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Development of Surgical Training System in Robotic Hepato-Pancreato-Biliary Surgery

Research Project

Project/Area Number 21K16447
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 55020:Digestive surgery-related
Research InstitutionOkayama University

Principal Investigator

Takagi Kosei  岡山大学, 大学病院, 助教 (70899723)

Project Period (FY) 2021-04-01 – 2024-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2023: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2022: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2021: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Keywordsトレーニング / ロボット手術 / 肝胆膵手術 / 肝胆膵外科手術
Outline of Research at the Start

肝胆膵外科手術は、高度な解剖学的知識と手術技術が必要であり、術後合併症が高頻度に発症します。近年、肝胆膵外科手術においても低侵襲手術が急速に普及してきており、ロボット支援下手術が保険収載されました。しかし、本邦ではロボット支援下肝胆膵手術の体系化された育成プログラムは確立されておらず、トレーニングシステムの確立が急務です。本研究は、実践的なSimulation training、Biotissue training、Video training、さらにはCadaver trainingを組み込んだ本邦独自の新たな包括的トレーニングプログラムを確立することを目的としています。

Outline of Final Research Achievements

This study aimed to establish a novel comprehensive training program, including simulation training, biotissue training, and video training for complex robotic hepato-biliary-pancreatic (HBP) surgery. In simulation training, we found that educational video training can be effective in improving the performance of robotic simulation training and shortening the learning curve (J Robot Surg. 2023). In biotissue training, robotic anastomosis training was conducted using the biotissue. For video training, video teaching materials were created to standardize the surgical procedures and techniques of roboic HBP surgery. In parallel with completing the training program, participants gained huge clinical experiences of robotic HBP surgery. Regarding collaboration with overseas facilities, we visited at Erasmus MC, and invited experts from Erasmus MC to exchange opinions. Finally, we have presented and published our ourcomes of robotic HBP surgery at academic conferences.

Academic Significance and Societal Importance of the Research Achievements

本邦ではロボット支援下肝胆膵手術の体系化された育成プログラムは確立されておらず、トレーニングシステムの確立は急務であった。本研究により、Simulation training、Biotissue training、Video trainingを組み込んだ本邦独自のロボット支援下肝胆膵手術の系統的トレーニングプログラムを開発することができ、多くのTreineesをロボット手術に特化した教育を行うことができた。また、その成果を発表し、ロボット支援下肝胆膵外科手術の術式の定型化、普及に寄与することができた。さらには、海外の先進施設とも連携し、今後のさらなる発展に寄与できる可能性が示唆された。

Report

(4 results)
  • 2023 Annual Research Report   Final Research Report ( PDF )
  • 2022 Research-status Report
  • 2021 Research-status Report
  • Research Products

    (27 results)

All 2024 2023 2022 2021

All Journal Article (22 results) (of which Peer Reviewed: 22 results,  Open Access: 18 results) Presentation (5 results)

  • [Journal Article] Innovative mesenteric Kocher maneuver during robotic pancreatoduodenectomy2024

    • Author(s)
      Takagi Kosei、Yamada Motohiko、Umeda Yuzo
    • Journal Title

      Journal of Gastrointestinal Surgery

      Volume: 28 Issue: 4 Pages: 596-597

    • DOI

      10.1016/j.gassur.2024.01.026

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Role of robotic surgery as an element of Enhanced Recovery After Surgery protocol in patients undergoing pancreatoduodenectomy2024

    • Author(s)
      Takagi Kosei、Umeda Yuzo、Fuji Tomokazu、Yasui Kazuya、Yamada Motohiko、Kimura Jiro、Fujiwara Toshiyoshi
    • Journal Title

      Journal of Gastrointestinal Surgery

      Volume: 28 Issue: 3 Pages: 220-225

    • DOI

      10.1016/j.gassur.2023.12.017

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Robotic pancreatoduodenectomy after right hemicolectomy: A case report2024

    • Author(s)
      Takagi Kosei、Fuji Tomokazu、Yamada Motohiko、Umeda Yuzo
    • Journal Title

      Asian Journal of Surgery

      Volume: 47 Issue: 5 Pages: 2324-2325

    • DOI

      10.1016/j.asjsur.2024.01.179

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Robotic Pancreatoduodenectomy in Portal Annular Pancreas Using a Hanging Maneuver with Indocyanine Green Fluorescence Imaging2023

    • Author(s)
      Takagi Kosei、Fuji Tomokazu、Yamada Motohiko、Kimura Jiro、Yasui Kazuya、Umeda Yuzo、Fujiwara Toshiyoshi
    • Journal Title

      Annals of Surgical Oncology

      Volume: 31 Issue: 3 Pages: 1933-1936

    • DOI

      10.1245/s10434-023-14685-9

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Robotic Pancreaticoduodenectomy Using the Right Posterior Superior Mesenteric Artery Approach2023

    • Author(s)
      Takagi Kosei、Umeda Yuzo、Fuji Tomokazu、Yasui Kazuya、Fujiwara Toshiyoshi
    • Journal Title

      Journal of Gastrointestinal Surgery

      Volume: 27 Issue: 12 Pages: 3069-3070

    • DOI

      10.1007/s11605-023-05806-6

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Innovative suture technique for robotic hepaticojejunostomy: double-layer interrupted sutures2023

    • Author(s)
      Takagi Kosei、Umeda Yuzo、Yoshida Ryuichi、Fuji Tomokazu、Yasui Kazuya、Yagi Takahito、Fujiwara Toshiyoshi
    • Journal Title

      Langenbeck's Archives of Surgery

      Volume: 408 Issue: 1 Pages: 284-284

    • DOI

      10.1007/s00423-023-03020-1

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Impact of educational video on performance in robotic simulation training (TAKUMI-1): a randomized controlled trial2023

    • Author(s)
      Takagi Kosei、Hata Nanako、Kimura Jiro、Kikuchi Satoru、Noma Kazuhiro、Yasui Kazuya、Fuji Tomokazu、Yoshida Ryuichi、Umeda Yuzo、Yagi Takahito、Fujiwara Toshiyoshi
    • Journal Title

      Journal of Robotic Surgery

      Volume: - Issue: 4 Pages: 1547-1553

    • DOI

      10.1007/s11701-023-01556-4

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Surgical Techniques of Gastrojejunostomy in Robotic Pancreatoduodenectomy: Robot-Sewn versus Stapled Gastrojejunostomy Anastomosis2023

    • Author(s)
      Takagi Kosei、Umeda Yuzo、Yoshida Ryuichi、Fuji Tomokazu、Yasui Kazuya、Kimura Jiro、Hata Nanako、Yagi Takahito、Fujiwara Toshiyoshi
    • Journal Title

      Journal of Clinical Medicine

      Volume: 12 Issue: 2 Pages: 732-732

    • DOI

      10.3390/jcm12020732

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Role of the Pfannenstiel Incision in Robotic Hepato-Pancreato-Biliary Surgery2023

    • Author(s)
      Takagi Kosei、Umeda Yuzo、Yoshida Ryuichi、Fuji Tomokazu、Yasui Kazuya、Kimura Jiro、Hata Nanako、Yagi Takahito、Fujiwara Toshiyoshi
    • Journal Title

      Journal of Clinical Medicine

      Volume: 12 Issue: 5 Pages: 1971-1971

    • DOI

      10.3390/jcm12051971

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Robotic surgery for congenital biliary dilatation using the scope switch technique (with video)2023

    • Author(s)
      Takagi Kosei、Umeda Yuzo、Yoshida Ryuichi、Fuji Tomokazu、Yasui Kazuya、Yagi Takahito、Fujiwara Toshiyoshi
    • Journal Title

      Asian Journal of Surgery

      Volume: - Issue: 10 Pages: 4399-4402

    • DOI

      10.1016/j.asjsur.2023.02.021

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Robotic liver resection for hepatic cyst using indocyanine-green fluorescence imaging2023

    • Author(s)
      Takagi Kosei、Umeda Yuzo、Kimura Jiro、Yagi Takahito
    • Journal Title

      Asian Journal of Surgery

      Volume: 46 Issue: 4 Pages: 1839-1841

    • DOI

      10.1016/j.asjsur.2022.10.059

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Surgical Strategies to Dissect around the Superior Mesenteric Artery in Robotic Pancreatoduodenectomy2022

    • Author(s)
      Takagi Kosei、Umeda Yuzo、Yoshida Ryuichi、Fuji Tomokazu、Yasui Kazuya、Kimura Jiro、Hata Nanako、Mishima Kento、Yagi Takahito、Fujiwara Toshiyoshi
    • Journal Title

      Journal of Clinical Medicine

      Volume: 11 Issue: 23 Pages: 7112-7112

    • DOI

      10.3390/jcm11237112

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Robotic Spleen-Preserving Distal Pancreatectomy with Preservation of Splenic Vessels Using the Gastrohepatic Ligament Approach: The Superior Window Approach in the Kimura Technique2022

    • Author(s)
      Takagi Kosei、Yoshida Ryuichi、Umeda Yuzo、Fuji Tomokazu、Yasui Kazuya、Yagi Takahito、Fujiwara Toshiyoshi
    • Journal Title

      Digestive Surgery

      Volume: 39 Issue: 4 Pages: 137-140

    • DOI

      10.1159/000527249

    • Related Report
      2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Surgical Strategies to Approaching the Splenic Artery in Robotic Distal Pancreatectomy2022

    • Author(s)
      TAKAGI KOSEI、KUMANO KENJIRO、UMEDA YUZO、YOSHIDA RYUICHI、FUJI TOMOKAZU、YASUI KAZUYA、YAGI TAKAHITO、FUJIWARA TOSHIYOSHI
    • Journal Title

      Anticancer Research

      Volume: 42 Issue: 9 Pages: 4471-4476

    • DOI

      10.21873/anticanres.15947

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Division of the pancreas at the right side of the superior mesenteric vein in robotic distal pancreatectomy: The splenic vessel-first approach2022

    • Author(s)
      Takagi Kosei、Yoshida Ryuichi、Umeda Yuzo、Yagi Takahito
    • Journal Title

      Asian Journal of Surgery

      Volume: 45 Issue: 8 Pages: 1591-1593

    • DOI

      10.1016/j.asjsur.2022.03.036

    • Related Report
      2022 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] The Gastrohepatic Ligament Approach in Robotic Spleen-Preserving Distal Pancreatectomy with Resection of the Splenic Vessels: The Superior Window Approach in the Warshaw Technique.2022

    • Author(s)
      Takagi K, Umeda Y, Yoshida R, Yagi T, Fujiwara T.
    • Journal Title

      J Gastrointest Surg.

      Volume: - Issue: 6 Pages: 1342-1344

    • DOI

      10.1007/s11605-022-05286-0

    • Related Report
      2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Robotic distal pancreatectomy using a medial approach for a bulky mucinous cystic neoplasm of the pancreas (with video)2022

    • Author(s)
      Kosei Takagi, Ryuichi Yoshida, Yuzo Umeda, Takahito Yagi
    • Journal Title

      Asian J Surg .

      Volume: 45 Issue: 1 Pages: 542-543

    • DOI

      10.1016/j.asjsur.2021.09.009

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Robotic spleen-preserving distal pancreatectomy using indocyanine green fluorescence imaging (with video).2022

    • Author(s)
      Takagi K, Umeda Y, Yoshida R, Yagi T.
    • Journal Title

      Asian J Surg.

      Volume: 45 (1) Issue: 1 Pages: 596-597

    • DOI

      10.1016/j.asjsur.2021.10.005

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] A Systematic Review of Minimally Invasive Versus Open Radical Antegrade Modular Pancreatosplenectomy for Pancreatic Cancer.2022

    • Author(s)
      Takagi K, Umeda Y, Yoshida R, Yagi T, Fujiwara T.
    • Journal Title

      Anticancer Res.

      Volume: 42 (2) Issue: 2 Pages: 653-660

    • DOI

      10.21873/anticanres.15523

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Robotic Total Pancreatectomy: A Narrative Review2021

    • Author(s)
      Kosei Takagi, Bas Groot Koerkamp
    • Journal Title

      In Vivo

      Volume: 35 Issue: 4 Pages: 1907-1911

    • DOI

      10.21873/invivo.12456

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Gastroenteropancreatic neuroendocrine tumor of the accessory papilla of the duodenum: a case report2021

    • Author(s)
      Kosei Takagi, Yuzo Umeda, Ryuichi Yoshida, Kazuhiro Yoshida, Kazuya Yasui, Hiroki Sato, Takahito Yagi, Toshiyoshi Fujiwara
    • Journal Title

      Surg Case Rep .

      Volume: 30 Issue: 1 Pages: 156-156

    • DOI

      10.1186/s40792-021-01241-4

    • NAID

      120007120046

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Robotic Radical Antegrade Modular Pancreatosplenectomy Using the Supracolic Anterior Superior Mesenteric Artery Approach.2021

    • Author(s)
      Takagi K, Umeda Y, Yoshida R, Yagi T, Fujiwara T.
    • Journal Title

      J Gastrointest Surg.

      Volume: 25 (11) Issue: 11 Pages: 3015-3018

    • DOI

      10.1007/s11605-021-05112-z

    • Related Report
      2021 Research-status Report
    • Peer Reviewed
  • [Presentation] 膵癌に対するロボット支援下膵切除術の初期成績2023

    • Author(s)
      高木 弘誠
    • Organizer
      JDDW 2023
    • Related Report
      2023 Annual Research Report
  • [Presentation] ロボット支援下膵切除術の定型化と普及にむけて2023

    • Author(s)
      高木 弘誠
    • Organizer
      第54回日本膵臓学会大会
    • Related Report
      2023 Annual Research Report
  • [Presentation] ロボット支援下膵頭十二指腸切除における胃空腸吻合術:Robot-sewn versus stapled gastrojejunostomy2023

    • Author(s)
      高木 弘誠
    • Organizer
      第78回日本消化器外科学会総会
    • Related Report
      2023 Annual Research Report
  • [Presentation] Standardized protocol and troubleshooting for robotic pancreatectomy2023

    • Author(s)
      高木 弘誠
    • Organizer
      第35回日本肝胆膵外科学会学術集会
    • Related Report
      2023 Annual Research Report
  • [Presentation] ロボット支援下肝胆膵高難度手術の導入と教育システムの確立2023

    • Author(s)
      高木 弘誠
    • Organizer
      :第123回日本外科学会定期学術集会
    • Related Report
      2023 Annual Research Report

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Published: 2021-04-28   Modified: 2025-01-30  

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