Development of innovative surgical education program beyond point of technical view

• Project/Area Number: 20K12693
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 90130:Medical systems-related
• Research Institution: Kyushu University
• Principal Investigator: Tomikawa Morimasa 九州大学, 大学病院, 特別教員 (60325454)
• Co-Investigator(Kenkyū-buntansha): 長尾 吉泰 九州大学, 大学病院, 助教 (70608968) ; 赤星 朋比古 九州大学, 医学研究院, 准教授 (20336019) ; 植村 宗則 鹿児島大学, 医歯学総合研究科, 客員研究員 (50636157) ; 家入 里志 鹿児島大学, 医歯学域医学系, 教授 (00363359) ; 村田 正治 九州大学, 先端医療オープンイノベーションセンター, 教授 (30304744) ; 江藤 正俊 九州大学, 医学研究院, 教授 (90315078)
• Project Period (FY): 2020-04-01 – 2023-03-31
• Project Status: Completed (Fiscal Year 2022)
• Budget Amount: ¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000); Fiscal Year 2022: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000); Fiscal Year 2021: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000); Fiscal Year 2020: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
• Keywords: 外科手術教育 / 低侵襲外科手術 / 内視鏡外科学 / コンピューター外科学 / 医用システム / VRトレーニング / 外科手術トレーニング / コンピュータ外科学 / 教育・トレーニング

Outline of Research at the Start

単なる手先の器用さ(手術手技)という身体的な側面からだけでなく、グリットなど精神的な側面も数値化(定量化)し、「優秀な外科医とは何か」を科学的に解明する。それに基づいた「これからの外科医の理想像」の確立を通して「外科医のトレーニング」を標準化し、全国的に展開する。

Outline of Final Research Achievements

The Kyushu University Training Center for Minimally Invasive Surgery has been regularly held minimally invasive surgery training programs for more than 18 years. In a comparative study of the participants who later obtained certification of endoscopic surgical skill qualification system and those who did not, the qualified surgeons had fewer years of post-graduation and scored higher on accuracy than on speed in the post-training evaluation 1), and admitted multiple participants from the same institution 2).
It may be possible to set training programs suitable for each individual by clarifying these characteristics.
In order to pass on endoscopic surgical techniques, it is necessary to stabilize forceps movement as an individual through Box training from the early stage of post-graduation, and it is also necessary to standardize the technique at each institution.

Academic Significance and Societal Importance of the Research Achievements

外科医の内視鏡外科手術・先端医療機器に対する理解・認識の不足や未熟な技術を、専門的な教育・トレーニングにより全国的に向上させる。より軽い身体的・経済的負担で且つより短期間での社会復帰を実現する低侵襲治療、特に内視鏡外科手術の技術の伝承を効率的に行う事が可能となる。
超少子高齢化社会を迎えつつあるわが国の喫緊の課題である中高齢者の健康寿命を延長し、国民の人的潜在能力の維持に貢献することができる。

Research Products

• [Journal Article] Radiation Emergency Medical Preparedness in Japan: A Survey of Nuclear Emergency Core Hospitals (2022)
  • Author(s): Takashi Nagata
  • Journal Title: Disaster Medicine and Public Health Preparedness Volume: 2 Pages: 1-7
  • DOI: 10.1017/dmp.2021.348
  • Peer Reviewed / Int'l Joint Research
• [Journal Article] <i>In Vivo</i> Dynamic Nuclear Polarization Magnetic Resonance Imaging for the Evaluation of Redox-Related Diseases and Theranostics (2022)
  • Author(s): Hyodo Fuminori、Eto Hinako、Naganuma Tatsuya、Koyasu Norikazu、Elhelaly Abdelazim Elsayed、Noda Yoshifumi、Kato Hiroki、Murata Masaharu、Akahoshi Tomohiko、Hashizume Makoto、Utsumi Hideo、Matsuo Masayuki
  • Journal Title: Antioxidants &amp; Redox Signaling Volume: 36 Issue: 1-3 Pages: 172-184
  • DOI: 10.1089/ars.2021.0087
  • Peer Reviewed / Int'l Joint Research
• [Journal Article] Impact of Antithrombin Activity Levels Following Recombinant Antithrombin Gamma Therapy in Patients with Sepsis-Induced Disseminated Intravascular Coagulation (2022)
  • Author(s): Akahoshi Tomohiko、Kaku Noriyuki、Shono Yuji、Yamamoto Yuzo、Takahashi Keita、Iyonaga Takeshi、Momii Kenta、Nishihara Masaaki、Maki Jun、Tokuda Kentaro、Yamaura Ken
  • Journal Title: Clinical and Applied Thrombosis/Hemostasis Volume: 28 Pages: 28-28
  • DOI: 10.1177/10760296221135790
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] Development of 20?cm sample bore size dynamic nuclear polarization (DNP)-MRI at 16?mT and redox metabolic imaging of acute hepatitis rat model (2021)
  • Author(s): Eto Hinako、Naganuma Tatuya、Nakao Motonao、Murata Masaharu、Elhelaly Abdelazim Elsayed、Noda Yoshifumi、Kato Hiroki、Matsuo Masayuki、Akahoshi Tomohiko、Hashizume Makoto、Hyodo Fuminori
  • Journal Title: Free Radical Biology and Medicine Volume: 169 Pages: 149-157
  • DOI: 10.1016/j.freeradbiomed.2021.04.017
  • Peer Reviewed
• [Journal Article] A no-ligation technique to prevent intraoperative hepatic artery dissection in living-donor liver transplantation. (2021)
  • Author(s): Itoh S, Yoshizumi T, Harada N, Toshima T,Nagao Y, Kurihara T, Wang H, Shimagaki T, Ikegami T, Mori M.
  • Journal Title: Surg Today. Volume: Epub Issue: 11 Pages: 1877-1880
  • DOI: 10.1007/s00595-021-02276-8
  • Peer Reviewed
• [Journal Article] Wireless Light-emitting Marker Using Magnetic Field Resonance for Laparoscopic Gastrointestinal Surgery. (2021)
  • Author(s): Sugiyama M,Nagao Y, Uehara H, Kagawa M, Shin Y, Shiokawa K, Ota M, Akahoshi T, Morita M.
  • Journal Title: Surg Laparosc Endosc Percutan Tech. Volume: Epub Issue: 6 Pages: 778-781
  • DOI: 10.1097/sle.0000000000000929
  • Peer Reviewed
• [Journal Article] Prognostic significance of systemic inflammation score in patients who undergo hepatic resection for hepatocellular carcinoma. (2021)
  • Author(s): Inokuchi S, Itoh S, Yoshizumi T, Morinaga A, Toshima T, Takeishi K, Nagao Y, Harada N, Ikegami T, Shimokawa M, Mori M.
  • Journal Title: Langenbecks Arch Surg. Volume: Epub Issue: 3 Pages: 773-779
  • DOI: 10.1007/s00423-021-02103-1
  • Peer Reviewed
• [Journal Article] A Novel Strategy of Endoscopic Ultrasonography-Guided Pancreatic Duct Drainage for Pancreatic Fistula After Pancreaticoduodenectomy (2021)
  • Author(s): Toshima Takeo、Fujimori Nao、Yoshizumi Tomoharu、Itoh Shinji、Nagao Yoshihiro、Harada Noboru、Oono Takamasa、Mori Masaki
  • Journal Title: Pancreas Volume: 50 Issue: 2 Pages: e21-e22
  • DOI: 10.1097/mpa.0000000000001729
  • Peer Reviewed
• [Journal Article] Surgically resected hepatic mass caused by fascioliasis. (2021)
  • Author(s): Wang H, Itoh S, Matsumoto Y, Nishie A, Kurihara T, Shimagaki T, Nagao Y, Toshima T, Harada N, Kohashi K, Oda Y, Ishigami K, Maruyama H, Yoshizumi T, Mori M.
  • Journal Title: Clin J Gastroenterol. Volume: 14(2) Issue: 2 Pages: 662-667
  • DOI: 10.1007/s12328-021-01339-0
  • Peer Reviewed
• [Journal Article] Late recurrence of cancer stem cell-positive colorectal cancer liver metastases after 15 years. (2021)
  • Author(s): Nagano T, Itoh S, Miyashita Y, Shimagaki T, Wang H, Kurihara T, Nagao Y, Toshima T, Harada N, Kohashi K, Ogata Y, Oki E, Oda Y, Yoshizumi T, Mori M.
  • Journal Title: Clin J Gastroenterol. Volume: 14(2) Issue: 2 Pages: 613-616
  • DOI: 10.1007/s12328-020-01330-1
  • Peer Reviewed
• [Journal Article] Simultaneous splenectomy improves outcomes after adult living donor liver transplantation. (2021)
  • Author(s): Yoshizumi T, Itoh S, Shimokawa M, Inokuchi S, Harada N, Takeishi K, Mano Y, Yoshiya S, Kurihara T, Nagao Y, Ikegami T, Soejima Y, Mori M.
  • Journal Title: J Hepatol. Volume: 74(2) Issue: 2 Pages: 372-379
  • DOI: 10.1016/j.jhep.2020.08.017
  • Peer Reviewed / Int'l Joint Research
• [Journal Article] Histidine-rich Glycoprotein alleviate Ischemia/Reperfusion Liver Injury in Mice with Nonalcoholic Steatohepatitis. (2020)
  • Author(s): Guo J, Akahoshi T, Mizuta Y, Murata M, Narahara S, Kawano T, Nagao Y, Zhang S, Tomikawa M, Kawanaka H, Hashizume M.
  • Journal Title: Liver Transpl. Volume: Epub Issue: 6 Pages: 840-853
  • DOI: 10.1002/lt.25960
  • Peer Reviewed
• [Journal Article] Development of a novel molecular probe for the detection of liver mitochondrial redox metabolism (2020)
  • Author(s): Hosain Md. Zahangir、Hyodo Fuminori、Mori Takeshi、Takahashi Koyo、Nagao Yusuke、Eto Hinako、Murata Masaharu、Akahoshi Tomohiko、Matsuo Masayuki、Katayama Yoshiki
  • Journal Title: Scientific Reports Volume: 10 Issue: 1 Pages: 16489-16489
  • DOI: 10.1038/s41598-020-73336-1
  • Peer Reviewed / Open Access / Int'l Joint Research
• [Journal Article] Colonic varices: a rare complication of pancreatic cancer. (2020)
  • Author(s): Murakami M, Fujimori N, Nagao Y, Yoshizumi T, Matsumoto K, Yasumori S, Teramatsu K, Takamatsu Y, Oono T, Ogawa Y.
  • Journal Title: Clin J Gastroenterol. Volume: 13(6) Issue: 6 Pages: 1355-1359
  • DOI: 10.1007/s12328-020-01225-1
  • Peer Reviewed
• [Journal Article] Alteration in faecal bile acids, gut microbial composition and diversity after laparoscopic sleeve gastrectomy. (2020)
  • Author(s): Ikeda T, Aida M, Yoshida Y, Matsumoto S, Tanaka M, Nakayama J, Nagao Y, Nakata R, Oki E, Akahoshi T, Okano S, Nomura M, Hashizume M, Maehara Y.
  • Journal Title: Br J Surg. Volume: 107 Issue: 12 Pages: 1673-1685
  • DOI: 10.1002/bjs.11654
  • Peer Reviewed
• [Journal Article] Impact of middle hepatic artery reconstruction after living donor liver transplantation using the left lobe. (2020)
  • Author(s): Harada N, Yoshizumi T, Uchiyama H, Ikegami T, Itoh S, Takeishi K, Toshima T, Nagao Y, Yoshiya S, Mori M.
  • Journal Title: Clin Transplant. Volume: Epub Issue: 6
  • DOI: 10.1111/ctr.13850
• [Journal Article] Anastomosis of the Common Hepatic Artery and Round Ligament as Portal Vein Arterialization for Hepatic Artery Occlusion After Deceased Donor Liver Transplantation (2020)
  • Author(s): Yoshiya S, Yoshizumi T, Iseda N, Takeishi K, Toshima T, Nagao Y, Itoh S, Harada N, Ikegami T, Mori M.
  • Journal Title: A Case Report. Volume: 52(2) Pages: 641-643
• [Presentation] スリーブ状胃切除術における抗精神病薬の内服が及ぼす影響 (2020)
  • Author(s): 長尾吉泰、吉住朋晴、伊勢田憲史、冨山貴央、森永哲成、井口詔一、小斉侑希子、湯川恭平、吉屋匠平、武石一樹、戸島剛男、伊藤心二、原田昇、池上徹、二宮瑞希、井口友宏、赤星朋比古、森正樹、江藤正俊
  • Organizer: 第28回日本消化器関連学会週間（JDDW 2020）
• [Presentation] 外科医からみた門脈圧亢進症に対するIVRの意義－ハイドロコイル併用B-RTOの有用性― (2020)
  • Author(s): 長尾吉泰、赤星朋比古、戸島剛男、伊藤心二、原田昇、吉住朋晴、森正樹
  • Organizer: 第27回日本門脈圧亢進症学会総会
• [Book] 門脈圧亢進症の病態 門脈圧亢進症取り扱い規約 第 4 版 (2022)
  • Author(s): 赤星朋比古
  • Total Pages: 8
  • Publisher: 金原出版
• [Book] 消化器腹腔鏡下手術 肝臓・胆道・膵臓・脾臓 イラストと動画で理解する内視鏡外 科解剖と手技のコツ (2022)
  • Author(s): 赤星朋比古
  • Total Pages: 9
  • Publisher: 学研出版
• [Book] 消化器内視鏡外科手術トラブルシューティング [Web動画付] (2021)
  • Author(s): （分担執筆）長尾 吉泰, 原田 昇，吉住 朋晴，森 正樹
  • Total Pages: 192
  • Publisher: 医学書院
• [Book] 消化器外科 2021-5 特集 術後合併症管理を極める「腹腔鏡下脾臓摘出術」 (2021)
  • Author(s): 長尾吉泰，吉住朋晴，島垣智成，王歓林，栗原健，戸島剛男，伊藤心二，原田昇，赤星朋比古，森正樹
  • Publisher: へるす出版
• [Book] 「手術」消化器・一般外科領域の手術教育を考える、４ VRシミュレーターによる手術トレーニング (2021)
  • Author(s): 長尾吉泰，江藤正俊
  • Publisher: 金原出版株式会社