Surgical procedures completely different from conventional surgical approaches began to be developed to improve minimally invasive surgery. New devices are required for new surgical procedures. Domestic companies in Japan encounter extremely difficult tasks when developing such devices, receiving regulatory approval, initiating commercialization, and ensuring their absolute safety. With the focus on high-speed lavage of the gastrointestinal tract in multipiercing laparoscopic and endoscopic cooperative surgery, this paper explains how to develop a micro-nano bubble generator that satisfies the above requirements and regulations for new devices.
{"title":"[DEVELOPMENT OF A HIGH-SPEED LAVAGE UNIT USING MICRO-NANO BUBBLE TECHNOLOGY FOR MINIMALLY INVASIVE SURGERY OF THE GASTROINTESTINAL TRACT].","authors":"Takashi Ohdaira","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Surgical procedures completely different from conventional surgical approaches began to be developed to improve minimally invasive surgery. New devices are required for new surgical procedures. Domestic companies in Japan encounter extremely difficult tasks when developing such devices, receiving regulatory approval, initiating commercialization, and ensuring their absolute safety. With the focus on high-speed lavage of the gastrointestinal tract in multipiercing laparoscopic and endoscopic cooperative surgery, this paper explains how to develop a micro-nano bubble generator that satisfies the above requirements and regulations for new devices.</p>","PeriodicalId":19165,"journal":{"name":"Nihon Geka Gakkai zasshi","volume":"117 5","pages":"395-402"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36448723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[CHANGES IN YOUR ENVIRONMENTS MAY IMPROVE YOUR SOCIAL SKILL].","authors":"Yu Imamura","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19165,"journal":{"name":"Nihon Geka Gakkai zasshi","volume":"117 5","pages":"355-6"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36450436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[TIPS AND PITFALLS FOR SURGERY OF BREAST CANCER].","authors":"Eiichiro Noguchi","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19165,"journal":{"name":"Nihon Geka Gakkai zasshi","volume":"117 5","pages":"411"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36448727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[NATIONAL SURVEY OF TREATMENT FOR PERIPHERAL ARTERIAL DISEASE IN JAPAN REVEALS STENT ABUSE AND INAPPROPRIATE TREATMENT CALLING FOR ENHANCED PROFESSIONAL AUTONOMY].","authors":"Takao Ohki","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19165,"journal":{"name":"Nihon Geka Gakkai zasshi","volume":"117 5","pages":"404-8"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36448725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
In the surgical field, the percentage of female doctors to male doctors has been low; among interns who are just starting their careers, there are few female doctors who want to become surgeons. However, in the case of mammary gland diseases and anal diseases, female patients often express a desire to be examined by female doctors; thus, it can be said that there is a high demand for the surgical department to find more female doctors. It is important for senior female doctors to advise younger doctors on how to deal with personal events, including marriage, pregnancy and childbirth, so that female doctors continue to work actively in the surgical field. Furthermore, male doctors, including senior doctors and doctors in supervising positions, should understand this situation and not reject cooperation with female doctors. There is an urgent need for the promotion of gender equality in the surgical field. We launched the “Women surgeonʼs meet”. We hope that this meeting, which started as a social gathering place, will become a place of information exchange and mutual aid, which will help encourage female doctors to enter the surgical department. I would like to express my personal opinions with respect to gender equality in the surgical field.
{"title":"[THE ROLE OF FEMALE SURGEONS － FROM THE POINT OF VIEW OF A PRACTITIONER].","authors":"Noyuri Kizuki","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In the surgical field, the percentage of female doctors to male doctors has been low; among interns who are just starting their careers, there are few female doctors who want to become surgeons. However, in the case of mammary gland diseases and anal diseases, female patients often express a desire to be examined by female doctors; thus, it can be said that there is a high demand for the surgical department to find more female doctors. It is important for senior female doctors to advise younger doctors on how to deal with personal events, including marriage, pregnancy and childbirth, so that female doctors continue to work actively in the surgical field. Furthermore, male doctors, including senior doctors and doctors in supervising positions, should understand this situation and not reject cooperation with female doctors. There is an urgent need for the promotion of gender equality in the surgical field. We launched the “Women surgeonʼs meet”. We hope that this meeting, which started as a social gathering place, will become a place of information exchange and mutual aid, which will help encourage female doctors to enter the surgical department. I would like to express my personal opinions with respect to gender equality in the surgical field.</p>","PeriodicalId":19165,"journal":{"name":"Nihon Geka Gakkai zasshi","volume":"117 5","pages":"423-7"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36451720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[TRAINING SPECIALIZED PHYSICIAN ASSISTANTS AT A HOME CARE CLINIC].","authors":"Yuu Yasui","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19165,"journal":{"name":"Nihon Geka Gakkai zasshi","volume":"117 5","pages":"418-22"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36451723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"[TO THE NEXT STEP OF ENDOSCOPIC SURGERY].","authors":"Masako Hiramatsu","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":19165,"journal":{"name":"Nihon Geka Gakkai zasshi","volume":"117 5","pages":"357"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36450862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Recently, a new concept of laparoscopic surgery called “reduced-port surgery,” which aims reducing abdominal wall destruction, has been under development. There is as yet no definitive definition for this new surgery, but in this article, we define it as aiming at less invasiveness than conventional laparoscopic surgery by reducing abdominal wall destruction. Several reported meta-analyses concluded that single-port cholecystectomy required longer operation times and had better cosmetic outcomes but that there were no differences in postoperative pain, hospital stays, and complication rates. A search of PubMed using the key words “reduced-port surgery” yielded 96 papers, with the number increasing each year, and half of those were reports from Japan. The future of reduced-port surgery is promising, and the use of this technique will spread and develop in tandem with patient demand and advances in surgical instruments. In particular, advances in instruments including robotics are vital, and contributions by Japanese surgeons and engineers are anticipated. This surgical technique may be ideal for resolving problems of safety, education, cost, curability, etc.
{"title":"[REDUCED-PORT SURGERY].","authors":"Mitsuhiro Asakuma, Kazuhisa Uchiyama","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recently, a new concept of laparoscopic surgery called “reduced-port surgery,” which aims reducing abdominal wall destruction, has been under development. There is as yet no definitive definition for this new surgery, but in this article, we define it as aiming at less invasiveness than conventional laparoscopic surgery by reducing abdominal wall destruction. Several reported meta-analyses concluded that single-port cholecystectomy required longer operation times and had better cosmetic outcomes but that there were no differences in postoperative pain, hospital stays, and complication rates. A search of PubMed using the key words “reduced-port surgery” yielded 96 papers, with the number increasing each year, and half of those were reports from Japan. The future of reduced-port surgery is promising, and the use of this technique will spread and develop in tandem with patient demand and advances in surgical instruments. In particular, advances in instruments including robotics are vital, and contributions by Japanese surgeons and engineers are anticipated. This surgical technique may be ideal for resolving problems of safety, education, cost, curability, etc.</p>","PeriodicalId":19165,"journal":{"name":"Nihon Geka Gakkai zasshi","volume":"117 5","pages":"364-9"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36450868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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