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Robot-Assisted (keyhole) Surgery at NewHeart Watanabe Institute

Robot-Assisted (keyhole) Surgery at NewHeart Watanabe Institute

Robotic surgery is a highly technical approach to minimally-invasive surgery, with only four smaller incisions, less scarring, decreased postoperative pain, and shorter hospital stay.

We, Team Watanabe, are cardiac surgery professionals. We are here for you; you are not alone.
We offer less waiting time till you your surgery so that we can treat as many patients as possible including those with complicated cases and re-do surgeries. Please feel free to ask any question to our e-mail clinical consultation.

01 No need of referral from your doctor.
02 Welcome to get your second opinion.
03 e-mail consultation with no charge at any time.
Common Heart Diseases

NEW HEART

We, Team Watanabe, are cardiac surgery professionals. We are here for you; you are not alone.

〈 Common Heart Diseases 〉

Coronary artery disease, Angina Pectoris, Myocardial infarction, Atrial fibrillation, Cardiac insufficiency, Heart Valve Disease, Aortic valve stenosis, Mitral valve stenosis, Aortic valve regurgitation, Mitral valve regurgitation, tricuspid valve regurgitation, Aortic aneurysm, atrial septal defect, Infectious endocarditis, and Arrhythmia.

Common Heart Diseases

Our Message

After being diagnosed with a heart disease, patients may be frightened, anxious and have several questions regarding their next steps of care.

We will provide safe treatment with worlds’ highest successful rate.
Heart treatment greatly depends on hospital’s mission and doctor’s skill and approach. We welcome patients from all over the world. As professional cardiac surgeons, we strive to deliver quality care and excellent service.

Director, NewHeart Watanabe Institute Go Watanabe, M.D., Ph.D.

Introduction What is da Vinci Keyhole Surgery?

da Vinci Surgical System
Introduction

Keyhole Minimally Invasive Surgery

Keyhole Minimally Invasive Surgery
  • Shorter operative time
  • Precise Surgery
  • Less scarring

Achieved smaller incisions by expanding the limitations of traditional laparoscopic approaches.

In da Vinci robotic surgery, operation will be performed from only four small incisions. Without cutting the sternum, it offers patients with possibility of decreases postoperative pain and shorter hospital stay.

Only four keyholes enable extensive view and accuracy

Robotic surgery is a highly technical approach to minimally-invasive surgery, with only four smaller incisions(1cm), less scarring, decreased postoperative pain, and shorter hospital stay. With 3D imaging with 10X magnification that enables our surgeons to visualize much greater detail than is possible with the naked eye, it provides high-definition and further, accurate movement of forceps.

4つの “キーホール(鍵穴)”で術野が広く、精密なオペを実践
4つの “キーホール(鍵穴)”で術野が広く、精密なオペを実践
人間の手以上の精密さ
Feature01

Accuracy

robotic surgery gives your surgeon access to places inside the body that traditionally required a more radical approach.
Decreased blood loss
Feature02

Decreased blood loss

smaller incisions lower risk of blood transfusion.
One day
Feature03

One day

your treatment plan will be determined on first visit.
Get back to your life after surgery.
Feature04

Get back to your life after surgery.

Decreased postoperative pain, and shorter hospital stay. Get back to your life after surgery.

Method / Case

Method

Valve Surgery 【 valve annuloplasty/replacement 】

Annuloplasty – typically involves the implantation of a device surrounding the mitral valve
Replacement – remove valve and replace with prosthetic valve (tissue heart valve or mechanic valve)

Traditional approach vs. da Vinci keyhole surgery

Median Sternotomy
Median Sternotomy

Performed with saw to cut the sternum.

Minimally invasive cardiac surgery
Minimally invasive cardiac surgery

Performed through one 5–10cm incision in the intercostal space.

da Vinci keyhole surgery

da Vinci keyhole surgery

Performed with the robotic arms (forceps) and endoscopic imaging through 1cm incisions.

Postoperative recovery and discharge after 3-8 days.

First - Determine your best treatment plan

  • Doctor’s Consultation
  • Examinations / 2 days hospital stay
  • Conference - evaluate and modify treatment plans based on the best practices applicable to your unique health situation.

Next

5-8 days after the surgery - Discharge

5-8 days after the surgery

Discharge
初診から最短5~8日で退院が可能心臓治療の迅速さ

Cases

Mitral valve annuloplasty

Mitral valve annuloplasty

Aortic valve annuloplasty/replacement

Aortic valve annuloplasty/replacement

Coronary artery bypass grating

Coronary artery bypass grating

Mitral valve annuloplasty

Mitral valve annuloplasty

Aortic valve annuloplasty/replacement

Aortic valve annuloplasty/replacement

Coronary artery bypass grating

Coronary artery bypass grating

da Vinci robotic surgery cases

Mitral valve annuloplasty

504 cases

(May 2014 to December 2019)

Bleeding volume

Less than 50

(508ml in case of MICS)

Discharge date

3~8 days after the surgery

(usually 1-1.5 months)

Successful rate

100 %

Value

5 advantages of da Vinci keyhole surgery
  • Small incisions

    less noticeable scars

    01
  • da Vinci Surgical System

  • Safe surgery with decreased blood loss

    02
  • Accuracy

    03
  • Early return to your life

    04
  • Decreased postoperative pain

    05

Doctor interview

チーム・ワタナベの医療
チーム・ワタナベの医療

チーム・ワタナベの医療

Safety of robotic cardiac surgery
with da Vinci

Director, NewHeart Watanabe Institute

Go Watanabe

Profile

Director, NewHeart Watanabe Institute

Go Watanabe

Profile

In addition to the world-class surgeons, Team Watanabe include expert physicians, surgical nurses, anesthesiologists and surgical technicians to ensure our patients are cared for by a highly specialized team. We received additional education and training regarding the utilization of the robotic surgery systems for particularly focused on patient safety. We all gathered in Tokyo to achieve the highest in quality outcomes.

心臓弁膜症の画期的手術従来のアプローチが変わる革新性

Cardiac surgery has been traditionally performed through an “open procedure” where a long incision is made to gain access to the heart. On the other hand, in da Vinci keyhole surgery, it allows doctors to perform many types of complex procedures with more precision, flexibility and control than is possible with conventional techniques. It gives many patients with the possibility of fewer complications, less pain and blood loss, quicker recovery.

症例数と成功率が実証心臓疾患手術の術式が拡大

While there is yet a few hospitals where patients have choice of robotic heart surgery in Japan, we are honored with top-ranked number of cases and successful rate. As of July 2019, we have performed 694 robotic surgery procedures from 2014. In order to give patients’ choice of better option, our team is here. Robotic surgery could be another option for you.

Team Watanabe

Toshiya Ohtsuka

Toshiya Ohtsuka, M.D., Ph.D.

Vice Director and Chief of Wolf-Ohtsuka TTAF Center

Profile
Shigeyuki Tomita

Shigeyuki Tomiga, M.D., Ph.D.

Vice Director, Director in Department of Cardiac Surgery

Profile
Kazuto Miyata

Kazuto Miyata, M.D., Ph.D.

Vice Director and Director in Department of Anesthesia

Profile
Norihiko Ishikawa

Norihiko Ishikawa, M.D., Ph.D.

Vice Director, Director in Department of Endocrine and Thoracic Surgery and Dept. of Robotic Surgery, and Director in Department of International Medical Care

Profile
Ryuta Kiuchi

Ryuta Kiuchi, M.D., Ph.D.

Profile
Tatsuya Tarui

Tatsuya Tarui, M.D., Ph.D.

Profile
Ryuta Seguchi

Ryuta Seguchi, M.D., Ph.D.

Profile
Asuka Shigamatsu

Asuka Shigematsu, M.D.

Profile
Kengo Nishizawa

Kengo Nishizawa, M.D.,

Profile
Takafumi Horikawa

Takafumi Horikawa, M.D.

Profile
Shigeyuki Tomita

NewHeart Watanabe Institute

Shigeyuki Tomiga, M.D., Ph.D.

Vice Director, Director in Department of Cardiac Surgery

1992
M.D., Graduated from Kanazawa University, School of Medicine
1997
Ph.D. in Medicine, Graduate School of Medical Sciences, Kanazawa University
2000
Department of Endocrine and General Surgery, Kanazawa University Hospital
2002
Assistant Professor, Department of Endocrine and General Surgery, Kanazawa University Hospital
2004
Associate Professor, Kanazawa University, Graduate School of Medicine
2008
Clinical Fellowship, Oludenburg Klinikum, Germany
2010
Assistant Professor, Department of Endocrine and General Surgery, Kanazawa University Hospital
2011
Clinical Associate Professor, Department of Endocrine and General Surgery, Kanazawa University Hospital
2014
Vice Director and Director of Department of Cardiac Surgery, NewHeart Watanabe Institute
Kazuto Miyata

NewHeart Watanabe Institute

Kazuto Miyata, M.D., Ph.D.

Vice Director and Director in Department of Anesthesia

1996
M.D., Graduate School of Tokyo Medical University
2000
Ph.D. in Medicine, Graduate School of Medicine, Tokyo Medical University
2000
Assistant Professor in Department of Anesthesia, Tokyo Medical University Ibaraki Medical Center
2005
Assistant Professor in Department of Anesthesiology, Tokyo Medical University
2010
Associate Professor in Department of Anesthesiology, Tokyo Medical University,
2014
Director in Department of Anesthesia, NewHeart Watanabe Institute
2016
Vice Director, Director in Department of Anesthesia, NewHeart Watanabe Institute
Norihiko Ishikawa

NewHeart Watanabe Institute

Norihiko Ishikawa, M.D., Ph.D.

Vice Director, Director in Department of Endocrine and Thoracic Surgery and Dept. of Robotic Surgery, and Director in Department of International Medical Care

1993
M.D., Kanazawa University School of Medicine, Kanazawa
1998
Ph.D. in Medicine, Graduate School of Medical Science, Kanazawa University
2004
Center for Robotics and Minimally Invasive Surgery,
East Carolina University Research Assistant Professor
2004-2005
Research Assistant Professor, Center for Robotics and Minimally Invasive Surgery, The Brody School of Medicine at East Carolina University, NC USA
2005-Present
Clinical and Research Associate in East Carolina Heart Institute, NC USA
2005-2007
Professor in Dept. of Geomedicine, Kanazawa University
2007-Present
Director in Japan Robotic Surgery Society
2007-2011
Associate Professor in Dept. of Cardiothoracic Surgery, Tokyo Medical University
2007-2008
Director in Dept. of Thoracic Surgery, KKR Hokuriku Hospital
2008-2014
Assistant Professor in Dept. of Surgery General and Cardiothoracic Surgery, Kanazawa University
Clinical Professor in Dept. of Endocrine and General Surgery, Kanazawa University Hospital
2014-2020
Director in Dept. of Endocrine and Thoracic Surgery and Dept. of Robotic Surgery, NewHeart Watanabe Institute
2020-Present
Vice Director, Director in Dept. of Endocrine and Thoracic Surgery and Dept. of Robotic Surgery, Director in Dept. of International Medical Care, NewHeart Watanabe Institute, Tokyo Japan
Norihiko Ishikawa

NewHeart Watanabe Institute

Go Watanabe

Director

After finished his degree in medicine at Kanazawa University, Dr. Watanabe took clinical fellowship program in department of cardiac surgery at Hannover Medical University in Germany. At the age of 32, he was successful and youngest cardiac transplant surgeon. After finished his fellowship at Hannover Medical University, he succeed in OPCAB (Off-Pump Coronary Artery Bypass grafting). He also served as professor of Cardiac Surgery, Tokyo Medical University.

In 1984
Graduated from Kanazawa University, School of Medicine
In 1989
Ph.D. in Medicine, Graduate School of Medical Science, Kanazawa University
In 1989
studied in Cardiovascular surgery at Hannover Medical School, Germany
In 2000
became assistant professor, faculty of Medicine at Toyama Medical and Pharmaceutical University
In 2000
became chief professor at First Department of Surgery, Faculty of Medicine, Kanazawa University
From 2005 to 2011
was professor of Cardiac Surgery, Tokyo Medical University
In 2011
became visiting professor at International University Health and Welfare
In 2014
became director at NewHeart Watanabe Institute
Taiki Yoshiyama
Taiki Yoshiyama

NewHeart Watanabe Institute

Ryuta Kiuchi, M.D., Ph.D.

2002
Graduated from Kanazawa University, School of Medicine
2007
Department of Cardiovascular Surgery, Toyama Red-cross Hospital
2010
Department of Endocrine and General Surgery, Kanazawa University Hospital
2012
Assistant Professor in Department of Endocrine and General Surgery, Kanazawa University Hospital
2014
Department of Cardiovascular Surgery, NewHeart Watanabe Institute
2016
Vice Director of Department of Cardiovascular Surgery, NewHeart Watanabe Institute
Taiki Yoshiyama

NewHeart Watanabe Institute

Ryuta Seguchi, M.D., Ph.D.

2009
Graduated from Kanazawa University, School of Medicine
2011
Department of Surgery, Arimatsu Hospital
2012
Department of Cardiovascular Surgery, Kanazawa University
2013
Department of Cardiac Surgery, IUHW Mita hospital
2014
Department of Cardiovascular Surgery, Takagi Hospital
2015
Ph.D. in Medicine, Graduate School of Medical Science, Kanazawa University
2016
Department of Cardiovascular Surgery, NewHeart Watanabe Hospital
2017
Chief Consultant in Cardiovascular Surgery, NewHeart Watanabe Hospital,
Takashi Horikawa

NewHeart Watanabe Institute

Takafumi Horikawa, M.D.

2014
Graduated Chiba University, School of Medicine
Toshio Makita

NewHeart Watanabe Institute

Asuka Shigematsu, M.D.

2007
Junior Resident in Tomishiro central Hospital
2009
Senior Resident in Department of Anesthesiology, Funabashi medical Center,
2014
Department of Anesthesia, NewHeart Watanabe Institute
2017
Vice Director in Department of Anesthesia, NewHeart Watanabe Institute
Toshiya Ohtsuka

NewHeart Watanabe Institute

Toshiya Ohtsuka, M.D., Ph.D.

Vice Director and Chief of Wolf-Ohtsuka TTAF Center

1986
M.D., Graduated from Tohoku University School of Medicine
1989
Resident, Department of General Thoracic Surgery, University of Tokyo
1996
Ph.D. in Medicine, Graduate School of Medical Science, University of Tokyo
1996
Clinical fellowship at University of Cincinnati Cardio-Thoracic Surgery, USA.
1998
Associate Professor of Cardiac Surgery, University of Tokyo
2003
Chief Consultant Cardio-vascular Surgeon of Tokyo Metropolitan Tama Medical Center
2020
Vice Director at NewHeart Watanabe Institute
Tatsuya Tarui

NewHeart Watanabe Institute

Tatsuya Tarui, M.D., Ph.D.

2009
Graduated from Kanazawa University, School of Medicine
2011
Junior Resident in Kanazawa University Hospital
2012
Department of Cardiovascular and Thoracic Surgery, Toyama Red–Cross Hospital
2013
Department of Cardiovascular Surgery, Takagi Hospital
2014
Department of Endocrine and General Surgery, Kanazawa University Hospital
2014
Department of Cardiovascular Surgery, International University of Health and Welfare, Mita Hospital
2014
Department of Cardiovascular Surgery, NewHeart Watanabe Institute
2015
Ph.D. in Medicine, Graduate School of Medical Science, Kanazawa University
2016
Chief Consultant in Department of Cardiac Surgery, NewHeart Watanabe Institute
2019
Clinical Fellowship in Landeskrankenhaus Universitätsklinikum Graz, Austria, Klinische Abteilung für Herzchirurgie
2020
Clinical Fellowship in Klinička Bolnica Dubrava, Zagreb, Croatia, Zavod za kardijalnu i transplantacijsku kirurgiju
2020
Chief Consultant in Department of Cardiac Surgery, NewHeart Watanabe Institute
Kengo Nishizawa

NewHeart Watanabe Institute

Kengo Nishizawa, M.D.,

2007
Graduated from Iwate Medical University, School of Medicine
2007
Junior Resident, Tomishiro central Hospital Okinawa, Japan
2009
Department of Cardiology, Iwate prefectural Chubu Hospital,
2012
Department of Cardiology, Okinawa prefectural Nanbu medical center
2014
Department of Cardiology, Makiminato Chuo Hospital
2015
Department of Cardiology, Iwate prefectural Chubu Hospital
2018
Department of Emergency, Ishinomaki Red Cross Hospital,
2020
Director in Department of Cardiology, NewHeart Watanabe Institute

FAQ

My treating physician offered me the median sternotomy surgery only. Is there any other procedures with smaller incision?

Robotic heart surgery is not suitable for all heart diseases but it could be your choice. Please contact us for availability.

Do I have to have referral from my current treating physician?

Referral is not essential.

If I decide to receive surgery at NewHeart Watanabe Institute, how many times do I have to visit clinic before admitted for surgery?

Usually once is enough. Some examinations such as catheter angiography, require hospital stay; however, we can ask your treating physicians for recent imaging if that works.

How many times do I have to visit clinic before the surgery?

Usually one-time visit will be enough before you admit to the hospital.

Can I request a second opinion?

Getting a second opinion can help patients make important treatment decisions and can provide peace of mind. Your second opinion will be provided by our team. Please talk to your current physician for the items needed for us to complete your second opinion including: medical records, recent imaging, and referral from a treating physician.

How long will it take until I get treatment?

Please contact us and try to schedule you in within a month. For urgent cases such as ischemic heart disease, please let us know.

I have Japanese insurance, how much the treatment cost will be?

It depends on your insurance coverage. Please see this page for further information.

I do not have Japanese insurance, but can I receive a surgery?

Yes, you can. Please contact us about the bill.

How long is the operative duration?

Usually 2-3 hours depending on patient’s complication and surgical approach.

When can I discharge from the hospital?

3 to 8 days after the robotic surgery; 2 weeks after the median sternotomy surgery.
Patients will stay at ICU on the night of surgery and will walk out from ICU and stay at patients’ room on the next day.

I cannot get a blood transfusion but can I have a surgery?

Yes, you can. We have done some cardiac surgeries on patients with no blood transfusion because of what they believe in.

About Hospital

We welcome patients domestically (from Okinawa to Hokkaido) and internationally.

map
院内環境
NEWHEART WATANABE INSTITUTEファサード
エントランス
医療設備
入院個室
院内環境
NEWHEART WATANABE INSTITUTEファサード
エントランス
医療設備
入院個室
Hospital Name
NewHeart Watanabe Institute
Directions
Located at: 3-19-11 Hamadayama, Suginami-ku, Tokyo, Japan.
6 minutes’ walk from 「Hamadayama (Keio-Inokashira Line)」Station
Main phone
+81-3-3311-1119
Hours
Monday- Friday: 8:45am-12:45pm, 13:45pm-16:30pm
We will be delighted to assist you today, so please contact us.