メディカルシミュレーションセンター

兼田 裕司

カネダ ユウジ  (Yuji Kaneda)

基本情報

所属
自治医科大学  メディカルシミュレーションセンター, 消化器一般移植外科 准教授
学位
医学博士(自治医科大学)

研究者番号
00600868
J-GLOBAL ID
202101008938290584
researchmap会員ID
R000029526

【専門医資格】

日本肝胆膵外科学会 肝胆膵高度技能専門医・評議員・書類審査委員・技術認定委員

日本外科学会 専門医・指導医

日本消化器外科学会 専門医・指導医

日本膵臓学会 認定指導医

日本消化器病学会 専門医・指導医

日本消化器内視鏡学会 専門医

日本消化器外科学会 消化器がん外科治療認定医

日本がん治療認定医機構 がん治療認定医


論文

 50
  • Shoichi Shinohara, Kosuke Oiwa, Yoshitaka Maeda, Tsuneari Takahashi, Yuji Kaneda, Naohiro Sata, Hironori Yamaguchi, Hiroshi Kawahira
    Cureus 2024年9月20日  
  • Gaku Ota, Yuji Kaneda, Yoshitaka Maeda, Kosuke Oiwa, Ryusuke Ae, Mikio Shiozawa, Hisanaga Horie, Naohiro Sata, Hiroshi Kawahira
    Cureus 2024年1月8日  査読有り
  • Yuji Kaneda, Yuki Kimura, Akira Saito, Ryusuke Ae, Hiroshi Kawahira, Naohiro Sata
    Cureus 15(9) e44771 2023年9月  査読有り筆頭著者責任著者
    Introduction Postoperative pancreatic fistula (POPF) is a critical complication occurring with a high incidence after distal pancreatectomy. To minimize the risk of POPF, we developed an innovative pancreas ligation device capable of closing the pancreatic stump without causing traumatic injury to the pancreatic duct and artery. We conducted an ex vivo follow-up study to compare the pressure resistance of the pancreas ligation device with that of a regular linear stapler. Materials and methods The pancreases were excised from 20 pigs and divided into two groups: ligation group (n = 10) and stapler group (n = 10). Distal pancreatectomy was performed, and the pancreatic stump was closed using either a pancreas ligation device or a regular linear stapler. The main pancreatic duct was cannulated with a 4-French catheter connected to a cannula and syringe filled with contrast medium. Using fluoroscopy detection, pressure resistance was defined as the maximum pressure without leakage from the pancreatic stump. Results No significant differences were found between the two groups regarding sex, age, body weight, or pancreatic thickness. In the ligation group, no leakage was observed at the stump in any pancreas. However, in the stapler group, six of 10 pancreases showed leakage at the staple line or into the parenchyma. Pressure resistance was significantly higher in the ligation group than in the stapler group (median: 42.8 vs. 34.3 mmHg, P = 0.023). Conclusions These findings suggest the effectiveness of a pancreas ligation device in reducing the incidence of POPF after distal pancreatectomy. Our ligation device is expected to be a useful alternative to a linear stapler for pancreatic stump closure.
  • Hiroshi Kawahira, Yoshitaka Maeda, Yoshihiko Suzuki, Yuji Kaneda, Yoshikazu Asada, Yasushi Matsuyama, Alan Kawarai Lefor, Naohiro Sata
    The Asia Pacific Scholar 8(3) 65-67 2023年7月4日  査読有り
  • 青木 裕一, 笹沼 秀紀, 下平 健太郎, 木村 有希, 目黒 由行, 田口 昌延, 森嶋 計, 三木 厚, 兼田 裕司, 池田 恵理子, 菅野 敦, 福嶋 敬宜, 佐田 尚弘
    膵臓 38(3) A517-A517 2023年7月  

MISC

 268

共同研究・競争的資金等の研究課題

 13