Development of a novel pulsed water jet for laryngeal nerve function-sparing thoracoscopic surgery
Project/Area Number |
25670565
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Research Category |
Grant-in-Aid for Challenging Exploratory Research
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Allocation Type | Multi-year Fund |
Research Field |
Digestive surgery
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Research Institution | Tohoku 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)
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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)
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Project Period (FY) |
2013-04-01 – 2016-03-31
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Project Status |
Completed (Fiscal Year 2015)
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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)
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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.
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Report
(4 results)
Research Products
(13 results)
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[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
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Journal Title
Surgical Endoscopy
Volume: 29
Issue: 9
Pages: 2756-2762
DOI
Related Report
Peer Reviewed / Open Access
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[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
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Journal Title
Eur Surg Res
Volume: 53
Pages: 61-72
Related Report
Peer Reviewed / Open Access / Acknowledgement Compliant
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[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
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Journal Title
Esophagus
Volume: 10
Pages: 165-169
NAID
Related Report
Peer Reviewed
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[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
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Journal Title
Dig Endosc
Volume: 25
Pages: 255-263
Related Report
Peer Reviewed
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