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      Paradigm shift in gastroenterological surgery by meta‐analysis: Navigation surgery and telesurgery

      editorial
      1 ,
      Annals of Gastroenterological Surgery
      John Wiley and Sons Inc.

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          Surgical outcomes of gastroenterological surgery in Japan: Report of the National Clinical Database 2011‐2017

          Abstract Background The Japanese National Clinical Database (NCD) is a large‐scale, nationwide, web‐based data entry system that is linked to the surgical board certification system and covers almost all surgical cases carried out in Japan. Aim To evaluate outcomes according to the gastroenterological section of the NCD. Methods The 115 surgical procedures stipulated by the “Training Curriculum for Board‐Certified Surgeons in Gastroenterology” were registered from 2011 to 2017. The number of surgeries, preoperative comorbidities, and short‐term outcomes were compared between registration periods. Results In total, 3 818 414 cases have been registered. More than 70% of all surgeries were carried out at certified institutions. The annual number of cases has been increasing year after year, and the aged population has also been increasing. Although the rates of preoperative comorbidities and postoperative complications have been increasing, the postoperative mortality rate has remained relatively low; in 2017, the 30‐day mortality rate was 1.0% among those who underwent esophagectomy, 0.7% among those who underwent distal gastrectomy, 1.1% among those who underwent total gastrectomy, 1.3% among those who underwent right hemicolectomy, 0.5% among those who underwent low anterior resection, 1.3% among those who underwent hepatectomy, and 1.3% among those who underwent pancreaticoduodenectomy. The annual rate of endoscopic surgery dramatically increased over 7 years between 2011 and 2017, especially for low anterior resection (29.5%‐62.6%) and esophagectomy (31.0%‐56.1%). Conclusion This database is expected to ensure the quality of the board‐certification system and surgical outcomes in gastroenterological surgery.
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            Safe Dissemination of Laparoscopic Liver Resection in 27,146 Cases Between 2011 and 2017 From the National Clinical Database of Japan.

            To investigate the frequency of laparoscopic liver resection (LLR) nationwide in Japan.
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              Improved robot-assisted laparoscopic telesurgery: feasibility of network converged communication.

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                Author and article information

                Contributors
                akihori@fujita-hu.ac.jp
                Journal
                Ann Gastroenterol Surg
                Ann Gastroenterol Surg
                10.1002/(ISSN)2475-0328
                AGS3
                Annals of Gastroenterological Surgery
                John Wiley and Sons Inc. (Hoboken )
                2475-0328
                15 February 2022
                March 2022
                : 6
                : 2 ( doiID: 10.1002/ags3.v6.2 )
                : 188-189
                Affiliations
                [ 1 ] Department of Gastroenterological Surgery Graduate School of Medicine Fujita Health University School of Medicine, Bantane Hospital Nagoya Japan
                Author notes
                [*] [* ] Correspondence

                Akihiko Horiguchi, Department of Gastroenterological Surgery, Graduate School of Medicine, Fujita Health University School of Medicine, Bantane Hospital, Nagoya, Japan.

                Email: akihori@ 123456fujita-hu.ac.jp

                Author information
                https://orcid.org/0000-0002-2187-1396
                Article
                AGS312553
                10.1002/ags3.12553
                8889850
                35261943
                0483cdd6-0410-4552-a8b4-280345bf2283
                © 2022 The Authors. Annals of Gastroenterological Surgery published by John Wiley & Sons Australia, Ltd on behalf of The Japanese Society of Gastroenterological Surgery

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 17 January 2022
                : 24 January 2022
                Page count
                Figures: 0, Tables: 0, Pages: 0, Words: 626
                Categories
                Editorial
                Editorial
                Custom metadata
                2.0
                March 2022
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.1.2 mode:remove_FC converted:02.03.2022

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