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Proposal of next-generation laparoscopic surgery using a small humanoid robot hand that can be inserted into the body.

Research Project

Project/Area Number 17K10656
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Digestive surgery
Research InstitutionTokai University

Principal Investigator

MUKAI Masaya  東海大学, 医学部, 教授 (40229919)

Co-Investigator(Kenkyū-buntansha) 加藤 龍  横浜国立大学, 大学院工学研究院, 准教授 (70516905)
田島 隆行  東海大学, 医学部, 准教授 (80317750)
横井 浩史  電気通信大学, 大学院情報理工学研究科, 教授 (90271634)
Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2018: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2017: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywords5指多関節小型ロボットハンド / 折り畳み式ロボットハンド / 腹腔鏡下手術 / マスタースレーブシステム / 触診・触覚と疑似触覚 / 消化器外科手術 / 5指多関節型の小型ロボットハンド / 5指多関節型の小型人型ロボットハンド / ロボット手術 / 用手補助腹腔鏡下手術(HALS) / ロボットハンド / 消化器癌 / 大腸癌 / ロボットHALS / HALS手術
Outline of Final Research Achievements

The minimum length of the HALS incision is 50 mm. Also, the hands and fingers of the operators are at risk of burn injury and the range of hand movement is restricted. To address these shortcomings of HALS, we have studied a 5-finger robot hand with a similar size to a child’s hand and the functionality of a normal hand. In collaboration with an engineering group, we have investigated whether such a hand could be developed to perform robotic HALS clinically. We have been granted several patents for a modified robot hand system that was originally developed for an electronic hand. The robot hand can perform the surgical procedures required for HALS and folds vertically at the palm to reduce its size for insertion through the incision. Furthermore, we are developing an exoskeleton signaling system with pressure sensors incorporated into the tips of the robot fingers to provide pseudo-tactile sensation for the surgeon.

Academic Significance and Societal Importance of the Research Achievements

世界初で日本発信となるロボットハンドを用いたHALS手術が臨床応用可能か否かを検討するこの研究成果は, 5指多関節ロボットハンドが応用可能となれば, HALS手術を現在の人の手技以上に向上させる. さらに操作習熟度は全く操作が異なる完全ロボットシステムの1/2から1/3のラーニングカーブに短縮可能と考えられ, 種々の環境下での遠隔操作や遠隔医療にまで広く応用可能であるものと確信しており, 医学界・ロボット学界への貢献に繋がると信じている.

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (24 results)

All 2020 2019 2018 2017 Other

All Journal Article (7 results) (of which Peer Reviewed: 4 results) Presentation (12 results) (of which Int'l Joint Research: 1 results) Book (2 results) Remarks (3 results)

  • [Journal Article] Functional Evaluation for Various Methods of Gastrectomy and Reconstruction for Gastric Cancer.2019

    • Author(s)
      Eiji Nomura, Hajime Kayano, Takashi Machida, Syuji Uda, Kazuhito Nabeshima, Kenji Nakamura, Sang-Woong Lee, Masaru Kawai, Hideki Izumi, Soichiro Yamamoto, Masaya Mukai, Kazuhisa Uchiyama.
    • Journal Title

      Tokai J Exp Clin Med

      Volume: 44 Pages: 108-112

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Short- and Long-term Outcomes of 2-Step Stapled Intracorporeal Versus Extracorporeal Anastomosis in Laparoscopic Colectomy for Colon Cancer2019

    • Author(s)
      KAYANO HAJIME、NOMURA EIJI、UEDA YASUHIKO、KURAMOTO TORU、MACHIDA TAKASHI、MUKAI MASAYA、YAMAMOTO SEIICHIRO、MAKUUCHI HIROYASU
    • Journal Title

      Anticancer Research

      Volume: 39 Issue: 11 Pages: 6393-6401

    • DOI

      10.21873/anticanres.13853

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Low psoas muscle index is a poor prognostic factor for lower gastrointestinal perforation: a single-center retrospective cohort study2019

    • Author(s)
      Kayano Hajime、Nomura Eiji、Abe Rin、Ueda Yasuhiko、Machida Takashi、Fujita Chikara、Uchiyama Shohei、Endo Kazuyuki、Murakami Katsuki、Mukai Masaya、Makuuchi Hiroyasu
    • Journal Title

      BMC Surgery

      Volume: 19 Issue: 1

    • DOI

      10.1186/s12893-019-0629-y

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Pancreaticoduodenectomy following surgery for esophageal cancer with gastric tube reconstruction: a case report and literature review2019

    • Author(s)
      Izumi Hideki、Yoshii Hisamichi、Abe Rin、Yamamoto Soichiro、Mukai Masaya、Nomura Eiji、Sugiyama Tomoko、Tajiri Takuma、Makuuchi Hiroyasu
    • Journal Title

      Surgical Case Reports

      Volume: 5 Issue: 1

    • DOI

      10.1186/s40792-019-0751-1

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 閉塞性大腸癌に対する手術;一期的手術 versus 二期的手術2018

    • Author(s)
      向井正哉、横山大樹、田島隆行、小池卓也、長谷川小百合、吉井久倫、宇田周司、和泉秀樹、山本壮一郎、野村栄治、幕内博康.
    • Journal Title

      医学書院「臨床外科」

      Volume: 73巻1号 Pages: 32-38

    • Related Report
      2018 Research-status Report
  • [Journal Article] 大腸癌に対する2領域切除以上の3ポートHALS法2018

    • Author(s)
      向井正哉、横山大樹、長谷川小百合、宇田周司、田島隆行、野村栄治.
    • Journal Title

      金原出版「手術2018年7月号」

      Volume: 第72巻第8号 Pages: 1293-1298

    • Related Report
      2018 Research-status Report
  • [Journal Article] 大型臓器の把持・圧排が可能な5指ハンドを用いた腹腔鏡下手術支援システムの開発2017

    • Author(s)
      吉田 宏輝
    • Journal Title

      横浜国立大学大学院工学府 修士論文

      Volume: -

    • Related Report
      2017 Research-status Report
  • [Presentation] Development of foldable five-finger robotic hand for assisting in laparoscopic surgery.2019

    • Author(s)
      Yuki Anzai, Yuto Sagara, Ryu Kato, Masaya Mukai.
    • Organizer
      IEEE RO-MAN 2019, 123.
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 大型臓器への手術操作を支援する5指ハンドのための外骨格型入力インターフェースの開発.2019

    • Author(s)
      相良雄斗, 安齋祐貴, 加藤龍, 向井正哉.
    • Organizer
      第37回日本ロボット学会学術講演会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 腹腔内に挿入し手術支援を行う折り畳み式5指ロボットハンドの開発.2019

    • Author(s)
      安齋祐貴, 相良雄斗, 加藤龍, 向井正哉.
    • Organizer
      第37回日本ロボット学会学術講演会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 切除不能大腸癌に対するConversion手術.2019

    • Author(s)
      向井正哉, 宇田周司, 横山大樹, 長谷川小百合, 吉井久倫, 日上滋雄, 和泉秀樹, 山本壮一郎, 野村栄治, 幕内博康.
    • Organizer
      第74回日本消化器外科学会総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 長期予後が得られたstage IV大腸癌切除症例の集学的の集学的治療と工夫.2019

    • Author(s)
      向井正哉, 宇田周司, 横山大樹, 長谷川小百合, 日上滋雄, 吉井久倫, 町田隆志, 数野暁人, 茅野新, 和泉秀樹, 山本壮一郎, 野村栄治, 幕内博康.
    • Organizer
      第81回日本臨床外科学会総会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 大腸癌に対する低侵襲手術;3-port HALS法2018

    • Author(s)
      向井正哉
    • Organizer
      第31回日本小切開・鏡視外科学会
    • Related Report
      2018 Research-status Report
  • [Presentation] 触覚を伴う折り畳み式小型人型ロボットハンドによる腹腔鏡下手術の開発2018

    • Author(s)
      向井正哉
    • Organizer
      第73回日本消化器外科学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] 大腸癌に対する低侵襲手術;3-port HALS法2018

    • Author(s)
      向井正哉
    • Organizer
      第73回日本大腸肛門病学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 左側大腸癌完全閉塞症例に対する腹腔鏡補助下手術の工夫2018

    • Author(s)
      向井正哉
    • Organizer
      第80回日本臨床外科学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] 折り畳み式小型人型ロボットハンドによる腹腔鏡下直腸手術の開発2017

    • Author(s)
      向井正哉
    • Organizer
      第117回日本外科学会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] 小型人型ロボットハンドを用いた次世代型腹腔鏡下手術の開発2017

    • Author(s)
      向井正哉
    • Organizer
      第72回日本消化器外科学会総会
    • Related Report
      2017 Research-status Report
  • [Presentation] 折り畳み式小型人型ロボットハンドによる腹腔鏡下大腸手術の開発2017

    • Author(s)
      向井正哉
    • Organizer
      第72回日本大腸肛門病学会学術集会
    • Related Report
      2017 Research-status Report
  • [Book] Development of laparoscopic surgery by means of foldable small humanoid robot hands with tactile sensation for laparoscopic surgery. Surgery and Operating Room Innovation, Chapter 142020

    • Author(s)
      Masaya Mukai, Ryu Kato, Hiroshi Yokoi.
    • Publisher
      Splinger Co. Ltd
    • Related Report
      2019 Annual Research Report
  • [Book] 大腸癌の微小肝転移巣に対する用手補助腹腔鏡下(HALS)-肝部分切除. 雑誌「消化器外科」2020年3月号 Vol.43 No.32020

    • Author(s)
      和泉秀樹、向井正哉、吉井久倫、横山大樹、宇田周司、長谷川小百合、幕内博康.
    • Publisher
      へるす出版
    • Related Report
      2019 Annual Research Report
  • [Remarks] ROBO-HALS Project

    • URL

      http://tes.tokai.ac.jp/oncs-hp/ROBO-HALS/Robo-HALS.htm

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
  • [Remarks] Cyber-Robotics Laboratory

    • URL

      http://katolab.ynu.ac.jp/

    • Related Report
      2019 Annual Research Report 2018 Research-status Report 2017 Research-status Report
  • [Remarks] Robo-HALS project

    • URL

      http://tes.tokai.ac.jp/oncs-hp/ROBO-HALS/Robo-HALS.htm

    • Related Report
      2017 Research-status Report

URL: 

Published: 2017-04-28   Modified: 2021-02-19  

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