Development of innovative skill training system for minimally invasive surgery

• Project/Area Number: 16H05882
• Research Category: Grant-in-Aid for Young Scientists (A)
• Allocation Type: Single-year Grants
• Research Field: Learning support system
• Research Institution: Kyushu University
• Principal Investigator: UEMURA MUNENORI 九州大学, 大学病院, 助教 (50636157)
• Research Collaborator: TOMIKAWA Morimasa ; HASHIZUME Makoto ; IEIRI Satoshi ; NAKAMURA Ryoichi
• Project Period (FY): 2016-04-01 – 2019-03-31
• Project Status: Completed (Fiscal Year 2018)
• Budget Amount: ¥24,570,000 (Direct Cost: ¥18,900,000、Indirect Cost: ¥5,670,000); Fiscal Year 2018: ¥2,860,000 (Direct Cost: ¥2,200,000、Indirect Cost: ¥660,000); Fiscal Year 2017: ¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000); Fiscal Year 2016: ¥17,680,000 (Direct Cost: ¥13,600,000、Indirect Cost: ¥4,080,000)
• Keywords: 手術トレーニング / 外科教育学 / 手術シミュレーション / コンピュータ外科学 / 医工学 / 内視鏡外科手術 / 外科教育 / 手術シミュレータ / シミュレーション / コンピュータ外科 / シミュレータ / 技術評価 / 時系列解析 / AI / カオス解析 / 手術工程解析

Outline of Final Research Achievements

This project is research and development for a new innovative education and training support system for laparoscopic surgery. This system could be replaced with conventional methodologies which depend on skillful surgeons' experience and sense -these are difficult to tell residents objectively.This system realize that surgeons achieve "unwasted operation" by sharing not only own experiences of surgical cases but also others experiences as own experienced cases using the Surgical Processing Models Analysis and an AI technology.
This research project could be contribute to resolve problems such as patients' early social comeback from hospital and reduction of medical expenses by adopting this system in a surgical education field.

Academic Significance and Societal Importance of the Research Achievements

本研究で開発するシステムにより、たとえ治療経験の浅い医師であっても、客観的に自身の技術レベルを把握することにより、一歩進んだ手技を修得する機会を得やすくなり、非常に短期間のうちに熟練者と同様に、精確・安全な内視鏡外科手術を行うことが出来るようになる。個々の基本手技の向上が期待され、低侵襲手術の更なる安全性の向上と普及による入院日数の短縮や、早期回復により、患者の早期社会復帰を支援し、医療経済的にも多大な効果が期待できる。

Research Products

• [Int'l Joint Research] universite rennes2(フランス)
• [Int'l Joint Research] The University of Texas(米国)
• [Int'l Joint Research] universite rennes2(フランス)
• [Int'l Joint Research] The University of Texas(米国)
• [Int'l Joint Research] Inserm/Universite de Rennes 1(フランス)
• [Journal Article] Objective assessment of robotic suturing skills with a new computerized system: A step forward in the training of robotic surgeons (2018)
  • Author(s): Busch C, Nakadate R, Uemura M, Obata S, Jimbo T, Hashizume M
  • Journal Title: Asian J Endosc Surg Volume: - Issue: 4 Pages: 388-395
  • DOI: 10.1111/ases.12672
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] Feasibility of an AI-Based Measure of the Hand Motions of Expert and Novice Surgeons (2018)
  • Author(s): Uemura M, Tomikawa M, Miao T, Souzaki R, Ieiri S, Akahoshi T, Alan KL, Hashizume M
  • Journal Title: Hindawi Volume: 2018 Pages: 1-6
  • DOI: 10.1155/2018/9873273
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] Assessment potential of a new suture simulator in laparoscopic surgical skills training (2017)
  • Author(s): Takeoka Tomohira、Takiguchi Shuji、Uemura Munenori、Miyazaki Yasuhiro、Takahashi Tsuyoshi、Kurokawa Yukinori、Makino Tomoki、Yamasaki Makoto、Mori Masaki、Yuichiro Doki and
  • Journal Title: Minimally Invasive Therapy & Allied Technologies Volume: 26 Issue: 6 Pages: 338-345
  • DOI: 10.1080/13645706.2017.1312456
• [Presentation] Quantitative evaluation of laparoscopic intestinal suturing by forceps motion analysis from 305 training videos. (2018)
  • Author(s): Fukatsu N, Uemura M, et al.
  • Organizer: CARS2018
  • Int'l Joint Research
• [Presentation] VALIDATION OF SIMULATOR FOR ASSESSMENT OF DEVELOPED SUTURING SKILLS 2nd report (2018)
  • Author(s): Munenori Uemura, Noriyuki Matsuoka, Morimasa Tomikawa, Makoto Hashizume
  • Organizer: SAGES 2018
  • Int'l Joint Research
• [Presentation] Quantitative evaluation of intestinal suture training process using forceps movement measurement from video by image processing (2017)
  • Author(s): N. Fukatsu, S. Aoki, T. Yamaguchi, M. Uemura, M. Hashizume, R. Nakamura,
  • Organizer: CARS2017
  • Int'l Joint Research
• [Presentation] VALIDATION OF SIMULATOR FOR ASSESSMENT OF NEWLY DEVELOPED SUTURING SKILLS (2017)
  • Author(s): Munenori Uemura, Noriyuki Matsuok, Morimasa Tomikawa, Makoto Hashizume, osuke Seki, Yoshimochi Kurokawa
  • Organizer: SAGES 2018
  • Int'l Joint Research
• [Presentation] 外科医の心を惹きつける客観評価縫合シミュレータの開発 (2017)
  • Author(s): 植村宗則、笠間和典、関洋介、松岡紀之、長尾吉泰、赤星朋比古、富川盛雅、橋爪誠
  • Organizer: 第30回日本内視鏡外科学会
• [Presentation] AMEDにおける医療機器開発支援について (2017)
  • Author(s): 植村宗則
  • Organizer: Mechanical Engineering Congress, 2017 Japan(MECJ-17)
  • Invited
• [Presentation] ポスト多元計算解剖学 ～ぶっちゃけ討論～ (2017)
  • Author(s): 植村宗則
  • Organizer: 第36回日本医用画像工学会大会
  • Invited
• [Presentation] 革新的な医療機器開発を目指した学会と国の新しい連携のあり方について (2017)
  • Author(s): 植村宗則
  • Organizer: 第26回日本コンピュータ外科学会大会
  • Invited
• [Remarks] Munenori Uemura
  • URL: https://munenori-uemura.com/
• [Remarks]
  • URL: http://munenori-uemura.com/