The first experience of live transmission surgery from Japan to the - PDF document

The 6 th Asia Telemedicine Symposium_20121215@Fukuoka The first experience of live transmission surgery from Japan to the US Yotsuya Medical Cube, Tokyo, Japan Yosuke Seki, MD, PhD, Kazunori Kasama, MD, FACS Tomoshige Sekikawa Weight Loss and Metabolic Surgery Center

Number of the bariatric procedures in Japan From the IFSO survey 2011 YMC is the only COE designated facility in Japan!

Just like…Teaching American football to American !?

Prof. Shimizu IRB approval ↓ IC from the candidate ↓ Set independent broadband cable in YMC ↓ Communication test (between YMC and Kyushu Univ.) ↓ Communication test (between YMC and the US) ↓ OP

Everything was as usual except time! Time difference between Tokyo and NYC was 14 hours Laparoscopic Sleeve Gastrectomy with Duodeno-Jejunal Bypass (LSG-DJB) Surgeon: Kazunori Kasama, MD, FACS Assistants: Yosuke Seki, MD and Hirofumi Imoto, MD Hospital affiliation: Yotsuya Medical Cube, Tokyo, Japan

Laparoscopic Sleeve Gastrectomy with Duodeno-Jejunal Bypass (LSG-DJB) Case : 34yo, male Height: 164cm Weight: 97.1kg BMI: 35.1kg/m2 Co-morbidity: Sleep apnea, GERD, T2DM Past surgical history: none

View of the Conference in NYC Post-OP course of the case OP time: 2H50min Blood loss: 5ml No complication Discharged 3 days after the OP

Feedback Hello Yosuke, from the US IT IS ME TO THANK YOU, you were a great team, and the surgery really dazzled the audience. Good sound and image, the surgery was also diffused on the internet with MMOSS.tv, so the audience was even bigger, as we had >750 in the audience here in NYC. We did not have any technical issues with your transmission, and the lag time was minimal and did not interfere (it was a problem with some country, for example, with a 9 sec delay). We saw the upper anastomosis very well and the duodenum dissection which is the key part of this operation. In total we had 25 live surgeries...!!! From Everywhere in the US, France, Belgium, Italy, Brazil, Mexico, Japan and Australia. Best regards, Michel Acknowledgement <Kyushu Univ., TEMDEC> <Yotsuya Medical Cube> Shuji Shimizu, MD Tomoshige Sekikawa, CE Yasuaki Antoku Kuriko Kudo Toshie Shiraishi, MD Dai Kurosaki, MD Toru Yamamoto Ryo Fukuoka Yoshimochi Kurokawa, MD Shogo Kanzaki Yuki Kakubari Kazuko Sonoda, RN Ikuko Harata Eri Kikkawa, RD Tetsuya Nakazato, MSW Harumi Yasui, RN Naoki, Watanabe Machiko Ito, RN Sayuri Hakamata, EN Mario Okumura Emi Tanimura, RN Tina Tajima, MD Kazuki Ueda, MD

Thank you! seki@mcube.jp