The developments and achievements of endoscopic surgery, robotic surgery and function-preserving surgery

Masashi Yoshida, Toshiharu Furukawa, Yasuhide Morikawa, Yuko Kitagawa, Masaki Kitajima

Research output: Contribution to journalReview articlepeer-review

21 Citations (Scopus)


The breakthrough in laparoscopic surgery has been the development of a charge-coupled device camera system and Mouret performing cholecystectomy in 1987. The short-term benefits of laparoscopic surgery are widely accepted and the long-term benefit of less incidence of bowel obstruction can be expected. The important developments have been the articulating instrumentation via new laparoscopic access ports. Since 2007, single-incision laparoscopic surgery has spread all over the world. Not only single-scar but also no-scar operation is a current topic. In 2004, Kalloo reported the flexible transgastric peritoneoscopy as a novel approach to therapeutic interventions. In 2007, Marescaux reported transvaginal cholecystectomy in a patient. The breakthrough in robotic surgery was the development of the da Vinci Surgical System. It was introduced to Keio University Hospital in March 2000. Precision in the surgery will reach a higher level with the use of robotics. In collaboration with the faculty of technology and science, Keio University, the combined master-slave manipulator has been developed. The haptic forceps, which measure the elasticity of organs, have also been developed. The first possible sites of lymphatic metastasis are known as sentinel nodes. Otani reported vagus-sparing segmental gastrectomy under sentinel node navigation. This kind of function-preserving surgery will be performed frequently if the results of the multicenter prospective trial of the dual tracer method are favorable. Indocyanine green fluorescence-guided method using the HyperEye charge-coupled device camera system can be a highly sensitive method without using the radioactive colloid. 'Minimally invasive, function-preserving and precise surgery under sentinel node navigation in community hospital' may be a goal for us.

Original languageEnglish
Article numberhyq138
Pages (from-to)863-869
Number of pages7
JournalJapanese journal of clinical oncology
Issue number9
Publication statusPublished - 2010 Sept


  • Endoscopic surgery
  • Fluorescence
  • Gastrointestinal mesenchymal tumors (GIMT)
  • Gastrointestinal stromal tumors (GIST)
  • Indocyanine green (ICG)
  • Laparoscopic surgery
  • Laparoscopy-assisted distal gastrectomy (LADG)
  • Natural orifice transluminal endoscopic surgery (NOTES)
  • Pylorus-preserving gastrectomy (PPG)
  • Quality of life
  • Robotic surgery
  • Sentinel node navigation surgery
  • Single-incision laparoscopic surgery (SILS)

ASJC Scopus subject areas

  • Oncology
  • Radiology Nuclear Medicine and imaging
  • Cancer Research


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