A5047692934- Colorectal Cancer Surgical Treatments
- Gastric Cancer Management and Outcomes
- Anorectal Disease Treatments and Outcomes
- Colorectal and Anal Carcinomas
- Pelvic floor disorders treatments
- Pancreatic and Hepatic Oncology Research
- Surgical Simulation and Training
- Gastrointestinal Tumor Research and Treatment
- Anatomy and Medical Technology
- Minimally Invasive Surgical Techniques
- Pelvic and Acetabular Injuries
- Colorectal Cancer Screening and Detection
- Colorectal Cancer Treatments and Studies
- Metastasis and carcinoma case studies
- Telemedicine and Telehealth Implementation
- Esophageal and GI Pathology
- Surgical Sutures and Adhesives
- Surgical site infection prevention
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Mobile Health and mHealth Applications
- Drilling and Well Engineering
- Radiomics and Machine Learning in Medical Imaging
- Advances in Oncology and Radiotherapy
- Wireless Body Area Networks
- Management of metastatic bone disease
Sapporo Medical University
2014-2025
In Brief Objective: A prospective consecutive study was planned to evaluate the postpancreaticoduodenectomy (PD) oral intake tolerance. The occurrence of delayed gastric emptying (DGE), as defined by International Study Group Pancreatic Surgery (ISGPS), and amount dietary were analyzed. risk factors for low tolerance additionally determined. Summary Background Data: causation DGE after PD is still unclear. Several possible have been discussed, such reconstruction methods other complications....
The hinotori Surgical Robot System obtained pharmaceutical approval for use in colorectal cancer surgery October 2022 Japan, and its advantages, including operating arm with eight axes, adjustable base, flexible 3D viewer, are expected to be utilized colon surgery. A 68-year-old woman presented our hospital abdominal pain was diagnosed cStageIIa (cT3N0M0) ascending underwent right hemicolectomy using the appropriate port placement on arc around hepatic flexure, which available both ileocecal...
The hinotori™ Surgical Robot System was approved for use in colorectal cancer surgery Japan 2022. This robot has advantages, such as an operation arm with eight axes, adjustable base, and a flexible three-dimensional viewer, is expected to be utilized rectal surgery. Herein, we report the world's first using System.A 71-year-old woman presented our hospital bloody stools. A colonoscopy revealed type 2 advanced rectum, histological examination exposed well-differentiated adenocarcinoma....
Although MRI has a substantial role in directing treatment decisions for locally advanced rectal cancer, precise interpretation of the findings is not necessarily available at every institution. In this study, we aimed to develop artificial intelligence-based software segmentation cancer that can be used staging optimize strategy and preoperative surgical simulation.Images from total 201 patients who underwent were analyzed training data. The resected specimen was processed circular shape...
Aim In computed tomography colonography angiography (CTC-A), used for preoperative screening of right-sided colon cancer, the timing venous phase imaging is conventionally determined by a fixed-delay time; however, contrast effect may be insufficient because individual differences in blood flow status. Therefore, we developed double-bolus tracking (DBT) method to solve this issue. Method We compared and image quality portal systems between two methods conventional DBT which utilizes low-dose...
Abstract Background Accurate identification of tumor sites during laparoscopic colorectal surgery helps to optimize oncological clearance. We aimed assess the timing local injection preoperatively and clarify usefulness limitation site marking using indocyanine green (ICG) fluorescence imaging. Methods Consecutive patients who underwent primary cancer from September 2017 January 2019 were included. Preoperatively, lower endoscopy was used inject ICG solution into submucosal layer near tumor....
The low anterior resection syndrome (LARS) score is a patient-reported outcome measure to evaluate the severity of bowel dysfunction after rectal cancer surgery by scoring major symptoms LARS. aim this study was translate English version LARS into Japanese and investigate validity reliability score.The translated in following current international recommendations. A total 149 patients completed questionnaire were also asked single question assessing impact function on quality life (QoL). 136...
In May 2023, the Hugo RAS system obtained pharmaceutical approval for use in gastroenterological surgery Japan. It is expected to be particularly effective rectal cancer surgery, which require manipulation of deep pelvic cavity and communication with surgeons operating from intraperitoneal anal approaches. A 68-year-old woman presented our hospital bloody stools was diagnosed cStage I (cT2N0M0) underwent abdominoperineal resection employing system. Two arm carts were placed on left right...
A new technique that allows visualization of whole pelvic organs with high accuracy and usability is needed for preoperative simulation in advanced rectal cancer surgery. In this study, we developed an automated algorithm to create a three-dimensional (3D) model from MRI using artificial intelligence (AI) technology.
In Japan, the hinotori™ Surgical Robot System obtained pharmaceutical approval for use in colorectal cancer surgery October 2022. This system has an operating arm with eight axes, adjustable base, and flexible three-dimensional viewer, which are expected to be advantageous surgery. A 55-year-old man presented our hospital melena was diagnosed cStage IIA (cT3N0M0) rectal cancer. The patient underwent intersphincteric resection using System. Appropriate port placement available manipulation,...
Abstract Aim The aim of this study was to verify the clinical feasibility tele‐proctoring using our ultra‐low latency communication system with shared internet access. Methods Connections between two multiple remote locations at various distances were established through TELEPRO® system. server records for annotations. Questionnaires administered surgeons, assistants, and medical staff. Respondents rated quickness quality in terms disturbances audio, video, usefulness live telestrations...
Abstract Circumferential resection margin (CRM) is essential for oncological quality assessment in rectal cancer surgery. CRM represents a surrogate parameter outcomes and important stratifying treatment strategies Western nations. In Japan, the mesentery removed specimen processing order to extract as many lymph nodes (LNs) possible; consequently, cannot be measured. Given diversification of cancer, lack measurement assess surgical crucial issue that must resolved. Therefore, it necessary...
In Japan, pharmaceutical approval for the use of da Vinci SP (dV SP) Surgical System in colorectal cancer surgery was obtained September 2022. This system has an operating arm with three instruments and one scope to be manipulated through a single incision surgery. An 88-year-old female presented our hospital melena diagnosed cStage IIa descending colon (cT3N0M0). The patient underwent left hemicolectomy dV using Access Port kit. kit inserted into 3-cm vertical skin at umbilicus. With only...
Abstract Aim This study aims to investigate the association of patient age with defecation disorders and anal function after lower rectal cancer surgery. Methods We retrospectively reviewed data 141 consecutive patients who underwent sphincter‐preserving operation. The were classified into five categories by thresholds at 65, 70, 75, 80, 85 years, for disaggregate analysis. Anal manometry was used measuring maximum resting pressure, high‐pressure zone, squeeze pressure. performed...