{"id":296,"date":"2020-09-02T06:49:47","date_gmt":"2020-09-01T21:49:47","guid":{"rendered":"https:\/\/www.jichi.ac.jp\/usr\/surg\/?page_id=296"},"modified":"2026-01-28T14:48:39","modified_gmt":"2026-01-28T05:48:39","slug":"lowergroup","status":"publish","type":"page","link":"https:\/\/www.jichi.ac.jp\/usr\/surg\/information\/group\/lowergroup\/","title":{"rendered":"\u4e0b\u90e8\u6d88\u5316\u7ba1\u30b0\u30eb\u30fc\u30d7"},"content":{"rendered":"

 <\/p>\n

\u8a3a \u7642<\/span>
\n<\/span><\/strong><\/span><\/h3>\n

\u25c6 \u624b \u8853<\/span><\/strong>
\n\u2460 \u624b\u8853\u6570<\/span><\/strong><\/span><\/p>\n

\u6bce\u5e74200\u4ef6\u4ee5\u4e0a\u306e\u5927\u8178\u764c\u624b\u8853\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u708e\u75c7\u6027\u8178\u75be\u60a3\u306a\u3069\u306e\u826f\u6027\u75be\u60a3\u3092\u542b\u3081\u308b\u3068\u5e74\u9593300\u4ef6\u4ee5\u4e0a\u306e\u624b\u8853\u3092\u62c5\u5f53\u3057\u3066\u3044\u307e\u3059\u3002\u56f32\u306e\u30b0\u30e9\u30d5\u306f\u904e\u53bb5\u5e74\u9593\u306e\u5927\u8178\u764c\u624b\u8853\u6570\u3068\u305d\u306e\u5185\u8a33\u3092\u793a\u3057\u3066\u3044\u307e\u3059\u3002\u958b\u8179\u624b\u8853\u304c\u6e1b\u5c11\u3057\u93e1\u8996\u4e0b\u624b\u8853\uff08\u8179\u8154\u93e1\u624b\u8853\u3001\u30ed\u30dc\u30c3\u30c8\u652f\u63f4\u624b\u8853\uff09\u304c\u5897\u52a0\u3057\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\n

\"\"<\/a><\/p>\n

\u2461 \u8179\u8154\u93e1\u4e0b\u624b\u8853<\/span><\/strong><\/span><\/p>\n

\u9644\u5c5e\u75c5\u9662\u3067\u306f4\u540d\u306e\u5185\u8996\u93e1\u5916\u79d1\u6280\u8853\u8a8d\u5b9a\u533b\u304c\u8853\u8005\u307e\u305f\u306f\u6307\u5c0e\u7684\u52a9\u624b\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u30023DCT\u753b\u50cf\u3092\u4f5c\u6210\u3057\u3001\u624b\u8853\u524d\u306b\u30b7\u30df\u30e5\u30ec\u30fc\u30b7\u30e7\u30f3\u3092\u884c\u3063\u3066\u3044\u307e\u3059\uff08\u56f33\uff09\u3002\u305d\u306e\u6709\u7528\u6027\u3092\u65e5\u672c\u5185\u8996\u93e1\u5916\u79d1\u5b66\u4f1a\u82f1\u6587\u8a8c\u306b\u5831\u544a\u3057\u3066\u3044\u307e\u3059\u3002\uff08Koinuma K, et al. Asian J Endosc Surg. 2019;12(2):150-156.\u00a0 \u00a0Horie H, et al. Asian J Endosc Surg. 2018 ;11(4):355-361\uff09\u3002\u96e3\u6613\u5ea6\u306b\u5fdc\u3058\u3066\u5c02\u9580\u533b\u306e\u6307\u5c0e\u4e0b\u306b\u30b7\u30cb\u30a2\u30ec\u30b8\u30c7\u30f3\u30c8\u304c\u8853\u8005\u3092\u884c\u3046\u6a5f\u4f1a\u3082\u3042\u308a\u307e\u3059\u3002\u307e\u305f\u95a2\u9023\u75c5\u9662\u306b\u3082\u5185\u8996\u93e1\u5916\u79d1\u6280\u8853\u8a8d\u5b9a\u533b\u304c\u6d3e\u9063\u3055\u308c\u3066\u304a\u308a\u3001\u95a2\u9023\u75c5\u9662\u306b\u304a\u3044\u3066\u3082\u6280\u8853\u8a8d\u5b9a\u533b\u6307\u5c0e\u4e0b\u306b\u5b89\u5168\u306b\u8179\u8154\u93e1\u4e0b\u624b\u8853\u304c\u884c\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\n


\n\"\"<\/a>
\n<\/span><\/p>\n

\u2462\u30ed\u30dc\u30c3\u30c8\u652f\u63f4\u4e0b\u624b\u8853 \uff08\u56f34\uff09<\/span><\/span><\/strong><\/span><\/p>\n

2019\u5e74\u304b\u3089\u76f4\u8178\u764c\u306b\u5bfe\u3057\u3066\u30012023\u5e74\u304b\u3089\u306f\u7d50\u8178\u764c\u306b\u5bfe\u3057\u3066\u3082\u30ed\u30dc\u30c3\u30c8\u652f\u63f4\u624b\u8853\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u73fe\u5728\uff12\u540d\u306e\u30ed\u30dc\u30c3\u30c8\u652f\u63f4\u624b\u8853\u30d7\u30ed\u30af\u30bf\u30fc\uff08\u624b\u8853\u6307\u5c0e\u533b\uff09\u8a8d\u5b9a\u533b\u304c\u8853\u8005\u307e\u305f\u306f\u6307\u5c0e\u7684\u52a9\u624b\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002\"\"<\/a><\/span><\/p>\n

\u2463\u958b\u8179\u624b\u8853\u3000<\/span><\/strong><\/span><\/p>\n

\u5927\u8178\u764c\u7a7f\u5b54\u75c7\u4f8b\u3084\u4ed6\u81d3\u5668\u6d78\u6f64\u3092\u4f34\u3046\u9032\u884c\u764c\u306b\u306f\u958b\u8179\u624b\u8853\u304c\u5fc5\u8981\u3067\u3059\u3002\u96e3\u6613\u5ea6\u306b\u5fdc\u3058\u3066\u5c02\u9580\u533b\u306e\u6307\u5c0e\u4e0b\u306b\u30ec\u30b8\u30c7\u30f3\u30c8\u304c\u8853\u8005\u3092\u884c\u3046\u6a5f\u4f1a\u3082\u3042\u308a\u307e\u3059\u3002<\/span><\/p>\n

\u2464\u9032\u884c\u76f4\u8178\u764c\u306b\u5bfe\u3059\u308b\u8853\u524d\u5316\u5b66\u653e\u5c04\u7dda\u7642\u6cd5<\/span><\/strong><\/p>\n

\u4e0b\u90e8\u9032\u884c\u76f4\u8178\u764c\u306f\u5c40\u6240\u518d\u767a\u7387\u304c\u9ad8\u3044\u3053\u3068\u304b\u3089\u3001\u8853\u524d\u306b\u5316\u5b66\u653e\u5c04\u7dda\u7642\u6cd5\u3092\u65bd\u884c\u3057\u3066\u304b\u3089\u6839\u6cbb\u624b\u8853\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u816b\u760d\u7e2e\u5c0f\u52b9\u679c\u304c\u9ad8\u304f\uff08\u56f35\uff09\u3001\u5c40\u6240\u518d\u767a\u306e\u4f4e\u4e0b\u306b\u5bc4\u4e0e\u3057\u3066\u3044\u307e\u3059\u3002\u3055\u3089\u306b\u3001\u8853\u524d\u306b\u5316\u5b66\u653e\u5c04\u7dda\u7642\u6cd5\u3092\u65bd\u884c\u3057\u305f\u75c7\u4f8b\u306e\u7d0410\uff05\u3067\u816b\u760d\u306e\u6d88\u5931\u3092\u8a8d\u3081\u3001\u624b\u8853\u3092\u884c\u308f\u305a\u306b\u7d4c\u904e\u89b3\u5bdf\u3057\u3066\u3044\u308b\u60a3\u8005\u3055\u3093\u3082\u3044\u307e\u3059\u3002<\/span>\"\"<\/a><\/p>\n

\u2465\u708e\u75c7\u6027\u8178\u75be\u60a3<\/span><\/strong>
\n\u96e3\u6cbb\u6027\u306e\u6f70\u760d\u6027\u5927\u8178\u708e\u306b\u5bfe\u3057\u3066\u306f\u8179\u8154\u93e1\u4e0b\u5927\u8178\u5168\u6458\u8853\u3092\u65bd\u884c\u3057\u3066\u3044\u307e\u3059\u3002\u30af\u30ed\u30fc\u30f3\u75c5\u306e\u8178\u7ba1\u72ed\u7a84\u306b\u5bfe\u3057\u3066\u306f\u3001\u518d\u72ed\u7a84\u306e\u30ea\u30b9\u30af\u304c\u4f4e\u3044Kohno-S\u543b\u5408\u306b\u53d6\u308a\u7d44\u3093\u3067\u3044\u307e\u3059\u3002<\/span><\/p>\n

\u25c6 \u5927\u8178\u5185\u8996\u93e1\u691c\u67fb<\/span><\/strong><\/span><\/p>\n

\u6d88\u5316\u5668\u5916\u79d1\u533b\u306f\u624b\u8853\u306e\u307f\u884c\u3044\u5185\u8996\u93e1\u691c\u67fb\u306f\u884c\u308f\u306a\u3044\u65bd\u8a2d\u3082\u5897\u3048\u3066\u3044\u307e\u3059\u304c\u3001\u5f53\u9662\u3067\u306f\u96e3\u6613\u5ea6\u306e\u9ad8\u3044\u5185\u8996\u93e1\u6cbb\u7642\uff08ESD\u75c7\u4f8b\u306a\u3069\uff09\u306f\u6d88\u5316\u5668\u5185\u79d1\u304c\u62c5\u5f53\u3057\u3001\u624b\u8853\u524d\u691c\u67fb\u3068\u8853\u5f8c\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u75c7\u4f8b\u3092\u6d88\u5316\u5668\u5916\u79d1\u304c\u62c5\u5f53\u3057\u307e\u3059\u3002\u6bce\u9031\u5408\u540c\u30ab\u30f3\u30d5\u30a1\u306b\u304a\u3044\u3066\u3001\u5185\u79d1\u30fb\u5916\u79d1\u306e\u5c02\u9580\u533b\u304c\u5185\u8996\u93e1\u691c\u67fb\u753b\u50cf\u3092\u30ec\u30d3\u30e5\u30fc\u3057\u3001\u5185\u8996\u93e1\u6cbb\u7642\u53ef\u80fd\u304b\u624b\u8853\u304b\u306e\u691c\u8a0e\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\n

\u25c6\u6297\u304c\u3093\u5264\u6cbb\u7642<\/span><\/strong><\/p>\n

\u6297\u304c\u3093\u5264\u6cbb\u7642\u306e\u5c02\u9580\u5bb6\u3067\u3042\u308b\u81e8\u5e8a\u816b\u760d\u79d1\u304c\u62c5\u5f53\u3057\u3066\u3044\u307e\u3059\u3002\u5c40\u6240\u9032\u884c\u764c\u3084\u3001\u9060\u9694\u8ee2\u79fb\u3092\u6709\u3059\u308b\u75c7\u4f8b\u306e\u6cbb\u7642\u65b9\u91dd\u306f\u81e8\u5e8a\u816b\u760d\u79d1\u533b\u5e2b\u3068\u8b70\u8ad6\u3092\u884c\u3044\u6c7a\u5b9a\u3057\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\n

\u25c6\u6392\u4fbf\u6a5f\u80fd\u5916\u6765<\/span><\/strong><\/p>\n

\u76f4\u8178\u764c\u8853\u5f8c\u306e\u6392\u4fbf\u6a5f\u80fd\u969c\u5bb3\u3084\u69d8\u3005\u306a\u539f\u56e0\u306b\u3088\u308b\u4fbf\u5931\u7981\u306e\u60a3\u8005\u3055\u3093\u3092\u5bfe\u8c61\u3068\u3057\u305f\u5c02\u9580\u5916\u6765\u3092\u6bce\u9031\u706b\u66dc\u65e5\u306b\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u21d2\u6392\u4fbf\u6a5f\u80fd\u5916\u6765\u306e\u30da\u30fc\u30b8\u306f\u3053\u3061\u3089<\/a><\/strong><\/span><\/p>\n

\u6559 \u80b2<\/strong><\/span><\/h3>\n

\u25c6\u5185\u8996\u93e1\u5916\u79d1\u6280\u8853\u8a8d\u5b9a\u533b<\/span>
\n<\/span><\/span><\/strong><\/p>\n

\u8c4a\u5bcc\u306a\u624b\u8853\u75c7\u4f8b\u3068\u71b1\u5fc3\u306a\u6307\u5c0e\u533b\u306b\u6075\u307e\u308c\u30012020\u5e74\u5ea6\u306f\u5f53\u30b0\u30eb\u30fc\u30d7\u304b\u3089\u306f2\u540d\u306e\u533b\u5e2b\u304c\u5185\u8996\u93e1\u5916\u79d1\u6280\u8853\u8a8d\u5b9a\u5be9\u67fb\u306b\u5408\u683c\u3057\u307e\u3057\u305f\u30022006\u5e74\u4ee5\u964d\u8a0810\u540d\u306e\u5185\u8996\u93e1\u5916\u79d1\u6280\u8853\u8a8d\u5b9a\u533b\uff08\u5927\u8178\uff09\u304c\u8a95\u751f\u3057\u3066\u3044\u307e\u3059\u3002<\/span><\/p>\n

\u25c6\u30ec\u30b8\u30c7\u30f3\u30c8\u6559\u80b2<\/span><\/span><\/strong><\/span><\/p>\n

\u30b7\u30cb\u30a2\u30ec\u30b8\u30c7\u30f3\u30c8\u306b\u5bfe\u3057\u3066\u3082\u8179\u8154\u93e1\u4e0b\u5927\u8178\u5207\u9664\u8853\u306e\u8853\u8005\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u30a2\u30cb\u30de\u30eb\u30e9\u30dc\u3067\u8853\u8005\u3092\u4f53\u9a13\u3057\u3001\u624b\u8853\u5668\u5177\u306e\u4f7f\u7528\u65b9\u6cd5\u3082\u7406\u89e3\u3057\u3066\u304b\u3089\u3001\u5c02\u9580\u533b\u306e\u6307\u5c0e\u4e0b\u306b\u8853\u8005\u3092\u884c\u3044\u307e\u3059\u3002\u672c\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u5185\u5bb9\u306f\u65e5\u672c\u5185\u8996\u93e1\u5916\u79d1\u5b66\u4f1a\u8a8c\u306b\u5831\u544a\u3057\u307e\u3057\u305f(\u5800\u6c5f\u4e45\u6c38\u3001\u4ed6\uff1a\u30b7\u30cb\u30a2\u30ec\u30b8\u30c7\u30f3\u30c8\u306b\u5bfe\u3059\u308b\u8179\u8154\u93e1\u4e0b\u7d50\u8178\u5207\u9664\u8853\u306e\u30c8\u30ec\u30fc\u30cb\u30f3\u30b0\u30d7\u30ed\u30b0\u30e9\u30e0\u300123\u5dfb3\u53f7 Page297\uff0d303;2018)\u3002<\/span><\/p>\n

 <\/p>\n

\u7814 \u7a76<\/strong><\/span><\/h3>\n

\u25c6 \u5b66\u4f1a\u30fb\u8ad6\u6587\u767a\u8868<\/span><\/strong>
\n\u65e5\u5e38\u8a3a\u7642\u3067\u306e\u6c17\u3065\u304d\u3084\u624b\u8853\u306e\u5de5\u592b\u3001\u624b\u8853\u6210\u7e3e\u3001\u305d\u3057\u3066\u7814\u7a76\u6210\u679c\u3092\u5b66\u4f1a\u767a\u8868\u3057\u3001\u4ed6\u8005\u304b\u3089\u306e\u6279\u8a55\u3092\u53d7\u3051\u308b\u3053\u3068\u306f\u91cd\u8981\u306a\u3053\u3068\u3068\u8003\u3048\u3066\u3044\u307e\u3059\u3002\u6628\u5e74\u306f\u5b66\u4f1a\u30fb\u7814\u7a76\u4f1a\u306b17\u6f14\u984c\u767a\u8868\u3057\u307e\u3057\u305f\u3002\u307e\u305f\u3001\u5927\u8178\u809b\u9580\u75c5\u306b\u95a2\u9023\u3057\u30661\u7de8\u306e\u548c\u6587\u8ad6\u6587\u30684\u7de8\u306e\u82f1\u6587\u8ad6\u6587\u304c\u533b\u5b66\u8a8c\u306b\u63b2\u8f09\u3055\u308c\u307e\u3057\u305f\u3002<\/span><\/p>\n

\u25c6 \u7814\u7a76\u8ab2\u984c<\/span><\/strong><\/p>\n

    \n
  • \u300c\u76f4\u8178\u764c\u8853\u524d\u653e\u5c04\u7dda\u5316\u5b66\u7642\u6cd5\u60a3\u8005\u306b\u304a\u3051\u308b\u672b\u68a2\u8840\u767d\u8840\u7403\u306e\u7dcf\u5408\u7684\u89e3\u6790\u300d<\/span><\/li>\n
  • \u300c\u5927\u8178\u764c\u8853\u5f8c\u518d\u767a\u30de\u30fc\u30ab\u30fc\u3068\u3057\u3066\u306eHMGB\u306e\u610f\u7fa9\u306b\u95a2\u3059\u308b\u691c\u8a0e\u300d<\/span><\/li>\n
  • \u300c\u5927\u8178\u764c\u60a3\u8005\u306b\u304a\u3051\u308b\u5927\u8178\u7c98\u819c\u306b\u751f\u606f\u3059\u308b\u8178\u5185\u7d30\u83cc\u306e\u89e3\u6790\u300d<\/span><\/li>\n
  • \u300c\u5927\u8178\u764c\u8868\u9762\u7c98\u819c\u3088\u308a\u691c\u51fa\u3055\u308c\u305f\u7d30\u83cc\u306e\u7531\u6765\u306b\u95a2\u3059\u308b\u7814\u7a76\u300d<\/span><\/li>\n
  • \u300cda Vinci Xi Surgical System\u306b\u3088\u308b\u30ed\u30dc\u30c3\u30c8\u652f\u63f4\u4e0b\u7d50\u8178\u764c\u624b\u8853\u306b\u95a2\u3059\u308b\u81e8\u5e8a\u7814\u7a76\u300d<\/span><\/li>\n
  • \u300c\u8179\u8154\u93e1\u4e0b\u76f4\u8178\u764c\u8853\u5f8c\u6027\u6a5f\u80fd\u969c\u5bb3\u306b\u95a2\u3059\u308b\u591a\u65bd\u8a2d\u524d\u5411\u304d\u89b3\u5bdf\u7814\u7a76\u300d<\/span><\/li>\n
  • \u300c\u8179\u8154\u93e1\u4e0b\u53f3\u5074\u7d50\u8178\u5207\u9664\u306e\u5b89\u5168\u6027\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u56e0\u5b50\u306b\u95a2\u3059\u308b\u524d\u5411\u304d\u89b3\u5bdf\u7814\u7a76<\/span><\/li>\n<\/ul>\n

    \u00a0 \u00a0 <\/span><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

      \u8a3a \u7642 \u25c6 \u624b \u8853 \u2460 \u624b\u8853\u6570 \u6bce\u5e74200\u4ef6\u4ee5\u4e0a\u306e\u5927\u8178\u764c\u624b\u8853\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002\u708e\u75c7\u6027\u8178\u75be\u60a3\u306a\u3069\u306e\u826f\u6027\u75be\u60a3\u3092\u542b\u3081\u308b\u3068\u5e74\u9593300\u4ef6\u4ee5\u4e0a\u306e\u624b\u8853\u3092\u62c5\u5f53\u3057\u3066\u3044\u307e\u3059\u3002\u56f32\u306e\u30b0\u30e9\u30d5\u306f\u904e\u53bb5\u5e74\u9593\u306e\u5927\u8178\u764c\u624b\u8853\u6570\u3068\u305d\u306e\u5185\u8a33\u3092\u793a\u3057 […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1321,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"","meta":{"vkexunit_cta_each_option":"","footnotes":""},"class_list":["post-296","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.jichi.ac.jp\/usr\/surg\/wp-json\/wp\/v2\/pages\/296","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.jichi.ac.jp\/usr\/surg\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.jichi.ac.jp\/usr\/surg\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.jichi.ac.jp\/usr\/surg\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.jichi.ac.jp\/usr\/surg\/wp-json\/wp\/v2\/comments?post=296"}],"version-history":[{"count":34,"href":"https:\/\/www.jichi.ac.jp\/usr\/surg\/wp-json\/wp\/v2\/pages\/296\/revisions"}],"predecessor-version":[{"id":3118,"href":"https:\/\/www.jichi.ac.jp\/usr\/surg\/wp-json\/wp\/v2\/pages\/296\/revisions\/3118"}],"up":[{"embeddable":true,"href":"https:\/\/www.jichi.ac.jp\/usr\/surg\/wp-json\/wp\/v2\/pages\/1321"}],"wp:attachment":[{"href":"https:\/\/www.jichi.ac.jp\/usr\/surg\/wp-json\/wp\/v2\/media?parent=296"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}