SURGERY]. 自然孔腔内窥镜手术。

Nihon Geka Gakkai zasshi Pub Date : 2016-09-01

Hidefumi Shiroshita, Tsuyoshi Etoh, Kazuhiro Yasuda, Masafumi Inomata, Seigo Kitano

{"title":"[NATURAL ORIFICE TRANSLUMENAL ENDOSCOPIC SURGERY].","authors":"Hidefumi Shiroshita, Tsuyoshi Etoh, Kazuhiro Yasuda, Masafumi Inomata, Seigo Kitano","doi":"","DOIUrl":"","url":null,"abstract":"The clinical application of natural orifice translumenal endoscopic surgery (NOTES) began in 2007, and several thousand patients worldwide have undergone the technique. In this review, we summarize and highlight the current status and future directions of NOTES. The most common procedures are cholecystectomy and appendectomy, mainly performed as hybrid NOTES through the transvaginal route. In addition, direct-target NOTES such as per oral endoscopic myotomy (POEM) or transanal total mesorectal excision has spread rapidly, because it allows access to the operative field without injuring healthy visceral organs. In Japan, a clinical registration system was established, and clinical applications are carried out safely. NOTES performed in Japan is characterized by procedures requiring extensive techniques of endoscopic treatment such as endoscopic full-thickness resection, POEM, and the submucosal tunnel method. It will be necessary to develop instruments and determine social needs to achieve pure NOTES. It will also be necessary to determine the significance of reducing surgical wounds on the body surface. Although much work is still needed to refine the techniques for NOTES, it appears to be developing as a new minimally invasive form of surgical and endoscopic treatment.","PeriodicalId":19165,"journal":{"name":"Nihon Geka Gakkai zasshi","volume":"117 5","pages":"376-80"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36448720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[CENTRAL PLAYER IN REFORMING BOARD CERTIFICATION SYSTEM]. [改革董事会认证制度的核心角色]。

Nihon Geka Gakkai zasshi Pub Date : 2016-09-01

Tatsuo Kuroda

引用次数: 0

[LEVEL Ⅲ LYMPH NODE DISSECTION FOR BREAST CANCER]. [级别Ⅲ乳腺癌淋巴结清扫术]。

Nihon Geka Gakkai zasshi Pub Date : 2016-09-01

Jun Horiguchi

引用次数: 0

[THE ROLE OF THE COMMITTEE FOR THE IMPROVEMENT IN WORK ENVIRONMENT OF SURGEONS-A SIX YEAR ACTIVITY REPORT AND FUTURE PLANNING-]. [改善外科医生工作环境委员会的作用-六年活动报告及未来规划-]。

Nihon Geka Gakkai zasshi Pub Date : 2016-09-01

Ryuji Tominaga

引用次数: 0

[NEEDLESCOPIC SURGERY]. (NEEDLESCOPIC手术)。

Nihon Geka Gakkai zasshi Pub Date : 2016-09-01

Nobumi Tagaya

{"title":"[NEEDLESCOPIC SURGERY].","authors":"Nobumi Tagaya","doi":"","DOIUrl":"","url":null,"abstract":"We define needlescopic surgery (NS) as endoscopic surgery performed with 2- to 3-mm needlescopic instruments, and it has received attention as a form of reduced-port surgery. Reports on NS have been published since 1998, and their number has gradually increased. A Japanese study group called the “Needlescopic Surgery Meeting” was established in October 2000. The advantages of NS are improved cosmetic results and reduced postoperative pain. Although the cosmetic results of NS are inferior to those of single-incision endoscopic surgery, the creation of an operative field is similar to that using the conventional method, and NS involves less stress on surgeons. In the comparison of postoperative pain among conventional, single-incision, and needlescopic techniques, the amount of postoperative analgesics required after the needlescopic technique is significantly (p＜0.001) less than that after the other techniques. The disadvantages of NS are the poorer image quality of the needlescope, difficulty in grasping due to the fine shaft of the instruments, and difficulty in creating the operative field. If we understand the specific details of needlescopic instruments and endeavor to use them properly to avoid intra- and postoperative complications, NS will become more advanced in cooperation with single-incision endoscopic surgery.","PeriodicalId":19165,"journal":{"name":"Nihon Geka Gakkai zasshi","volume":"117 5","pages":"370-5"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36448715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[PREFACE TO “NATIONAL SURVEY OF TREATMENT FOR PERIPHERAL ARTERIAL DISEASE IN JAPAN REVEALS STENT ABUSE AND INAPPROPRIATE INVASIVE TREATMENT CALLING FOR ENHANCED PROFESSIONAL AUTONOMY”]. [“日本外周动脉疾病治疗的全国调查揭示支架滥用和不适当的侵入性治疗需要加强专业自主性”的前言]。

Nihon Geka Gakkai zasshi Pub Date : 2016-09-01

Atsushi Ishida

引用次数: 0

[WHAT WE CAN LEARN FROM A CASE OF MEDICAL MALPRACTICE―TORT LIABILITY AFFIRMED FOR BREACH OF DUTY TO INFORM A BREAST CANCER PATIENT]. [我们可以从医疗事故案例中学到什么-因违反告知乳腺癌患者的义务而被认定为侵权责任]。

Nihon Geka Gakkai zasshi Pub Date : 2016-09-01

Hiroshi Iwai, Mayumi Asada, Atsushi Kajitani, Shiori Kawasaki, Hiroyuki Kobayashi

引用次数: 0

[SUPPORT FOR WOMEN SURGEONS]. (支持女外科医生)。

Nihon Geka Gakkai zasshi Pub Date : 2016-09-01

Hiroko Yamashita

引用次数: 0

[CURRENT STATUS AND FUTURE PERSPECTIVES OF ROBOTIC SURGERY]. [机器人手术的现状和未来展望]。

Nihon Geka Gakkai zasshi Pub Date : 2016-09-01

Koichi Suda, Ichiro Uyama

{"title":"[CURRENT STATUS AND FUTURE PERSPECTIVES OF ROBOTIC SURGERY].","authors":"Koichi Suda, Ichiro Uyama","doi":"","DOIUrl":"","url":null,"abstract":"The Da Vinci Surgical System was developed to overcome some of the disadvantages of conventional endoscopic surgery. We have been performing robotic gastrectomy or esophagectomy in patients with resectable gastric or esophageal cancer who agreed to uninsured use of the robot since 2009, resulting in reduced postoperative local complications including pancreatic fistula following gastrectomy and recurrent laryngeal nerve palsy after esophagectomy. Moreover, the greater the extent of resection and lymph node dissection, the greater this effect, suggesting that the robot may be more beneficial for advanced cancer than for early cancer. In the meantime, there have been a considerable number of reports, mostly focusing on early cancer, that the use of the robot may reduce cost-effectiveness in comparison with the conventional laparoscopic or thoracoscopic approach. Thus, since the beginning of October 2014, we have been conducting a multiinstitutional, single-arm prospective study designed to determine the impact of robotic assistance, which has been approved as advanced medical technology (senshiniryo) by the Japanese Ministry of Health, Labor and Welfare, on the outcomes after minimally invasive radical gastrectomy to treat resectable gastric cancer, with a focus on postoperative complications, long-term outcomes, and cost.","PeriodicalId":19165,"journal":{"name":"Nihon Geka Gakkai zasshi","volume":"117 5","pages":"381-6"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36448721","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[IMMERSIVE SURGICAL NAVIGATION USING SPATIAL INTERACTIVE VIRTUAL REALITY AND HOLOGRAPHIC AUGMENTED REALITY]. [利用空间交互虚拟现实和全息增强现实的沉浸式手术导航]。

Nihon Geka Gakkai zasshi Pub Date : 2016-09-01

Maki Sugimoto, Yoshiyuki Shiga, Mitsuhiro Abe, Shuji Kameyama, Takeshi Azuma

引用次数: 0