当院では横浜市初となるロボット支援手術を2012年に開始。
以来、精密な手術操作が可能という特徴を活かし、適応手術を順次拡大してまいりました。
現在では国内有数の1500例以上もの手術経験を有し、
当院が担う高度専門医療の一つとして着実に実績を上げております。
今後も地域の皆さまが安心して高度な医療を受けられるよう、治療の選択肢のひとつとして
「ロボット支援手術」を提供してまいりますので、どうぞお気軽にご相談下さい。
Robotic Surgery Center Director Masaru Ishida
Topics
【メディア情報】時事メディカル「広がるロボット支援手術 ～患者の負担減、医師にも恩恵～」
2022年12月13日：
【メディア情報】済生会HP 病気解説特集「ロボット支援手術の現場拝見！ ～最新機器「ダビンチXi」の特徴と強みを探る～」
2022年09月22日：
2022年9月より「ロボット支援下肝切除術」を開始しました。
2022年08月23日：
呼吸器外科のロボット支援手術実績が100例に到達しました。
2021年12月01日：
2021年12月より神奈川県内で初めて「ロボット支援下膵切除術」の保険診療を開始しました。
2021年09月13日：
2021年8月より神奈川県内で初めて「ロボット支援下膵切除術」を開始しました
2021年07月01日：
ダビンチ２台目導入のお知らせ
2021年02月01日：
肺がんに対するロボット支援手術の保険診療を開始します
2020年09月28日：
【メディア情報】9/23 日刊工業新聞「深層断面／手術支援ロボ、国産の“逆襲”「ダヴィンチ」牙城に風穴」
2020年09月20日：
「ロボてくんと知る手術支援ロボットダビンチ」ページができました
Robotic Surgery Center keeps patients waiting for surgery as short as possible by unified management of robotic surgery.
If you wish to have robotic surgery, please make a reservation for a dedicated outpatient clinic by a robotic surgery doctor (see here for details).
If you are a first-time visitor to a robotic surgery outpatient clinic, you can make an online reservation.
[Procedure public demonstration]
Equipped with the latest equipment, and it reduces the burden on the patient
from diagnosis until treatment, surgery, and postoperative follow-up.
[Explanation edition of the whole picture of robot surgery]
Introduced the newest model "Da Vinci Xi", which has three hands.
Difficult surgery is easier than laparoscopic surgery.
[Robotic Surgery Center edition]
As insurance coverage expands,
Centerize so that robotic surgery can be provided across departments. Our strength is our many achievements.
-
Our hospital introduced Da Vinci for the first time in Yokohama City in 2012. Furthermore, in October 2016, we upgraded to the latest Da Vinci Xi for the first time in Kanagawa Prefecture, and have been focusing on robot-assisted surgery. Then, in January 2018, Robotic Surgery Center was established, and we further promote robot-assisted surgery.
Surgical support robots can perform more precise and complicated surgical operations than conventional laparoscopic surgery, and can handle more difficult operations. In addition, because it is the same endoscopic surgery as laparoscope, it is a minimally invasive treatment that places less burden on the patient's body. Surgery using a surgery support robot greatly contributes to early recovery after surgery. -
The surgery support robot "da Vinci Xi (da Vinci Surgical System Xi) " is a type of "laparoscopic surgery" in which a hole is made in the abdomen, a camera is inserted, and the nidus is removed while watching the image. Da Vinci's robot part has four arms, one arm is equipped with a camera, and the remaining three are equipped with appliances such as electric scalpels. The doctor operates the arm while looking at the high-quality and stereoscopic 3D image projected on the operation unit, and remove the cancer and suture the affected area. Safe and reliable surgery is possible with the movement of the robot, which is more precise than human hands.
-
Currently, more than 90% of prostate cancer surgery is performed by Da Vinci in the United States, and the surgical results are good. Benefits such as "less bleeding", "less postoperative pain", "quick recovery and early discharge", "less cancer left behind", "less postoperative urinary incontinence", and "high erectile function maintenance rate" has been reported.
Target disease
● Prostate cancer ● Renal cell carcinoma
● Bladder cancer ● Renal pelvis and ureteral junction stenosis
● Gastric cancer ● Rectal cancer ● Pancreatic body tail tumor ● Pancreatic head tumor
● Benign uterine disease ● Endometrial cancer
● Pelvic organ prolapse
● Lung cancer ● Mediastinal tumor
2023年4月末時点
症例数合計 1,733件
保険適用
| Target disease | Technique | clinical department | Number of cases | Start year |
| Prostate cancer | Total prostatectomy | Urology | 909 | 2012 |
| Renal cell carcinoma | Partial nephrectomy | 172 | 2014 | |
| 腎摘除術 | 6 | 2022 | ||
| Bladder cancer | Total cystectomy | 69 | 2017 | |
| Renal and ureteral junction stenosis | Renal Meng Plasty | 29 | 2018 | |
| Gastric cancer | Pylorus gastrectomy Total gastrectomy |
Surgery | 75 | 2013 |
| Rectal cancer | Rectal resection / amputation | 37 | 2020 | |
| Pancreatic tail tumor | Pancreatic tail tumor resection | 19 | 2021 | |
| Pancreatic head tumor | Pancreaticoduodenectomy | 3 | 2022 | |
| Benign uterine disease | Total hysterectomy | Obstetrics ＆ Gynecology | 118 | 2013 |
| Endometrial cancer | Semi-extensive hysterectomy (Pelvic lymph node dissection) |
53 | 2013 | |
| Pelvic organ prolapse | Sacral vaginal fusion | Obstetrics ＆ Gynecology Urology |
52 | 2018 |
| Mediastinal tumor | Mediastinal tumor surgery | Thoracic Surgery | 34 | 2020 |
| lung cancer | Lung malignant tumor surgery | 135 | 2020 |
保険適用外
| Target disease | Technique | clinical department | Number of cases | Start year |
| Cervical cancer * | Radical hysterectomy | Obstetrics ＆ Gynecology | 11 | 2013 |
| Adrenal tumor | 副腎摘出術 | Urology | Four | 2022 |
| 肝臓がん | 肝切除術 | Surgery | 7 | 2022 |
* Cervical cancer surgery is not currently performed
最新機器の手術支援ロボットである『ダビンチ』を活用する「ロボット手術センター」に、現在いる認定医は13名（2023年1月現在）。がんと診断されたら（一部のがんを除く）、「東部がんセンター」でその時点で考えられる最も効果がある最良の治療法を、診療科目に限定することなく検討し、「患者支援センター」と連携しながら、術前・術中・術後を手厚くサポート。高度急性期病院として最先端の医療を充実させるため、これら3センターのタイアップにより高度医療を推進していきます。そしてこの度、保険適用の範囲が拡大したことにより、多くの患者さんにロボット支援手術を提供できるようになりました。
From April 2018, surgery for gastric cancer and bladder cancer also meets the facility standards set by the Ministry of Health, Labor and Welfare, so you can receive treatment covered by insurance.
- Prostate cancer: total prostatectomy
- Renal cell carcinoma: partial resection of the kidney
- 腎盂・尿管がん：腎尿管全摘術
- Bladder cancer: total cystectomy
- Pyeloplasty ureteral junction stenosis: pyeloplasty
- Gastric cancer: resection, cardia resection, total resection
- Rectal cancer: Rectal resection / amputation
- 大腸がん：直腸切除・切断術
- Pancreatic tail tumor: Pancreatic tail tumor resection
- Pancreatoduodenoma: Pancreaticoduodenectomy
- Benign uterine disease: total hysterectomy
- Endometrial cancer: Semi-extensive hysterectomy
(Pelvic lymph node dissection) - Pelvic organ prolapse: sacral vaginal fusion
- Mediastinal Tumor: Mediastinal Tumor Surgery
- Lung Cancer: Lung Malignant Tumor Surgery
Since the start of surgery by Da Vinci in 2012, the surgery that seems to be highly effective has been carried out as soon as possible before the insurance coverage with the approval of the ethics committee of this hospital. We will continue to carry out surgery that is not covered by insurance while giving consideration to safety.
- 大腸がん：結腸悪性腫瘍切除術
- 肝臓がん：肝切除術
- 副腎腫瘍：副腎摘出術
- 褐色細胞腫：副腎摘出術（髄質腫瘍）
（施設基準を満たすと保険適用になります）
Since the surgery for prostate cancer was covered by insurance in Japan in 2012, the number of surgeries by the surgery support robot "Da Vinci" has been increasing. In April 2018, insurance-covered surgery expanded, and at our hospital, "prostate cancer," "renal cell carcinoma," "stomach cancer," and "bladder cancer" meet the facility standards set by the Ministry of Health, Labor and Welfare, and are treated with health insurance, and it is now possible to receive the treatment by health insurance.
"Robotic Surgery Center" Future Role
We will make preparations so that more surgeries can be covered by insurance in line with the expansion of insurance coverage due to the revision of medical fees. We will collect information on new and effective treatments and surgeries in Japan and overseas, and provide better medical care. In addition, we will establish an in-hospital education system that trains excellent doctors as new surgeons and contribute to the next generation of medical care.
We have set up "Patient Support Center" to propose the most suitable medical environment for patients who will undergo surgery at our hospital and to support safe and secure perioperative management. We aim for early recovery by providing information to patients who feel anxious before surgery, the flow on the day of surgery, and supporting patients after surgery.
TOBU Cancer center has a system in which a number of clinical departments are available according to each organ and each medical condition. We have a system Gastroenterology and Hepatology doctor and surgeon are taking about all cancer patients who are first seen in Surgery, and determine about "the selection of the most appropriate treatment for patients" at the conference once a week. We select the appropriate treatment method according to the patient by establishing a system that does not allow arbitrary treatment due to the thoughts of the attending physician.
| Urology | Gynecology | Surgery | Thoracic Surgery |
|---|---|---|---|
| 石田 勝・案納 忠譜・三條丹星・荒井将至 | Takuko Yoshida, Keisuke Taguchi | 江川 智久・西山 亮・ 山田 暢 |
井上 芳正・田中 浩登 |
| Urology |
|---|
| 石田 勝・案納 忠譜・三條丹星・荒井将至 |
| Gynecology |
| Takuko Yoshida, Keisuke Taguchi |
| Surgery |
| 江川 智久・西山 亮・山田 暢 |
| Thoracic Surgery |
| 井上 芳正・田中 浩登 |
MasaruIshida
Graduated from Keio University in 2002
| Specialized field | Urology |
|---|---|
| Areas of specialization | Diagnosis and treatment of urethral genital cancer. Robot-assisted surgery, Urology laparoscopic surgery, prostate cancer treatment |
| Board specialist / certified doctor | Japanese Urology Association Specialist / Instructor Japan Cancer Treatment Certified Medical Organization Cancer Treatment Certified Doctor / Instructor Robot-assisted surgery certified doctor (da Vinci S / Si / X / Xi) Robot-assisted surgery proctor certified doctor (surgery instructor bladder / prostate, adrenal gland / kidney (ureter)) Japan Robotic Surgery Society Specialist (Domestic Class A) Japanese Society for Endoscopic Surgery Technically Certified Doctor (Uroscope Laparoscopy) Japanese Society of Urological Endoscopy Certified Physician for Urological Laparoscopy Technology Clinical training instructor Completion of palliative care workshop based on guidelines held by the Ministry of Health, Labor and Welfare 2nd degree Master in Surgical Andrology, University of Torino Doctor of Medical Science Japan Medical Association Certified Occupational Physician Lecturer, Keio University School of Medicine (part-time) |
案納 忠譜（あんのう ただつぐ）
慶應義塾大2013年卒
| Specialized field | Urology |
|---|---|
| Areas of specialization | Diagnosis and treatment of urinary genital cancer, minimally invasive surgical treatment for benign prostatic hyperplasia |
| Board specialist / certified doctor | 日本泌尿器科学会専門医 ロボット支援手術認定医（da Vinci Xi） 日本がん治療認定医機構がん治療認定医 臨床研修指導医 厚生労働省開催指針準拠 緩和ケア研修会修了 |
SanjoTansei
Graduated from Mie University 2014
| Specialized field | Urology |
|---|---|
| Areas of specialization | Benign prostatic hyperplasia, renal cell carcinoma |
| Board specialist / certified doctor | 日本泌尿器科学会専門医 ロボット支援手術認定医（da Vinci Xi) 日本救急医学会 ICLSプロバイダー 厚生労働省開催指針準拠 緩和ケア研修会修了 |
荒井 将至（あらい まさし）
帝京大2015年卒
| Specialized field | Urology |
|---|---|
| Areas of specialization | 尿路性器癌の診断・治療 |
| Board specialist / certified doctor | 日本泌尿器科学会専門医 ロボット支援手術認定医（da Vinci Xi） 厚生労働省開催指針準拠 緩和ケア研修会修了 |
Yoshida TakuIsao(Yoshida, Takanori)
Graduated from Kawasaki Medical School in 2009
| Specialized field | Perinatal period, laparoscopic surgery, malignant tumor, general surgery |
|---|---|
| Board specialist / certified doctor | 日本産科婦人科学会産婦人科専門医・指導医 日本産科婦人科内視鏡学会技術認定医 日本内視鏡外科学会技術認定医 日本婦人科腫瘍学会婦人科腫瘍専門医 日本がん治療認定医機構認定医 日本女性医学学会女性ヘルスケア専門医 日本ロボット外科学会ロボット支援手術認定医 日本ロボット外科学会国内B 級ライセンス 日本婦人科ロボット手術学会 ロボット支援手術プロクター（良・悪性） 日本専門医機構認定婦人科専門医 厚生労働省開催指針準拠 緩和ケア研修会修了 |
KeisukeTaguchi
Graduated from Iwate Medical University 2012
| Specialized field | Perinatal period, gynecologic tumor, laparoscopic surgery, robot-assisted surgery |
|---|---|
| Board specialist / certified doctor | 日本産科婦人科学会産婦人科専門医 日本産科婦人科内視鏡学会技術認定医 日本内視鏡外科学会技術認定医 日本がん治療認定医機構がん治療認定医 ロボット支援手術認定医 日本ロボット外科学会専門医（国内B級） 日本周産期・新生児医学会 新生児蘇生法「専門」コース修了 厚生労働省開催指針準拠 緩和ケア研修会修了 |
TomohisaEgawa
Graduated from Nippon Medical School in 1995
| Specialized field | Upper gastrointestinal Surgery (esophagus / stomach) |
|---|---|
| Areas of specialization | Mirror surgery for esophageal and gastric cancer, robot-assisted surgery, gastrointestinal cancer chemotherapy |
| Board specialist / certified doctor | Specialist / Instructor of the Japan Surgery Japan Digestive Surgery Society specialists and guidance physician Japanese Surgery Technically Certified Doctor (Stomach) Robot-assisted surgery (stomach) recommended Proctor Da Vinci Surgical System Operator Qualification Japanese Society of Gastroenterological Endoscopy Specialist / Instructor Japanese Society of Gastroenterology Specialist / Instructor Japanese Society of Esophageal Society Esophageal Department Certified Doctor Interim Instructor of Japanese Society of Medical Oncology Japan Cancer Treatment Certified Medical Organization Cancer Treatment Certified Doctor / Provisional Education Doctor Japanese Gastroenterological Cancer Surgery Treatment Certified Doctor Japanese Society of Abdominal Emergency Medicine Certified Doctor / Provisional Education Doctor Certified by the Japanese Gastrointestinal Society Representative of the Japanese Society of Gastric Cancer Councilor of the Japanese Society of Abdominal Emergency Medicine Councilor of the Japanese Surgery Councilor of the Japanese Surgery Doctor of Medicine Keio University Surgery science classroom Visiting Associate Professor Visiting Lecturer, Toho University School of Medicine Completion of palliative care workshop based on guidelines held by the Ministry of Health, Labor and Welfare |
RyoNishiyama
Graduated from Tokyo Medical University in 2005
| Specialized field | 一般・消化器外科 |
|---|---|
| Areas of specialization | Liver / gall bladder / pancreatic disease |
| Board specialist / certified doctor | 日本外科学会外科専門医・指導医 日本消化器外科学会消化器外科専門医・指導医 日本肝胆膵外科学会高度技能専門医 日本内視鏡外科学会技術認定医 日本消化器病学会消化器病専門医 日本肝臓学会肝臓指導医 日本胆道学会認定指導医 日本膵臓学会認定指導医 日本がん治療認定医機構がん治療認定医 日本消化器外科学会消化器がん外科治療認定医 日本肝胆膵外科学会評議員 ロボット支援下膵体尾部切除術プロクター ロボット支援下肝部分切除及び外側区域切除（暫定）プロクター ロボット支援手術認定医（da Vinci Xi） 博士（医学） 厚生労働省開催指針準拠 緩和ケア研修会修了 神奈川県立保健福祉大学 非常勤講師 |
山田 暢（やまだ とおる）
慶應義塾大2008年卒
| Specialized field | 一般・消化器外科 |
|---|---|
| Areas of specialization | 下部消化管 |
| Board specialist / certified doctor | 日本外科学会専門医 日本消化器外科学会専門医・指導医 消化器がん外科治療認定医 日本大腸肛門病学会 大腸肛門病専門医 日本内視鏡外科学会技術認定医（大腸） ロボット支援手術認定医（da Vinci Xi） 厚生労働省開催指針準拠 緩和ケア研修会修了 |
YoshimasaInoue
Graduated from Keio University in 1996
| Specialized field | Thoracic Surgery |
|---|---|
| Areas of specialization | Video-assisted thoracoscopic surgery for lung cancer, spontaneous pneumothorax, mediastinal tumor, empyema, etc., robot-assisted surgery for lung cancer / mediastinal tumor |
| Board specialist / certified doctor | 呼吸器外科専門医 日本外科学会専門医・指導医 日本呼吸器外科学会評議員 日本肺癌学会評議員 日本呼吸器外科学会認定ロボット支援手術プロクター（手術指導医） 日本呼吸器内視鏡学会専門医・指導医・評議員 日本内視鏡外科学会評議員 日本がん治療認定医機構認定医 Certificate of da Vinci System Training as a console surgeon 日本ロボット外科学会専門医（国内B級） 厚生労働省開催指針準拠 緩和ケア研修会修了 臨床研修指導医 博士（医学） 慶應義塾大学医学部講師（非常勤） |
田中 浩登（たなか ひろと）
筑波大2011年卒
| Specialized field | Thoracic Surgery |
|---|---|
| Areas of specialization | 肺癌、縦隔腫瘍 |
| Board specialist / certified doctor | 呼吸器外科専門医 日本外科学会専門医 日本呼吸器内視鏡学会専門医 日本禁煙学会 禁煙認定指導医 ロボット支援手術認定医（da Vinci Xi） 臨床研修指導医 JATECプロバイダー 厚生労働省開催指針準拠 緩和ケア研修会修了 |
| Monday | Tuesday | Wednesday | Thursday | Friday | ||
|---|---|---|---|---|---|---|
| a.m. | Urology | 荒井将至 （第１・３・５週 前立腺） 三條丹星 （第２・４週 前立腺） |
Sanjo Tansei (prostate) |
Masaru Ishida (Prostate, kidney, bladder, renal pelvis formation) |
荒井将至 （前立腺） |
Tadashi Kano (prostate) |
| afternoon | Gastroenterology | Tomohisa Egawa | Nobuhisa Yamada | Ryo Nishiyama | 森本洋輔 | |
| Gynecology | Takuko Yoshida | Keisuke Taguchi | ||||
| Thoracic Surgery | Yoshimasa Inoue | |||||
・ Gastroenterology (Monday-Thursday) ① 13:00 ② 13:30
・ Gynecology (Monday / Wednesday) ① 13:00 ② 13:30
・ Thoracic Surgery (Wednesday) 13:00 only
Please make a reservation by phone or web from a medical institution to the following. There is no need to mail a referral letter in advance.
Please tell the receptionist No. 12 that it is the first visit to the outpatient department of robotic surgery.
* If you are late for the reservation time, we may have to wait. note that.
FAQ
Can anyone undergo robot-assisted surgery?
You may not be able to undergo robot-assisted surgery depending on the patient's condition and the history of surgery that has been performed so far. Whether or not surgery is possible will be decided by attending physician or the Robotic Surgery Center. Please contact us if you wish.
What kind of illness is robot-assisted surgery targeted?
At this center, health insurance covers prostate cancer, renal cell cancer, gastric cancer, rectal cancer, pancreatic tail tumor, pancreatic head tumor (scheduled to start in 2022), bladder cancer, benign uterine disease, and uterus. Surgery for body cancer, pelvic organ prolapse, renal pelvic tract junction stenosis, mediastinal tumor, lung cancer, etc. Although not covered by insurance, you can also undergo surgery for renal pelvis cancer, ureteral cancer, colorectal cancer, liver cancer, and adrenal tumor (all of which will be treated sequentially from April 2022). Other surgeries will be performed in the future.
How much does it cost?
The burden ratio varies depending on the patient's age.
For example, for prostate cancer, it costs about 450,000 yen for those under 70 years old and up to about 93,000 yen for those over 70 years old (varies depending on the length of hospital stay).
If you use the High-Cost Medical Expense Benefit, the actual burden will be reduced according to your income.
Since the system is common whole of country, the burden will not be significantly different from that of other medical institutions.
Prostate cancer surgery with da Vinci
(In the case of 8 days of radical prostatectomy)
[over 70 years old]
[Under 70 years old]
* 1 Low-income earners II
All household members are (1) tax exempt from municipal inhabitants tax, or (2) people requiring nursing care under the Public Assistance Act.
Persons who do not need protection due to reduction of Ceiling Amount of self payment and Dietary Standard Obligation Fee.
* 2 Low-income earners I
All household members fall under "Low Income earners II" and their household income is below a certain standard.
Check with your doctor about the cost of uninsured surgery.
How do I get robot-assisted surgery?
Please come to the robot surgery outpatient department. Online reservations are available for first-time robotic surgery outpatients.
Does the robot (Da Vinci) perform surgery?
The robot does not perform surgery automatically. A certified doctor operates the robot arm to perform surgery. The robot arm will not move unless operated by a doctor.
What are the benefits of robot-assisted surgery?
- By making full use of the three robot arms, it is possible to perform movements that are impossible with human hand surgery and laparoscopic surgery, and operations in places that cannot be reached.
- The robot's camera is approaching, and we can see the place where the surgery is performed in a greatly magnified view.
- The robot can correct camera shake and perform precise surgical operations. These features make it possible to perform highly accurate surgery compared to thoracotomy procedure and laparoscopic surgery.
