Our hospital began Yokohama City's first robot-assisted surgery in 2012.
Since then, we have gradually expanded the scope of applicable surgeries by taking advantage of its ability to perform precise surgical operations.
Currently, he has experience in more than 2000 surgeries, one of the best in Japan.
We are steadily achieving results as one of the highly specialized medical services provided by our hospital.
As one of the treatment options, so that people in the local community can continue to receive advanced medical care with peace of mind.
We provide "robot-assisted surgery," so please feel free to contact us.
Robotic Surgery Center Director Masaru Ishida
Topics
Urology Masaru Ishida has achieved the Robo-Doc Pilot International Grade A certification from the Japanese Society of Robotic Surgery.
September 25, 2024:
We will be introducing the latest surgical support robot, "Da Vinci SP."
January 9, 2024:
The total number of surgeries performed using the surgical robot "Da Vinci" has exceeded 2,000.
August 29, 2023:
The number of robot-assisted surgeries performed in Thoracic Surgery has reached 200.
April 4, 2023:
[Media Information] Jiji Medical "The spread of robot-assisted surgery - reducing the burden on patients and benefiting doctors"
December 13, 2022:
[Media Information] Saiseikai website Special feature on illnesses: "A look at the robot-assisted surgery scene! ~Exploring the features and strengths of the latest device, the Da Vinci Xi~"
September 22, 2022:
We started offering robot-assisted liver resection in September 2022.
August 23, 2022:
The number of robot-assisted surgeries performed in Thoracic Surgery has reached 100.
December 1, 2021:
Starting in December 2021, we became the first hospital in Kanagawa Prefecture to start covering insurance-covered medical treatment for robotic-assisted pancreatic resection.
September 13, 2021:
In August 2021, we started offering robot-assisted pancreatic resections for the first time in Kanagawa Prefecture.
July 1, 2021:
Announcement of the introduction of the second Da Vinci
February 1, 2021:
Insurance coverage for robot-assisted lung cancer surgery to begin
September 28, 2020:
[Media Information] 9/23 Nikkan Kogyo Shimbun "Deep Cross-Section/Surgery Support Robot, Domestic "Counterattack" Blows a Hole in the Stronghold of "Da Vinci""
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]
Da Vinci allows for more precise manipulation than laparoscopic surgery performed directly by human hands. We explain the full picture using the Da Vinci Xi.
[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 will be introducing the latest surgical support robot, Da Vinci SP, in October 2024. We will be the first in Kanagawa Prefecture and the ninth facility in the country. We were the first in Yokohama to introduce the Da Vinci S in 2012, and upgraded to the Da Vinci Xi in 2016. Since then, we have performed 2,000 cases, one of the largest in the country. With a total of three robots, including two existing Da Vinci Xis and one Da Vinci SP, we will be able to perform surgery with short waiting periods without making patients wait.
Surgical robots allow for more precise and complex surgical operations than conventional laparoscopic surgery, and can handle more difficult surgeries. In addition, because it is an endoscopic procedure like laparoscopy, it is a minimally invasive treatment that places less strain on the patient's body. Surgery using surgical robots greatly contributes to a faster recovery after surgery. -
Da Vinci is made up of a robot body that operates the surgical instruments, a console for the surgeon to operate the robot, and a video system that visualizes the surgical field. The surgeon sits at the console and remotely controls the robot to perform surgery.
The Da Vinci Xi is called a multi-port system and requires multiple surgical incisions, whereas the Da Vinci SP is a single-port system, with a camera and three forceps attached to one arm that can enter the body cavity through an access port to perform surgery. It is also possible to perform surgery with a minimum of one incision, which is expected to reduce the burden on patients, such as pain at the incision site. Both the SP and Xi have their advantages and are used depending on the case. -
In addition to the benefits common to all surgeries, such as "small incisions," "less bleeding," "less postoperative pain," "faster recovery and earlier discharge from hospital," and "less cancer remaining in the body," surgery for prostate cancer, for example, also has other benefits such as "less postoperative urinary incontinence" and "higher rate of maintaining erectile function."
Target diseases of Da Vinci SP
Urology
● Prostate cancer ● Renal cell carcinoma (partial or total resection)
● Renal pelvis and ureter cancer ● Adrenal tumor
● Ureteropelvic junction stenosis
Gynecology
● Benign uterine disease ● Uterine cancer
Surgery
● Rectal cancer ● Colon cancer
Liver cancer
Thoracic Surgery
● Lung cancer ● Mediastinal tumor
● Features of Urology
Urology began performing robotic-assisted surgery in 2012, and to date (November 2024), more than 1,500 surgeries have been performed.
We perform robot-assisted surgeries in all Urology fields that are covered by insurance, and patients can usually undergo surgery with a waiting period of about two weeks to one and a half months *.
*The waiting period may be longer depending on the surgery reservation situation.
We also perform surgery using the Da Vinci SP, which leaves fewer incisions than conventional robot-assisted surgery using the Da Vinci Xi. For prostate cancer, kidney cancer, ureteral and renal pelvic cancer, adrenal tumors, and ureteropelvic junction stenosis, we also offer the option of a retroperitoneal approach using the Da Vinci SP, which places less strain on the body.
Creation of Da Vinci SP
| Prostate cancer | Kidney cancer, renal pelvis and ureter cancer, adrenal tumors, Ureteropelvic Junction Stenosis |
Kidney cancer/adrenal tumor |
|---|---|---|
 |
 |
 |
| Prostate cancer |
Kidney cancer, renal pelvis and ureter cancer, adrenal tumors, Ureteropelvic Junction Stenosis |
Kidney cancer/adrenal tumor |
|---|
In addition to the Da Vinci SP incision (red line in the figure), an incision of approximately 1 cm (black line in the figure) is added for assistant operation.
In addition to reducing the burden on the body through robot-assisted surgery, we have implemented an ERAS (Recovery Skills After Surgery) program, which has resulted in shorter hospital stays than the national average.
| Prostate cancer (Xi/SP) | We flexibly propose surgical options according to the patient's condition, such as retroperitoneal approach (Xi/SP), nerve-conserving surgery (Xi/SP), extended prostatectomy (Xi), and pelvic lymph node dissection (Xi/SP). |
| Kidney cancer (Xi/SP) | For tumors 7cm or smaller, we aim for partial resection whenever possible. Retroperitoneal approach surgery is also performed. |
| Bladder cancer (Xi) | Robots are also used to perform intracorporeal urinary diversion (ileal conduit, neobladder). |
| Renal pelvis and ureter cancer (Xi/SP) | We will flexibly suggest surgery options based on the patient's condition, such as lymph node dissection and retroperitoneal approach. |
| Adrenal tumor (Xi/SP) Renal pelvic ureteric transition stenosis (Xi/SP) |
Retroperitoneal approach surgery is also performed. |
●Features of Thoracic Surgery
Thoracic Surgery began robotic surgery in September 2020. Currently, nearly 100 surgeries are performed annually using the robot, with a track record of over 300 surgeries by December 2024.
We perform robot-assisted surgeries in all areas of Thoracic Surgery that are covered by insurance, including lung malignant tumor surgery and mediastinal tumor surgery, and patients usually have to wait about two weeks to one month for surgery.
A feature of our department is the short length of hospital stay after surgery.
In particular, in robotic surgery, we fully utilize the strengths of robots, which allow for precise and complex operations, to reduce air leakage from the lungs (postoperative air leaks), which is the biggest factor in extending hospital stays, enabling patients to be discharged early without difficulty. Our hospital stay is one of the shortest in the country, and patients can usually be discharged 1 to 3 days after surgery.
2025年4月末時点
症例数合計 2,727件
Insurance coverage
| clinical department | Target disease | Technique | Model | Number of cases | Start year |
| Urology | Prostate cancer | Total prostatectomy | Xi | 1104 | 2012 |
| SP | 36 | 2024 | |||
| Renal cell carcinoma | Partial nephrectomy | Xi | 238 | 2014 | |
| SP | 7 | 2024 | |||
| nephrectomy | Xi | 22 | 2022 | ||
| SP | 2 | 2025 | |||
| Bladder cancer | Total cystectomy | Xi | 98 | 2017 | |
| Renal and ureteral junction stenosis | Renal Meng Plasty | Xi | 40 | 2018 | |
| SP | 2 | 2025 | |||
| Renal and ureteral cancer | Total nephroureterectomy | Xi | 9 | 2023 | |
| SP | 1 | 2025 | |||
| Adrenal tumor | Adrenalectomy | Xi | 16 | 2022 | |
| SP | 3 | 2024 | |||
| Adrenalectomy (pheochromocytoma) | Xi | 1 | 2024 | ||
| Surgery | Gastric cancer | Pylorus gastrectomy Total gastrectomy |
Xi | 164 | 2013 |
| Colorectal cancer (rectal) | Rectal resection / amputation | Xi | 96 | 2020 | |
| SP | Five | 2024 | |||
| Colorectal cancer (colon) | Colectomy | Xi | 35 | 2023 | |
| SP | 9 | 2025 | |||
| Esophageal cancer | Esophagectomy | Xi | 6 | 2025 | |
| Pancreatic tail tumor | Pancreatic tail tumor resection | Xi | 34 | 2022 | |
| Pancreatic head tumor | Pancreaticoduodenectomy | Xi | 22 | 2022 | |
| liver cancer | liver resection | Xi | 44 | 2023 | |
| SP | 3 | 2025 | |||
| Pancreaticobiliary maljunction | Common bile duct dilatation surgery | Xi | 1 | 2025 | |
| Obstetrics ＆ Gynecology | Benign uterine disease | Total hysterectomy | Xi | 207 | 2013 |
| SP | 27 | 2024 | |||
| Endometrial cancer | Semi-extensive hysterectomy (Pelvic lymph node dissection) |
Xi | 84 | 2013 | |
| SP | 10 | 2024 | |||
| Obstetrics ＆ Gynecology Urology |
Pelvic organ prolapse | Sacral vaginal fusion | Xi | 52 | 2018 |
| Thoracic Surgery | Mediastinal tumor | Mediastinal tumor surgery | Xi | 72 | 2020 |
| SP | 2 | 2025 | |||
| lung cancer | Lung malignant tumor surgery | Xi | 262 | 2020 | |
| SP | 2 | 2025 |
Not covered by insurance
| clinical department | Target disease | Technique | Number of cases | Start year |
| Obstetrics ＆ Gynecology | Cervical cancer * | Radical hysterectomy | 11 | 2013 |
* Cervical cancer surgery is not currently performed
There are currently 12 certified doctors (as of September 2024) at Robotic Surgery Center, which utilizes the latest surgical robot, Da Vinci. When a patient is diagnosed with cancer (excluding some cancers), TOBU Cancer center will consider the most effective treatment possible at that time, regardless of clinical department, and will provide thorough support before, during, and after surgery in cooperation with Patient Support Center. In order to enhance leading-edge medical care as an advanced acute care hospital, we will promote advanced medical care through the tie-up of these three centers. Now, with the expansion of the scope of insurance coverage, we can provide robotic-assisted surgery to many patients.
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 nephrectomy
- Renal cell carcinoma: nephrectomy
- Renal pelvis / ureteral cancer: total nephroureterectomy
- Bladder cancer: total cystectomy
- Pyeloplasty ureteral junction stenosis: pyeloplasty
- Gastric cancer: resection, cardia resection, total resection
- Colon cancer: rectal resection/amputation
- Colon Cancer: Colon Tumor Resection
- Pancreaticobiliary maljunction: bile duct dilatation surgery
- Liver cancer: hepatectomy
- 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
- Adrenal tumor: adrenalectomy
- Pheochromocytoma: adrenalectomy (medulla tumor)
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.
(If you meet the facility standards, you will be covered by insurance)
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 |
|---|---|---|---|
| Masaru Ishida, Tadafu Anno, Tansei Sanjo and Masashi Arai |
Takuko Yoshida, Keisuke Taguchi | Tomohisa Egawa, Ryo Nishiyama, Toru Yamada and Yosuke Morimoto |
Yoshimasa Inoue and Yuji Muraoka |
| Urology |
|---|
| Masaru Ishida, Tadatsugu Anno, Tansei Sanjo, Masashi Arai |
| Gynecology |
| Takuko Yoshida, Keisuke Taguchi |
| Surgery |
| Tomohisa Egawa, Ryo Nishiyama, Toru Yamada, and Yosuke Morimoto |
| Thoracic Surgery |
| Yoshimasa Inoue |
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 | Certified instructor of the Japanese Urology Certified Cancer Therapist and Chief Instructor, Japan Cancer Therapist Board Completed the Japan Urology Association and Japan Urological Endoscopy Society Urological Robot-assisted Surgery Education Program (da Vinci S, Si, X, Xi, SP) Japan Urology Association and Japan Urological Endoscopy Society certified robot-assisted surgery proctor (surgical supervising physician) Bladder and prostate (Da Vinci, Da Vinci SP), adrenal glands and kidneys (ureters) (Da Vinci, Da Vinci SP) Robo-Doc Pilot (International Grade A) certified by the Japan Society for Robotic Surgery Japan Society of Endoscopic Surgery Certified Technician (Urologic Laparoscopy) Certified by the Japan Urological Endoscopy Society, Urological Laparoscopic Technician Delegate of the Japanese Society of Urological Endoscopy and Robotics Clinical training instructor (Completed instructor training course in accordance with Ministry of Health, Labor and Welfare guidelines) Completed palliative care training seminar in accordance with the Ministry of Health, Labor and Welfare guidelines 2nd degree Master in Surgical Andrology, University of Torino Doctor of Medicine Japan Medical Association Certified Industrial Physician Part-time Lecturer, Keio University School of Medicine |
TadatsuguAnno
Graduated from Keio University in 2013
| Specialized field | Urology |
|---|---|
| Areas of specialization | Diagnosis and treatment of urogenital cancer, minimally invasive surgical treatment for benign prostatic hyperplasia, robot-assisted surgery |
| Board specialist / certified doctor | Japan Specialty Board Certified Urology Certified instructor of the Japan Urology Completed the Japan Urology Association and Japan Urological Endoscopy Society Urological Robot-assisted Surgery Education Program (da Vinci Xi・SP) Japan Urology Association and Japan Urological Endoscopy Society certified robotic assisted surgery proctor (surgical supervising physician) Bladder and prostate (Da Vinci) Certified by the Japan Cancer Therapy Organization Clinical training instructor (Completed instructor training course in accordance with Ministry of Health, Labor and Welfare guidelines) Doctor of Medicine Completed palliative care training seminar in accordance with the Ministry of Health, Labor and Welfare guidelines |
SanjoTansei
Graduated from Mie University in 2014
| Specialized field | Urology |
|---|---|
| Areas of specialization | Benign prostatic hyperplasia, renal cell carcinoma |
| Board specialist / certified doctor | Japan Specialty Board Certified Urology Completed the Japan Urology Association and Japan Urological Endoscopy Society Urological Robot-assisted Surgery Education Program (da Vinci Xi・SP) Clinical training instructor (Completed instructor training course in accordance with Ministry of Health, Labor and Welfare guidelines) Japanese Society of Acute Medicine ICLS Provider Completed palliative care training seminar in accordance with the Ministry of Health, Labor and Welfare guidelines |
MasashiArai
2015 Graduate of Teikyo University
| Specialized field | Urology |
|---|---|
| Areas of specialization | Diagnosis and treatment of urogenital cancer |
| Board specialist / certified doctor | 日本専門医機構認定 泌尿器科専門医 日本泌尿器科学会・日本泌尿器内視鏡学会泌尿器ロボット支援手術教育プログラム修了 (da Vinci Xi・SP) 日本泌尿器科学会・日本泌尿器内視鏡学会認定 ロボット支援手術プロクター (手術指導医) 膀胱・前立腺(ダビンチ) 日本がん治療認定医機構がん治療認定医 厚生労働省開催指針準拠 緩和ケア研修会修了 |
TakanoriYoshida
Graduated from Kawasaki Medical University in 2009
| Specialized field | Perinatal period, laparoscopic surgery, malignant tumor, general surgery |
|---|---|
| Board specialist / certified doctor | Japanese Society of Obstetrics and Obstetrics ＆ Gynecology Japan Society of Obstetrics and Gynecology Endoscopy Tech certified physician Japanese Society of Endoscopic Surgery Technical Certification Japanese Society of Gynecologic Oncology Gynecologic Oncologist Japan Board of Cancer Therapy Certified Physician Japanese Society of Women's Medicine Specialist in women's health care Japanese Society of Robotic Surgery Certified Robot-assisted Surgery Doctor Japanese Society of Robotic Surgery Domestic Class B License Japanese Society of Gynecologic Robotic Surgery Robot-assisted surgery proctor (benign/malignant) Gynecologist certified by the Japanese Board of Specialists Complying with Ministry of Health, Labor and Welfare's holding guidelines Completion of palliative care workshop |
KeisukeTaguchi
Graduated from Iwate Medical University in 2012
| Specialized field | Perinatal period, gynecologic tumor, laparoscopic surgery, robot-assisted surgery |
|---|---|
| Board specialist / certified doctor | Obstetrics ＆ Gynecology-Gynecologist and Supervising Doctor of the Japan Society of Obstetrics and Gynecology Japan Society of Obstetric and Gynecological Endoscopy certified physician (laparoscopy, robotics) Japan Society for Endoscopic Surgery certified doctor Gynecologic Oncology Specialist, Japan Society of Gynecologic Oncology Japanese Society of Women's Health Care Specialist Certified by the Japan Cancer Therapy Organization Robot-assisted surgery certified doctor (da Vinci Xi) Japan Society of Robotic Surgery Specialist (Domestic Class B) Completed the "Specialist" course in neonatal resuscitation from the Japanese Society of Perinatal and Neonatal Medicine Completed palliative care training seminar in accordance with the Ministry of Health, Labor and Welfare guidelines |
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 | General / Gastroenterological Surgery |
|---|---|
| Areas of specialization | Liver / gall bladder / pancreatic disease |
| Board specialist / certified doctor | Japanese Surgical Society surgical specialist/supervisor Japanese Society of Gastroenterological Surgery Gastroenterological Surgery Specialist/Instructor Highly skilled specialist of the Japanese Society of Hepatobiliary and Pancreatic Surgery Japanese Society of Endoscopic Surgery Certified Technologist Japanese Gastroenterological Society Gastroenterologist Japanese Society of Hepatology liver instructor Japan Biliary Society certified instructor Japan Pancreatic Society certified instructor Japan Cancer Treatment Certification Medical Organization Cancer Treatment Certified Doctor Japanese Society of Gastroenterological Surgery Certified Digestive Cancer Surgical Specialist Councilor of the Japanese Society of Hepatobiliary and Pancreatic Surgery Councilor of the Japanese Society of Clinical Surgery Robot-assisted pancreaticoduodenectomy proctor Robot-assisted distal pancreatectomy proctor Robot-assisted lower hepatic subsegment or more (excluding outer areas) resection proctor Robot-assisted common bile duct ectasia surgery (provisional) Proctor Robot-assisted surgery certified doctor (da Vinci Xi) Doctor (Medicine) Completion of palliative care training session in compliance with Ministry of Health, Labor and Welfare guidelines Part-time lecturer, Kanagawa Prefectural University of Health and Welfare |
Nobuhisa Yamada(Toru Yamada)
Graduated from Keio University in 2008
| Specialized field | General / Gastroenterological Surgery |
|---|---|
| Areas of specialization | Lower gastrointestinal tract |
| Board specialist / certified doctor | Japan Surgical Society Specialist Japanese Society of Gastroenterological Surgery Specialist and Supervising Physician Certified surgeon for gastrointestinal cancer Japan Society of Coloproctology Coloproctology specialist and instructor Japan Society for Endoscopic Surgery Certified Doctor (Colon) Robot-assisted surgery certified doctor (da Vinci Xi) Robotic assisted surgery (rectum, colon) Proctor Completed palliative care training seminar in accordance with the Ministry of Health, Labor and Welfare guidelines |
YosukeMorimoto
Keio University, 2015 Graduate
| Specialized field | General / Gastroenterological Surgery |
|---|---|
| Areas of specialization | Upper gastrointestinal Surgery (esophagus / stomach) |
| Board specialist / certified doctor | Japan Surgical Society Specialist Japanese Society of Gastroenterological Surgery Specialist Certified surgeon for gastrointestinal cancer Certified by the Japan Cancer Therapy Organization Esophageal Surgery Specialist, Japan Esophageal Society Doctor of Medicine |
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 日本呼吸器外科学会 胸腔鏡安全技術認定制度認定医 日本内視鏡外科学会技術認定医 ロボット支援手術認定医（da Vinci Xi） 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） 日本ロボット外科学会専門医（国内A級） 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 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） |
YujiMuraoka
Shinshu University, 2015 graduate
| Specialized field | Thoracic Surgery |
|---|---|
| Areas of specialization | Video-assisted thoracoscopic surgery for lung cancer, spontaneous pneumothorax, mediastinal tumors, empyema, etc. |
| Board specialist / certified doctor | Japan Society Thoracic Surgery Thoracic Surgery Specialist Japan Surgical Society Surgical Specialist Japan Cancer Therapy Board Certified Doctor Robot-assisted surgery certified doctor (da Vinci Xi) |
| Monday | Tuesday | Wednesday | Thursday | Friday | ||
|---|---|---|---|---|---|---|
| a.m. | Urology | 荒井将至 （前立腺） |
Sanjo Tansei (prostate) |
Masaru Ishida (Prostate, kidney, bladder, renal pelvis formation) |
Takahiro Komori | Tadatsugu Anno (prostate) |
| afternoon | Gastroenterology | Tomohisa Egawa | Toru Yamada | Ryo Nishiyama | Yousuke Morimoto | |
| Gynecology | Takanori 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 our center, the following surgeries can be covered by health insurance: prostate cancer, renal cell carcinoma, stomach cancer, rectal cancer, tumors of the body and tail of the pancreas, tumors of the head of the pancreas, bladder cancer, benign uterine disease, uterine cancer, pelvic organ prolapse, ureteropelvic junction stenosis, mediastinal tumors (including those complicated by myasthenia gravis), lung cancer, renal pelvis and ureteral cancer, liver cancer, adrenal tumors (adrenalectomy), adrenal tumors (adrenalectomy (pheochromocytoma)), colon cancer (rectum), and colon cancer (colon). We plan to offer other surgeries in the future.
How much does it cost?
The burden ratio varies depending on the age of the patient.
For example, for prostate cancer, the cost is about 450,000 yen for those under 70 years old, and up to about 93,000 yen for those over 70 years old (depending on the number of days of hospitalization, etc.).
If you use the high-cost medical care benefit system, the actual burden will be reduced according to your income.
Because the system is common throughout the country, there is no big difference in the cost of medical care from other medical institutions.
Da Vinci Prostate Cancer Surgery
(7 days after 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?
- It allows for movements that are impossible with human hands or laparoscopic surgery, and allows for 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.
