h1-202503_pc
h1-202410_pc
h1-202503_sp
h1-202410_sp

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

news
Topics
January 7, 2025:
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""

Shortening the waiting period for surgery by centering

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.

Delicate and speedy techniques by 11 robotic surgery certified doctors

[Procedure public demonstration]

Smooth recovery after surgery with less strain on the body

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.

The latest surgical robots: Da Vinci SP and Da Vinci Xi

  • Feature 1: Further enhance minimally invasive medical care

    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.

  • Feature 2: Da Vinci Overview

    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.

  • Feature 3: Benefits

    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 robotic surgery in each department

Features of robotic surgery in each department

● 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.

 


● Gynecology Features

"Hybrid vNOTES Surgery" leaves no scars on the abdomen
The introduction of the Da Vinci SP has revolutionized gynecologic robotic surgery


Hybrid vNOTES Surgery

By incorporating a robotic system into vNOTES, laparoscopic surgery via the vagina, it is possible to perform surgery even for large lesions without leaving scars in the abdomen.

Da Vinci SP Surgery

The surgery can be performed with a single incision just under 3cm from the navel. Currently, Hybrid vNOTES is considered difficult to use for patients who have had a cone biopsy or a cesarean section. In such a situation, by using the Da Vinci SP, surgery can be performed with only an incision at the navel, allowing for a quick recovery and return to normal life.

Currently, the following surgeries are covered by insurance:
・Benign diseases such as uterine fibroids and adenomyosis
・Surgery for early stage uterine cancer
There are two types:

We understand that in the field of Obstetrics & Gynecology, it is extremely important that scars are not left behind or visible. We will provide surgical treatment that takes care of both the mind and the body.


●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.


●Features of surgery

In the Department of Gastrointestinal Surgery, robotic surgery has been introduced in almost all areas, and proctors are employed in each area (surgical supervising physicians: Egawa Tomohisa for the stomach, Yamada Nobu for the colon, and Nishiyama Ryo for the liver and pancreas).

The first robotic gastrectomy was performed in Kanagawa Prefecture in 2012, and the scope of use has since expanded to include colorectal resections, liver resections, and pancreaticoduodenectomies.

The facility will have three Da Vinci machines in place by October 2024, which is expected to lead to a further increase in robotic-assisted surgeries and the realization of minimally invasive surgeries.

Our department plans to use the Da Vinci SP for colon and liver surgery in the future. We will continue to aim to provide the best medical care to patients through minimally invasive surgery. If you would like to undergo robot-assisted surgery, please consider treatment at our hospital.


Treatment results

Treatment results

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

Relationship and treatment system of three centers where patients can feel at ease

Highly reliable treatment is realized by cooperation of three centers

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.

Insurance coverage for robot-assisted surgery

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)

Robot-assisted surgery not covered by insurance

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)

     

    Robotic Surgery Center with the latest equipment and highly specialized doctors. Expansion of insurance-covered surgery.

    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.

    2. Preoperative, middle and postoperative generous support Patient Support Center

    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.

    Patient Support Center page

    3. Treatment selection according to each patient TOBU Cancer center

    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.

    TOBU Cancer center page


    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

    Director Robotic Surgery Center, Director of Prostate Treatment Center and Director Urology
    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


    Chief Urology
    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


    Chief Urology
    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


    Urology
    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



    Head of Gynecology
    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


    Chief Gynecologist
    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



    Vice Director, Director of Gastrointestinal and General Surgery Center, and Director of Breast Surgery
    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


    Department of Gastrointestinal Surgery
    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


    Chief doctor
    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


    Doctor
    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



    Director of Thoracic Surgery
    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)


    Doctor
    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
    ・ Urology (Monday-Friday) ①9: 00 ②9: 30 ③10: 00 ④10: 30 ⑤11: 00 ⑥11: 30
    ・ Gastroenterology (Monday-Thursday) ① 13:00 ② 13:30
    ・ Gynecology (Monday / Wednesday) ① 13:00 ② 13:30
    ・ Thoracic Surgery (Wednesday) 13:00 only

    Once the referral letter has been arranged, the patient or referral letter was created after selecting the desired reservation date and reservation frame.
    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.

    (Reception hours 9: 00-16: 00 Closed on weekends and holidays)
    (Reception hours 9: 00-16: 00 Closed on weekends and holidays)

    Please bring your health insurance card and referral letter to the reception desk on the 1st floor, 15 minutes before the reservation time.
    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?

    1. It allows for movements that are impossible with human hands or laparoscopic surgery, and allows for operations in places that cannot be reached.
    2. The robot's camera is approaching, and we can see the place where the surgery is performed in a greatly magnified view.
    3. 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.

     

     

    Click here for online reservation Click here for online reservation