Quantitative evaluation of surgical education by three-dimensional image analysis

• Project/Area Number: 25350856
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Applied health science
• Research Institution: Nihon University
• Principal Investigator: NAKAYAMA Hisashi 日本大学, 医学部, 講師 (00287632)
• Co-Investigator(Kenkyū-buntansha): TAKAYAMA Tadatoshi 日本大学, 医学部, 教授 (30280944)
• Project Period (FY): 2013-04-01 – 2016-03-31
• Project Status: Completed (Fiscal Year 2015)
• Budget Amount: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000); Fiscal Year 2015: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000); Fiscal Year 2014: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000); Fiscal Year 2013: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
• Keywords: 安全教育 / 外科手術 / 画像評価 / 医療安全 / 安全推進

Outline of Final Research Achievements

Aim is to build a objective educational-evaluation system for a safe surgery technique. Objective gross classification of hepatocellular carcinoma was established with preoperative CT. Anatomical resection is recommended for treatment of HCC with TypeII / III type tumors.With comparing with preoperative 3D image and resected specimens planned surgical procedures were performed in 78 % patients.Operative procedures were modified considered on 500 cc or 1000cc of volume of blood losses. It was shown that 820 ml of volume of blood losses are a complication avoidance point.

Research Products

• [Journal Article] Role of surgical resection for hepatocellular carcinoma based on Japanese clinical guidelines for hepatocellular carcinoma. (2015)
  • Author(s): Nakayama H, Takayama T
  • Journal Title: World J Hepatol. Volume: 7 Issue: 2 Pages: 261-269
  • DOI: 10.4254/wjh.v7.i2.261
  • Peer Reviewed / Open Access / Acknowledgement Compliant
• [Journal Article] Verification of inferior right hepatic vein-conserving segments 7 to 8 resection of the liver. (2015)
  • Author(s): Nakayama H, Takayama T, Higaki T, Okubo T, Moriguchi M, Yoshida N, Kuronuma A.
  • Journal Title: Int Surg. Volume: 100 Issue: 4 Pages: 683-688
  • DOI: 10.9738/intsurg-d-14-00183.1
  • Peer Reviewed / Open Access / Acknowledgement Compliant
• [Journal Article] Improving recognition of hepatic perivascular epithelioid cell tumor: Case report and literature review. (2015)
  • Author(s): Maebayashi T, Abe K, Aizawa T, Sakaguchi M, Ishibashi N, Abe O, Takayama T, Nakayama H, Matsuoka S, Nirei K, Nakamura H, Ogawa M, Sugitani M.
  • Journal Title: World J Gastroenterol Volume: 21 Issue: 17 Pages: 5432-5441
  • DOI: 10.3748/wjg.v21.i17.5432
  • Peer Reviewed / Open Access
• [Journal Article] Preoperative diagnosis with versus without MRI in resection for hepatocellular carcinoma. (2015)
  • Author(s): Aramaki O
  • Journal Title: Surgery Volume: 158 Issue: 6 Pages: 1512-1520
  • DOI: 10.1016/j.surg.2015.06.019
  • Peer Reviewed / Int'l Joint Research
• [Journal Article] Management before hepatectomy for hepatocellular carcinoma with cirrhosis. (2015)
  • Author(s): Nakayama H, Takayama T.
  • Journal Title: World J Hepatol. Volume: 18 Issue: 20 Pages: 2292-2302
  • DOI: 10.4254/wjh.v7.i20.2292
  • Peer Reviewed / Open Access / Acknowledgement Compliant
• [Journal Article] Surgical outcomes in patients with hepatocellular carcinoma associated with metabolic syndrome. (2014)
  • Author(s): Yoshida N, Takayama T, Midorikawa Y, Higaki T, Nakayama H, Moriguchi M, Tsuji S.
  • Journal Title: World Jｏｕｒｎａｌ ｏｆ Surgｅｒｙ Volume: ３９ Issue: 2 Pages: 471-7
  • DOI: 10.1007/s00268-014-2828-0
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] Subcutaneous drainage to prevent wound infection in liver resection: a randomized controlled trial. (2014)
  • Author(s): Nakayama H, Takayama T, Okubo T, Higaki T, Midorikawa Y, Moriguchi M, Aramaki O, Yamazaki S..
  • Journal Title: J Hepatobiliary Pancreat Sci Volume: 21 Issue: 7 Pages: 509-517
  • DOI: 10.1002/jhbp.93
  • Peer Reviewed
• [Journal Article] Proposal of Objective Morphological Classification System for Hepatocellular Carcinoma Using Preoperative Multiphase Computed Tomography (2013)
  • Author(s): Hisashi Nakayama, Tadatoshi Takayama, Takao Okubo, Tokio Higaki, Yutaka Midorikawa, Masamichi Moriguchi, Akiyoshi Itoh
  • Journal Title: Journal of Gastroenterology Volume: 49 Issue: 10 Pages: 1430-1437
  • DOI: 10.1007/s00535-013-0908-9
  • Peer Reviewed
• [Journal Article] Repeat liver resection for hepatocellular carcinoma complicating primary biliary cirrhosis (2013)
  • Author(s): Susumu Mochizuki, Hisashi Nakayama, Tokio Higaki, Takao Okubo, Yutaka Midorikawa, Masamichi Moriguchi, Osamu Aramaki,
  • Journal Title: International Surgery Volume: 98 Issue: 4 Pages: 424-427
  • DOI: 10.9738/intsurg-d-13-00082.1
  • Peer Reviewed
• [Presentation] 画像解析技術を用いた肝癌CT形態分類システムによるvp予測と術式選択 (2016)
  • Author(s): 中山壽之、高山忠利
  • Organizer: 第116回日本外科学会定期学術集会
  • Place of Presentation: 大阪国際会議場(大阪府・大阪市)
  • Year and Date: 2016-04-15
• [Presentation] 肝癌CT形態分類システムを用いたvp診断と治療の近未来 (2015)
  • Author(s): 中山壽之、高山忠利
  • Organizer: 第77回日本臨床外科学会総会
  • Place of Presentation: 福岡国際会議場(福岡県・福岡市)
  • Year and Date: 2015-11-28
• [Presentation] Treatment Strategy For Hepatocellular Carcinoma Accompanied By Severe Portal Invasion (2015)
  • Author(s): Nakayama H, Takayama T, Higaki T, Moriguchi M.
  • Organizer: International Liver Cancer Association’s 9th Annual Conference
  • Place of Presentation: Paris (France)
  • Year and Date: 2015-09-05
• [Presentation] Evaluation of curative resection of multiple cancer including esophageal and hepatocellular carcinomas (2015)
  • Author(s): Nakayama H, Takayama T
  • Organizer: 13th World Conference of OESO
  • Place of Presentation: Monaco (France)
  • Year and Date: 2015-09-02
  • Int'l Joint Research
• [Presentation] 肝内胆管癌の予後因子とリンパ節郭清の必要性 (2015)
  • Author(s): 中山壽之、高山忠利
  • Organizer: 第51回日本肝臓学会総会
  • Place of Presentation: 熊本ホテルキャッスル(熊本県・熊本市)
  • Year and Date: 2015-05-22
• [Book] ガイドライン外来診療2016 (2016)
  • Author(s): 泉孝英: 分担執筆; 中山壽之、高山忠利
  • Total Pages: 608
  • Publisher: 日経メディカル開発
• [Remarks] 日本大学医学部医学科消化器外科
  • URL: http://kenkyu-web.cin.nihon-u.ac.jp/Profiles/48/0004758/profile.html
• [Remarks] 日本大学医学部外科学系消化器外科学分野
  • URL: http://www.med.nihon-u.ac.jp/department/surgery3/