消化器外科

手術を行っている主な疾患

食道疾患
  • 食道癌
  • 食道粘膜下腫瘍
  • 逆流性食道炎
  • 食道裂孔ヘルニア
  • 食道アカラシア
胃・十二指腸疾患
  • 胃癌
  • 胃粘膜下腫瘍（ジスト）
  • 十二指腸癌
小腸疾患
  • クローン病
  • 小腸癌
大腸疾患
  • 大腸癌
  • 潰瘍性大腸炎
  • 大腸憩室炎
  • 急性虫垂炎
肝臓疾患
  • 肝臓がん（転移性、原発性）
  • 肝嚢胞
  • 肝膿瘍

 

膵臓疾患
  • 膵臓がん
  • 膵腫瘍（膵管内乳頭粘液性腫瘍、嚢胞性腫瘍、内分泌腫瘍）

手術実績・学会論文報告

当科における手術件数　（2018年-2025年）

2018年 2019年 2020年 2021年 2022年 2023年 2024年  2025年 
総手術件数 803 839 757 726 707 722 762 803 
悪性疾患 462 501 403 390 412 425 401 417
胃がん（総数） 105 128 69 66 70 86 76 56
（開腹手術） 25 28 4 8 5 8 5 1
（腹腔鏡手術） 8 15 6 12 18 31 17 2
（ロボット手術） 62 64 53 38 37 34 43 48
バイパス、部分切除 10 21 6 8 10 13 11 5
大腸がん（総数） 174 207 170 169 193 181 181 187
（開腹手術） 16 10 6 1 7 5 23 9
（腹腔鏡手術） 152 180 109 113 141 99 80 53
（ロボット手術） 6 17 55 55 44 77 78 125
食道がん（総数） 15 17 19 15 11 15 15 20
（開胸手術） 3 6 2 1 0 0 0 0
（胸腔鏡手術） 0 0 0 0 0 0 0 0
（ロボット手術） 12 11 17 14 11 15 15 20
肝臓がん、肝臓腫瘍（総数） 93 74 71 58 58 67 62 79
(開腹手術) 37 31 28 22 17 17 14 13
(腹腔鏡手術) 56 43 43 36 37 18 9 5
(ロボット手術) 0 0 0 0 5 32 39 61
膵臓がん、膵臓腫瘍 51 52 51 54 56 55 52 55
(開腹手術) 47 42 37 42 35 31 35 31
(腹腔鏡手術) 4 11 14 12 17 5 2 0
(ロボット手術) 0 0 0 0 4 19 15 24
胆管、胆のうがん 17 18 21 19 17 19 9 11
(開腹手術） 17 18 21 19 5 11 8 10
(腹腔鏡手術） 0 0 0 0 12 7 0 0
(ロボット手術） 0 0 0 0 0 1 1 1
十二指腸癌、乳頭部癌 7 5 2 9 7 2 6 9
良性疾患 341 338 354 336 295 297 361 376
胆石、胆嚢炎 104 160 100 115 128 128 120 133
胃GIST 6 7 17 11 6 10 13 14
潰瘍性大腸炎 2 6 1 1 1 0 1 2
クローン氏病 9 4 3 5 4 2 1 1
急性虫垂炎、腫瘍 40 37 20 11 15 14 20 21
消化管穿孔 52 52 23 27 29 23 49 40
腸閉塞 39 43 25 18 19 31 38 33
食道裂孔ヘルニア、食道破裂 4 4 3 5 1 8 3 2 
そけい、腹壁ヘルニア 89 71 29 28 24 27 44 61
消化管（その他の腫瘍） 35 20 22 13 12 23 37 30
直腸、肛門疾患 7 10 12 8 9 3 10 4
ストマ造設、閉鎖 55 85 105 93 47 26 25 35
高度肥満に対するスリーブ胃切除 3 6 4 1 0 2 0 0

 

おもな手術の術後在院日数（中央値）

ロボット支援胃切除：10日

ロボット支援結腸、直腸切除：7日

ロボット支援食道切除：21日

ロボット支援肝切除：7日

膵頭十二指腸切除術：22日

ロボット支援尾側膵切除：14日

腹腔鏡下胆嚢摘出：3日

論文発表
  1. Impact of articulating laparoscopic instrument-assisted gastrectomy with D2 lymphadenectomy on perioperative and oncologic outcomes     compared with conventional laparoscopy: a propensity score matching analysis Choi S, Kinoshita T, Obama K, Sakurai K, Kubo N, Ikoma N, Guner A, Kim HI. Surg Endosc 39(9):5596-5603 2025  
  2. Preoperative albumin grip index as a novel biomarker predicting prognosis and postoperative complications after gastrectomy for gastric       cancer.  Sakurai K, Kubo N, Tamura T, Tamamori Y, Hasegawa T, Nishimura J, Iseki Y, Fukuoka T, Nishii T, Yashiro M, Maeda K. Gastric Cancer.       2026 Mar;29(2):465-475. 
  3. Enhanced recovery after laparoscopic distal gastrectomy using articulating laparoscopic instruments in older adults with gastric cancer: a     retrospective analysis of prospectively collected data. Choi S, Kinoshita T, Obama K, Sakurai K, Kubo N, Ikoma N, Guner A, Kim HI. Ann Surg     Treat Res. 2025 Feb;108(2):86-92.
  4. Differential impact of frailty on surgical and non-surgical site complications in patients with gastric cancer undergoing gastrectomy.
    Sakurai K, Kubo N, Tamura T, Hasegawa T, Tamamori Y, Nishimura J, Iseki Y, Nishii T, Inoue T, Yashiro M, Nishiguchi Y, Bito T, Maeda K.                Gastric Cancer. 2025 May;28(3):501-513.
  5. Clinical significance of the CALLY index in patients with gastric cancer undergoing gastrectomy. Sakurai K, Kubo N, Hasegawa T, Nishimura J,       Iseki Y, Nishii T, Inoue T, Yashiro M, Nishiguchi Y, Maeda K. World J Surg. 2024 Nov;48(11):2749-2759.
  6. Successful robotic-assisted resection of an esophageal duplication cyst in the upper thoracic esophagus: A case report with surgical video.     Matsuoka K, Kubo N, Sakurai K, Hasegawa T, Nishimura J, Iseki Y, Murata A, Kodai S, Nishii T, Shimizu S, Inoue T, Nishiguchi Y, Maeda K.               Asian J Endosc Surg. 2024 Jul;17(3):e13341. 
  7. How do we prevent severe intra-abdominal infectious complications following minimally invasive gastrectomy for cancer? The usefulness of a novel marker using computed tomography images (minimum umbilicus-vertebra diameter) and robotic surgery.     Kubo N, Sakurai K,          Hasegawa T, Nishimura J, Iseki Y, Nishii T, Shimizu S, Inoue T, Nishiguchi Y, Maeda K. Ann Gastroenterol Surg. 2023 Dec 3;8(3):420-430.
  8. Study of Short-Term and Long-Term Outcomes Between Esophagogastrostomy and Double-Tract Reconstruction After Proximal Gastrectomy. Hasegawa T, Kubo N, Sakurai K, Nishimura J, Iseki Y, Nishii T, Shimizu S, Inoue T, Nishiguchi Y, Maeda K.  J Gastrointest Cancer. 2024 Sep;55(3):1089-1097.
  9. The development of a risk assessment tool for patients with postoperative pneumonia after gastrectomy for gastric cancer. Sakurai K, 　　　Kubo N, Hasegawa T, Nishimura J, Iseki Y, Nishii T, Inoue T, Nishiguchi Y, Maeda K.J Gastrointest Surg. 2024 Apr;28(4):359-364.
  10.    Impact of a robotic system on intra-abdominal infectious complications after minimally invasive gastrectomy in patients with gastric             cancer: A propensity score matching analysis regarding visceral obesity. Kubo N, Sakurai K, Hasegawa T, Tamamori Y, Iseki Y, Nishii T,                Shimizu S,  Inoue T, Nishiguchi Y, Maeda K. Ann Gastroenterol Surg. 2023 Oct 11;8(2):221-233.
  11.     The Cancer Cachexia Index Can Be Used to Prognostically Predict Patients with Gastric Cancer Undergoing Gastrectomy.                                     Sakurai K, Kubo N, Hasegawa T, Nishimura J, Iseki Y, Nishii T, Inoue T, Yashiro M, Nishiguchi Y, Maeda K. Ann Nutr Metab. 2023;79(6):511-521.
  12.   Risk factors of "loss of independence" in elderly patients who received gastrectomy for gastric cancer.  Sakurai K, Kubo N, Hasegawa T,               Tamamori Y, Kuroda K, Iseki Y, Nishii T, Tachimori A, Inoue T, Nishiguchi Y, Maeda K. Gastric Cancer. 2023 Jul;26(4):638-647
  13.   Comparison of Short-Term Surgical Outcomes of Two Types of Robotic Gastrectomy for Gastric Cancer: Ultrasonic Shears Method Versus the Maryland Bipolar Forceps Method. Kuroda K, Kubo N, Sakurai K, Tamamori Y, Hasegawa T, Yonemitsu K, Kushiyama S, Fukui Y, Aomatsu N,       Nishii T, Tachimori A, Maeda K. J Gastrointest Surg. 2023 Feb;27(2):222-232
  14.     Jejunal Mesentery Preservation Reduces Leakage at Esophagojejunostomy After Minimally Invasive Total Gastrectomy for Gastric Cancer: a Propensity Score-Matched Cohort Study.  Kubo N, Sakurai K, Tamamori Y, Hasegawa T, Kushiyama S, Kuroda K, Murata A, Kodai S, Nishii T,          Tachimori A, Shimizu S, Kanazawa A, Inoue T, Maeda K, Nishiguchi Y. J Gastrointest Surg. 2022 Dec;26(12):2460-2469
  15.    Ingenuity and tips for laparoscopic local resection for local recurrence of early gastric cancer after endoscopic submucosal dissection:            A case report.  Kuroda K, Sakurai K, Kunimoto T, Kubo N, Hasegawa T, Inoue T.  Int J Surg Case Rep. 2022 Oct;99:107650  
  16.   Less Severe Intra-Abdominal Infections in Robotic Surgery for Gastric Cancer Compared with Conventional Laparoscopic Surgery:                    A Propensity Score-matched Analysis.  Kubo N, Sakurai K, Tamamori Y, Fukui Y, Kuroda K, Aomatsu N, Nishii T, Tachimori A, Maeda K. Ann Surg Oncol. 2022 Jun;29(6):3922-3933.
  17.   Depletion of skeletal muscle mass adversely affects long-term outcomes for men undergoing gastrectomy for gastric cancer. Sakurai K,          Kubo N, Tamamori Y, Aomatsu N, Nishii T, Tachimori A, Nishiguchi Y, Maeda K.PLoS One. 2021 Aug 19;16(8):e0256365. 
  18.     Metachronous port site, muscular and subcutaneous metastases from a gastric adenocarcinoma: a case report and review of articles.
    Fukui Y, Kubo N, Sakurai K, Tamamori Y, Maeda K, Ohira M. Surg Case Rep. 2021 May 19;7(1):124. 
  19.   Impact of chronic kidney disease on the short- and long-term outcomes of laparoscopic gastrectomy for gastric cancer patients. Sakurai K,     Kubo N, Tamamori Y, Aomatsu N, Nishii T, Tachimori A, Maeda K. PLoS One. 2021 Apr 30;16(4):e0250997. 
  20.   The duration of systemic inflammatory response syndrome is a reliable indicator of long-term survival after curative esophagectomy for           esophageal squamous cell carcinoma.       Kubo N, Sakurai K, Tamura T, Toyokawa T, Tanaka H, Muguruma K, Yashiro M, Maeda K, Ohira M.     Esophagus. 2021 Jul;18(3):548-558
  21.   Percutaneous transesophageal gastro-tubing for the management of anastomotic leakage after upper GI surgery: a report of two clinical        cases.  Tamamori Y, Sakurai K, Kubo N, Yonemitsu K, Fukui Y, Nishimura J, Maeda K, Nishiguchi Y. Surg Case Rep. 2020 Aug 24;6(1):214. 
  22.   Successful surgical treatment for nonocclusive mesenteric ischemia of a wide area of the intestine accompanied by gastric conduit necrosis after esophagectomy for esophageal cancer: a case report and review of the literature.  Miura K, Kubo N, Sakurai K, Tamamori Y, Murata A,     Nishii T, Kodai S, Tachimori A, Shimizu S, Kanazawa A, Inoue T, Nishiguchi Y, Maeda K. Surg Case Rep.2020 Jun 12;6(1):132.
  23.   Successful removal of a giant esophageal lipoma by thoracoscopic enucleation: a case report.  Goto W, Sakurai K, Kubo N, Tamamori Y,         Maeda K, Ohira M. Surg Case Rep. 2020 Jan 13;6(1):20. 
  24.   Long-term survival estimates in older patients with pathological stage I gastric cancer undergoing gastrectomy: Duocentric analysis of            simplified scoring system.  Sakurai K, Kubo N, Tamamori Y, Tamura T, Toyokawa T, Tanaka H, Muguruma K, Yashiro M, Maeda K, Nishiguchi Y, Hirakawa K, Ohira M. J Geriatr Oncol. 2019 Jul;10(4):604-609. 
  25.   The Preoperative Geriatric Nutritional Risk Index Predicts Postoperative Complications in Elderly Patients with Gastric Cancer Undergoing      Gastrectomy.  Kushiyama S, Sakurai K, Kubo N, Tamamori Y, Nishii T, Tachimori A, Inoue T, Maeda K. In Vivo. 2018 Nov-Dec;32(6):1667-1672.
  26.   The impact of geriatric nutritional risk index on surgical outcomes after esophagectomy in patients with esophageal cancer.  Kubo N,             Sakurai K, Tamura T, Toyokawa T, Tanaka H, Muguruma K, Yashiro M, Ohira M.  Esophagus. 2019 Apr;16(2):147-154. 

 

 

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