ダビンチ低侵襲手術トレーニング施設

宇山 一朗

uyama ichiro

基本情報

所属
藤田医科大学 医学部 医学科 上部消化管外科学 教授
学位
博士(医学)

J-GLOBAL ID
200901060501759407
researchmap会員ID
5000024656

MISC

 12
  • Ichiro Uyama, Koichi Suda, Seiji Satoh
    Journal of Gastric Cancer 13(1) 19-25 2013年3月  査読有り
    Laparoscopic gastrectomy has been widely accepted especially in patients with early-stage gastric cancer. However, the safety and oncologic validity of laparoscopic gastrectomy for advanced gastric cancer are still being debated. Since the late 90s', we have been engaged in developing a stable and robust methodology of laparoscopic radical gastrectomy for advanced gastric cancer, and have established laparoscopic distinctive technique for suprapancreatic lymph node dissection, namely the outermost layer-oriented medial approach. In this article, We present the development history of this method, and current status and future perspectives of laparoscopic gastrectomy for advanced gastric cancer based on our experience and a review of the literature. © 2013 by The Korean Gastric Cancer Association.
  • 宇山一朗
    胃がんperspective 16(1) 5-12 2013年  
  • 宇山一朗
    Journal of Integrated Medicine 23(4) 330-332 2013年  
  • Ichiro Uyama, Seiichiro Kanaya, Yoshinori Ishida, Kazuki Inaba, Koichi Suda, Seiji Satoh
    WORLD JOURNAL OF SURGERY 36(2) 331-337 2012年2月  査読有り
    Robotic surgery for the treatment of gastric cancer has been reported, but the technique is not yet established. The objective of this study was to assess the feasibility and safety of our novel integrated procedure for robotic suprapancreatic D2 nodal dissection during distal gastrectomy. At our hospital from January 2009 to December 2010, a total of 25 consecutive cases of gastric cancer were treated by robotic distal gastrectomy with intracorporeal Billroth I reconstruction. These patients were enrolled in a prospective study to assess the safety and feasibility of robotic distal gastrectomy with nodal dissection by our novel integrated approach, which consists of three elements: arm formation, the surgical approach, a cutting device. To evaluate the learning curves involved in this approach, clinicopathologic features and surgical outcomes were compared between the initial (n = 12) and late (n = 13) phases. All operations were completed without the need for open or conventional laparoscopic surgery. The mean operating time was 361 +/- A 58.1 min (range 258-419 min), and blood loss recorded was 51.8 +/- A 38.2 ml (range 4-123 ml). The median number of retrieved lymph nodes was 44.3 +/- A 18.4 (range 26-95). R0 resection was accomplished in all cases. There were no deaths or complications related to pancreatic damage. Operating time and surgeon console time for the late phase were significantly shorter than those for the initial phase. Our novel robotic approach for D2 nodal dissection in gastric cancer is feasible and safe.
  • 宇山一朗, 須田康一, 吉村文博, 谷口桂三, 佐藤誠二
    日本外科学会雑誌 113(4) 384-387 2012年  

講演・口頭発表等

 19