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Development of a novel pulsed water jet for laryngeal nerve function-sparing thoracoscopic surgery

Research Project

Project/Area Number 25670565
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Digestive surgery
Research InstitutionTohoku University

Principal Investigator

Miyata Go  東北大学, 医学(系)研究科(研究院), 大学院非常勤講師 (60282076)

Co-Investigator(Kenkyū-buntansha) OHUCHI Noriaki  東北大学, 医学系研究科, 教授 (90203710)
NAKANO Toru  東北大学, 医学系研究科, 講師 (50451571)
NAKAGAWA Atsuhiro  東北大学, 大学病院, 助教 (10447162)
NAKAI Masaaki  東北大学, 金属材料研究所, 准教授 (20431603)
MATSUZAKA Yoshiya  東北大学, 医学系研究科, 講師 (30312557)
KAWAGISHI Naoki  東北大学, 大学病院, 准教授 (00333807)
佐藤 成  東北大学, 医学(系)研究科(研究院), 講師 (20250764)
Project Period (FY) 2013-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2014: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
Fiscal Year 2013: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Keywords食道 / ジェットメス / パルスウォータージェットメス / 低侵襲手術 / 反回神経 / 機能温存手術
Outline of Final Research Achievements

A prototype of pulsed water jet system was developed to introduce to thoracoscopic surgery. The mechanical setting of pulsed jet was investigated to dissect tissue while sparing nerve function. Puled water jet was irradiated to swine recurrent laryngeal nerve under general anesthesia. Nerve conduction velocity tended to decrease, but it was possible to preserve the vocal cords function. Nerve conduction velocity was tends to be decreased after irradiation of pulsed water jet, however, the function of vocal cord was maintained. There was no damage in the nerve tissue by the histological examination. The injury of the recurrent laryngeal nerve using the thermal device is one of the most important problems in thoracoscopic esophageal surgery. It was suggested that the pulsed water jet dissect tissue preserving the nerve and it’s function.

Report

(4 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • 2013 Research-status Report
  • Research Products

    (13 results)

All 2016 2015 2014 2013

All Journal Article (10 results) (of which Peer Reviewed: 10 results,  Open Access: 6 results,  Acknowledgement Compliant: 1 results) Presentation (2 results) Patent(Industrial Property Rights) (1 results)

  • [Journal Article] Use of water jet instruments in gastrointestinal endoscopy.2016

    • Author(s)
      Nakano T, Sato C, Sakurai T, Kamei T, Nakagawa A, Ohuchi N
    • Journal Title

      World Journal of Gastrointestinal Endoscopy

      Volume: 8 Issue: 3 Pages: 122-127

    • DOI

      10.4253/wjge.v8.i3.122

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Evaluation of a newly developed piezo actuator-driveb pulsed water jet system for liver resection in a surviving swine model.2016

    • Author(s)
      Nakanishi C, Nakano T, Nakagawa A, Sato C, Yamada M, Kawagishi N, Tomonaga T, Ohuchi N
    • Journal Title

      BioMedical Engineering OnLine

      Volume: 15 Issue: 1 Pages: 9-9

    • DOI

      10.1186/s12938-016-0126-9

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Indocyanine green fluorescence and three-dimensional imaging of right gastroepiploic artery in gastric tube cancer2015

    • Author(s)
      Nakano T, Sakurai T, Maruyama S, Ogawa Y, Kamei T, Miyata G, Ohuchi N
    • Journal Title

      World Journal of Gastroenterology

      Volume: 21 Issue: 1 Pages: 369-372

    • DOI

      10.3748/wjg.v21.i1.369

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Comparison of short-term outcomes between prone and lateral decubitus positions for thoracoscopic esophagectomy2015

    • Author(s)
      Teshima J, Miyata G, Kamei T, Nakano T, Abe S, Katsura K, Taniyama Y, Sakurai T, Hikage M, Nakamura T, Takaya K, Zuguchi M, Okamoto H, Ozawa Y, Ohuchi N
    • Journal Title

      Surgical Endoscopy

      Volume: 29 Issue: 9 Pages: 2756-2762

    • DOI

      10.1007/s00464-014-4003-y

    • Related Report
      2015 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Indocyanine green fluorescence and three-dimensional imaging of right gastroepiploic artery in gastric tube cancer2015

    • Author(s)
      Nakano T, Sakurai T, Maruyama S, Ogawa Y, Kamei T, Miyata G, Ohuchi N
    • Journal Title

      World Journal of Gastroentelrology

      Volume: 21 Pages: 369-372

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Hyperosmolar hyperglycemic nonketotic coma after chemoradiotherapy for esophageal cancer2014

    • Author(s)
      Nakano T, Go Miyata, Ko Onodera, Ichikawa H, Kamei T, Hoshida T, Kikuchi H, Jingu K, Ohuchi N
    • Journal Title

      Esophagus

      Volume: 11 Pages: 273-276

    • NAID

      40020229898

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] The Dissection Profile And Mechanism of Tissue-Selective Dissection of The Piezo Actuator Driven Pulsed Water Jet As A Surgical Instrument2014

    • Author(s)
      Yamada M, Nakano T, Sato C, Atsuhiro N, Fujishima F, Kawagishi N, Nakanishi C, Sakurai T, Miyata G, Tomonaga T, Ohuchi N
    • Journal Title

      Eur Surg Res

      Volume: 53 Pages: 61-72

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Three cases of esophageal cancer with aberrant right subclavian artery treated by thoracoscopic esophagectomy2013

    • Author(s)
      Teshima J, Miyata G, Kamei T, Nakano T, Abe S, Katsura K, Taniyama Y, Sato C, Nakagawa T, Ito S, Ouchi N
    • Journal Title

      Esophagus

      Volume: 10 Pages: 165-169

    • NAID

      40019794084

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] Experimental application of pulsed laser-induced water jet for endoscopic submucosal dissection: mechanical investigation and preliminary experiment in swine2013

    • Author(s)
      Sato C, Nakano T, Nakagawa A, Yamada M, Yamamoto H, Kamei T, Miyata G, Sato A, Fujishima F, Nakai M, Niinomi M, Takayama K, Tominaga T, Satomi S
    • Journal Title

      Dig Endosc

      Volume: 25 Pages: 255-263

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Journal Article] A strategy for supraclavicular lymph node dissection using recurrent laryngeal nerve lymph node status in thoracic esophageal squamous cell carcinoma.2013

    • Author(s)
      Taniyama Y, Nakamura T, Mitamura A, Teshima J, Katsura K, Abe S, Nakano T, Kamei T, Miyata G, Ouchi N
    • Journal Title

      Ann Thorac Surg

      Volume: 95 Pages: 1930-1937

    • Related Report
      2013 Research-status Report
    • Peer Reviewed
  • [Presentation] レーザー誘導パルスウォータージェットメスによる選択的消化管粘膜下層剥離のメカニズム2015

    • Author(s)
      中野 徹, 佐藤 千晃, 櫻井 直, 亀井 尚, 中川 敦寛, 冨永 悌二, 大内 憲明
    • Organizer
      日本レーザー医学会
    • Place of Presentation
      宇都宮、栃木県総合文化センター
    • Year and Date
      2015-10-24
    • Related Report
      2015 Annual Research Report
  • [Presentation] 食道癌術後合併症の低減を目的とした術中反回神経モニタリングと神経機能温存予測2015

    • Author(s)
      日景 允, 亀井 尚, 中野 徹, 谷山 裕亮, 櫻井 直, 手島 仁, 岡本 宏史, 福富 俊明, 伊藤 想一, 新妻 展近
    • Organizer
      日本食道学会
    • Place of Presentation
      横浜、パシフィコ横浜
    • Year and Date
      2015-07-02
    • Related Report
      2015 Annual Research Report
  • [Patent(Industrial Property Rights)] 体腔内深部操作や内視鏡外科を可能とする外科手術器具用変換器2015

    • Inventor(s)
      日景允、中野徹
    • Industrial Property Rights Holder
      日景允、中野徹
    • Industrial Property Rights Type
      特許
    • Filing Date
      2015-03-26
    • Related Report
      2014 Research-status Report

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Published: 2014-07-25   Modified: 2019-07-29  

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