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Development of off-clamp partial nephrectomy using a piezo actuator-driven pulsed water jet system

Research Project

Project/Area Number 15K10572
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Urology
Research InstitutionTohoku University

Principal Investigator

Yamashita Shinichi  東北大学, 大学病院, 講師 (10622425)

Co-Investigator(Kenkyū-buntansha) 荒井 陽一  東北大学, 医学系研究科, 教授 (50193058)
中川 敦寛  東北大学, 大学病院, 特任准教授 (10447162)
海法 康裕  東北大学, 医学系研究科, 非常勤講師 (30447130)
川守田 直樹  東北大学, 大学病院, 助教 (00617524)
川口 奉洋  東北大学, 医学系研究科, 非常勤講師 (10723447)
中川 晴夫  東北大学, 医学系研究科, 非常勤講師 (80333574)
大谷 清伸  東北大学, 流体科学研究所, 特任准教授 (80536748)
安達 尚宣  東北大学, 医学系研究科, 大学院非常勤講師 (20706303)
川崎 芳英  東北大学, 医学系研究科, 助教 (80722256)
Research Collaborator KAMIYAMA Yoshihiro  
FUJII Shinji  
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,810,000 (Direct Cost: ¥3,700,000、Indirect Cost: ¥1,110,000)
Fiscal Year 2017: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2015: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Keywords腎部分切除術 / 腎癌 / 無阻血 / パルスジェットメス
Outline of Final Research Achievements

We have developed a novel surgical device, a piezo actuator-driven pulsed water jet (ADPJ) system to improve the renal function after partial nephrectomy (PN) for renal cell carcinoma.
The breaking strength of renal capsule or the renal calix was higher than renal parenchyma in the swine. By setting ADPJ pressure to renal parenchymal intensity, off-clamp laparoscopic PN using the ADPJ system could be performed with little bleeding. Also, the ADPJ system resulted in less renal damage after off-clamp PN than existing thermal coagulation devices in a rat model. Finally, the breaking strength of the pseudo tumor capsule was higher than that of renal parenchyma in human kidney. If the ADPJ pressure was set to the same intensity of renal parenchyma, the ADPJ system might dissect the renal parenchyma safely, not injured the pseudo tumor capsule.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (8 results)

All 2017 2016 2015

All Journal Article (2 results) (of which Peer Reviewed: 2 results,  Acknowledgement Compliant: 1 results) Presentation (6 results) (of which Int'l Joint Research: 1 results)

  • [Journal Article] The Piezo Actuator-Driven Pulsed Water Jet System for Minimizing Renal Damage after Off-Clamp Laparoscopic Partial Nephrectomy2017

    • Author(s)
      Kamiyama Y, Yamashita S, Nakagawa A, Fujii S, Mitsuzuka K, Kaiho Y, Ito A, Abe T, Tominaga T, Arai Y.
    • Journal Title

      The Tohoku Journal of Experimental Medicine

      Volume: 243 Issue: 1 Pages: 57-65

    • DOI

      10.1620/tjem.243.57

    • NAID

      130006088851

    • ISSN
      0040-8727, 1349-3329
    • Related Report
      2017 Annual Research Report
    • Peer Reviewed
  • [Journal Article] パルスレーザージェットメス:原理開発から臨床試験まで2016

    • Author(s)
      中川敦寛、川口奉洋、遠藤俊毅、小川欣一、山下 慎一、荒船龍彦、加藤峰士、鷲尾利克、荒井陽一、冨永悌二
    • Journal Title

      レーザー研究

      Volume: 44 Pages: 165-16168

    • NAID

      130007957190

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] Development of new surgical device: A piezo-actuator pulsed water jet system reduces renal damages after off-clamp partial nephrectomy in a rat mode2017

    • Author(s)
      Yoshihiro Kamiyama, Shinichi Yamashita, Atsuhiro Nakagawa, Shinji Fjii, Koji Mitsuzuka, Yasuhiro Kaiho, Akihiro Ito, Takaaki Abe, Teiji Tominaga, Yoichi Arai
    • Organizer
      American Urological Association Annual Meeting, 2017
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Novel piezo actuator-driven pulsed water jet system is safe and effective surgical device in off-clamp laparoscopic partial nephrectomy2017

    • Author(s)
      Yoshihiro Kamiyama, Shinichi Yamashita, Atsuhiro Nakagawa, Shinji Fjii, Koji Mitsuzuka, Yasuhiro Kaiho, Akihiro Ito, Takaaki Abe, Teiji Tominaga, Yoichi Arai
    • Organizer
      Japan-NIH symposium
    • Place of Presentation
      仙台、星陵オーディトリアム
    • Related Report
      2016 Research-status Report
  • [Presentation] Novel piezo actuator-driven pulsed water jet system reduces renal damage after off-clamp partial nephrectomy in a rat model2016

    • Author(s)
      Yoshihiro Kamiyama, Shinichi Yamashita, Atsuhiro Nakagawa, Shinji Fujii, Yasuhiro Kaiho, Akihiro Ito, Teiji Tominaga, Yoichi Arai
    • Organizer
      第104回日本泌尿器科学会総会
    • Place of Presentation
      仙台、仙台国際センター
    • Related Report
      2016 Research-status Report
  • [Presentation] 新規パルスウォータージェットメスを用いた腹腔鏡下無阻血腎部分切除2016

    • Author(s)
      神山佳展, 山下慎一, 中川敦寛, 藤井紳司, 三塚浩二, 海法康裕, 伊藤明宏, 冨永悌二、荒井陽一
    • Organizer
      第13回泌尿器科再建再生研究会
    • Place of Presentation
      米子、鳥取大学医学部記念講堂
    • Related Report
      2016 Research-status Report
  • [Presentation] New piezo actuator-driven pulsed water jet system reduces renal damage after off-clamp laparoscopic partial nephrectomy in swine2016

    • Author(s)
      Yoshihiro Kamiyama, Shinichi Yamashita, Atsuhiro Nakagawa, Shinji Fjii, Koji Mitsuzuka, Shigeyuki Yamada, Yasuhiro Kaiho, Akihiro Ito, Teiji Tominaga, Yoichi Arai
    • Organizer
      第33回韓泌尿器科会議
    • Place of Presentation
      青森、リンクステーションホール青森
    • Related Report
      2016 Research-status Report
  • [Presentation] パルスウォータージェットメスを用いた腹腔鏡下無阻血腎部分切除術の開発2015

    • Author(s)
      神山佳展、山下慎一、中川敦寛、藤井紳司、三塚浩二、海法康裕、伊藤明宏、冨永悌二、荒井陽一
    • Organizer
      第29回日本泌尿器科内視鏡学会
    • Place of Presentation
      東京、京王プラザホテル
    • Year and Date
      2015-11-19
    • Related Report
      2015 Research-status Report

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Published: 2015-04-16   Modified: 2019-03-29  

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