健康カプセル!ゲンキの時間 2024年8月18日 最新スーパードクターファイル

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健康カプセル!ゲンキの時間 2024年8月18日 最新スーパードクターファイル
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00:00In the world of medicine, there is a super doctor who leads patients to health with technology and passion beyond common sense.
00:17Super Doctor File No.1
00:24Using this clip about 1cm in length,
00:28he removes about 0.1mm of blood vessels in the brain.
00:32There is a legendary doctor who has treated more than 5,000 people so far.
00:38A legend fighting in the world of 0.1mm.
00:42Hirotoshi Sano
00:46Super Doctor File No.2
00:50A technique that pursues such a philosophy,
00:54a surgery that has little burden on the patient's body,
00:57was first introduced to the world two years ago and is now available for insurance in Japan.
01:03His name is Wolf Otsukaho.
01:08A man whose name is engraved on the Jutsu Shiki,
01:11a request from all over the world,
01:13Otsuka Toshie, who has a heart defect.
01:17Super Doctor File No.3
01:21The cause of Mr. Kuroyo's death in May is aquatic cancer.
01:27In order to fight the most terrible cancer,
01:30aquatic specialists teamed up.
01:36Aquatic cancer patients' last fort.
01:39Aquatic cancer center in a hospital affiliated with Toyama University.
01:44A medical field where evolution is achieved every day.
01:48This morning, we would like to introduce you to the super doctors you want to know now.
01:58Healthy Capsule Time of Energy
02:02Good morning.
02:04Today's theme is technology and enthusiasm beyond common sense.
02:07This is the latest Super Doctor File.
02:10Super Doctor is cool, isn't it?
02:12In the opening, I said it was passionate.
02:16I was surprised.
02:17But it was already cool.
02:19Mr. Kudo, you've been doing a lot of doctor roles and dramas, haven't you?
02:24That's right.
02:26Do you make a role and use it as a reference?
02:29I read medical journals and read papers on the Internet.
02:38I'm trying to make a convincing lie.
02:42This time, we have super doctors who should be called God Hands.
02:48First of all, let's look at the contents of today's capsule.
02:53Super Doctors who are recognized by the world for changing medical common sense.
02:59He is 79 years old and has the will to keep running at the top of the brain surgery.
03:05Mr. Hirotoshi Sano, Deputy Director of Shinkawabashi Hospital.
03:11Super Doctor File No.1
03:14A legend fighting in the 0.1mm world.
03:18What surgery is Mr. Sano, a neurosurgeon, good at?
03:23It's the creeping technique of the artery.
03:27The artery is like a blood vessel in the brain.
03:32If it explodes, about 27% of the life is lost.
03:40Mr. Sano has more than 130 types of titanium clips that are about 1 cm long.
03:47He is a specialist in thawing and creeping to prevent the explosion of the artery.
03:55The number of surgeries he has done so far is about 5,000.
03:59He is a legendary doctor.
04:03Mr. Sano is known all over Japan for his difficult surgeries.
04:11I made a 1.5 times larger model.
04:16It looks like this.
04:21It's hard to see because it looks like the back of a blood vessel.
04:26I made it look like this.
04:32Mr. Sano always draws pictures and simulates before surgery.
04:39This time, the artery is in a place where it is hard to see.
04:42If you make a mistake with other thin blood vessels,
04:45you may cause a stroke.
04:48It's a difficult surgery.
04:50I'm scared.
04:53Mr. Shimamoto holds the scalpel.
05:01The patient is a 70-year-old man.
05:04He received blood pressure from a nearby hospital.
05:07He found about 5 mm of artery and had surgery.
05:12There are various blood vessels in the brain.
05:16Mr. Sano doesn't damage them at all.
05:20He is a master of bloodless surgery.
05:23It looks like this.
05:25This double-sided artery is here.
05:27If you go further than that, there is another artery here.
05:31It's down here.
05:35Mr. Sano can see everything.
05:39It's amazing.
05:40I have to open it a little more.
05:43And...
05:44It's amazing.
05:45I'll wash my hands soon.
05:50Mr. Sano is ready.
05:58There are various types of clips depending on the location and size of the artery.
06:04What Mr. Sano imagined this time was a clip with a slightly curved shape to match the curve of the blood vessel.
06:13This is a little too strong.
06:16A little weaker.
06:20This is the artery.
06:24He seems to have seen the artery a little.
06:28It's here.
06:31If you go in like this, you can go this far.
06:35There was a blood vessel under this.
06:40He carefully separates a thin blood vessel of about 0.1 mm.
06:44He is also afraid of relapsing if he does not firmly pinch the root of the artery, which was barely visible.
06:51He is careful not to touch the root of the artery.
06:57It's here.
07:01It's here.
07:02It's amazing.
07:03I can see it.
07:06It's not visible.
07:07It's okay.
07:09Are you okay?
07:10I thought I could do it even if I couldn't see it.
07:14I understood the image before the operation.
07:17I understood how to clip the artery before the operation.
07:23It's not something you can talk about at the level of common sense.
07:32After the surgery, Mr. Sano started to write something on his notebook.
07:38What did you write?
07:39I wrote what it looked like after the surgery.
07:44The picture I drew before the surgery and the picture I drew after the surgery are the same.
07:50That means I did it right.
07:53Was the simulation before the surgery correct?
07:56He always checks the accuracy like this.
07:59It's a terrifying legend.
08:01I don't know the way to beat people.
08:04I just know the way to beat myself.
08:06It's always a battle with myself.
08:08So I think the only way to improve myself is to improve myself.
08:17This may be the reason why he is a super doctor.
08:23I think the patient is not conscious of the atmosphere of the operation.
08:30I feel relieved.
08:33The picture was interesting.
08:35I agree.
08:36This is the picture Mr. Sano drew in the video.
08:40He left it as a document for young doctors.
08:44There are 5,000 of them.
08:48It's a treasure for young doctors.
08:53Next, we will introduce Mr. Toshiya Otsuka, a surgeon with a heart defect.
09:01Mr. Watanabe, a surgeon with a heart defect, highly praises Mr. Otsuka.
09:10It's not easy to make a name for yourself in surgery.
09:15I think it's amazing that it's a surgery that can't be replaced by others.
09:22Super Doctor File No. 2
09:25He is a man who has received many requests from all over the world.
09:32Mr. Otsuka receives requests from all over the world.
09:40The patient is examined remotely.
09:44But why do you want Mr. Otsuka to see you so much?
09:49What's the most important thing?
09:51The most important thing is that the possibility of a heart attack is very high.
09:57Whether it's a symptom or a symptom of a heart attack,
10:00the greatest damage is the risk of a heart attack caused by a heart defect.
10:07The greatest point is that you can fix it.
10:12A heart defect is a type of aneurysm.
10:16A heart defect is a condition in which the heart, which is supposed to beat regularly,
10:20moves in a way that makes it tremble.
10:23The cause of this is a strange electrical signal coming out of the lung.
10:34What's scary about this aneurysm is that the blood doesn't circulate well,
10:39which makes it easier for a blood clot to form in the saccum.
10:45When this blood clot is carried to the brain,
10:48the blood vessels in the brain are clogged, causing a risk of death.
10:55What Mr. Otsuka came up with
10:57is a surgery to perform both the control of the terrible heart rhythm
11:02and the prevention of aneurysm at the same time.
11:06It's called the Wolf-Otsuka method.
11:10The joint developer, Dr. Wolf,
11:13is aiming for a surgery that doesn't put pressure on the patient.
11:17Heart surgery is usually done by opening the heart,
11:21so it's a surgery to stop the heart.
11:23That puts a lot of pressure on the heart, so we don't use that.
11:27We don't even use artificial blood.
11:28And we do it in a short time.
11:31Without using artificial blood,
11:34how do we perform the surgery when there's blood flowing in the heart?
11:41After this, the life after surgery will change dramatically in a short time.
11:45Stay tuned for the Wolf-Otsuka method.
11:49Amazing!
11:51Genki no Jikan wa anata no kenkou wo supportosuru.
11:55Kouwa no teikyou de okurishimasu.
12:00The control of the terrible heart rhythm,
12:03and the prevention of aneurysm, which is a risk of death.
12:07The Wolf-Otsuka method is performed at the same time
12:10without stopping the heart.
12:15The patient is a 40-year-old man.
12:18He had a heart attack about three years ago.
12:21Since then, he has been taking medicine to prevent the blood from solidifying.
12:28The Wolf-Otsuka method is to avoid putting pressure on the body.
12:33For the surgery,
12:35a hole of about 0.5 to 1 cm is made on both sides,
12:39and a medical device is inserted into it.
12:44Since he can't see it directly,
12:46he has to have a skilled technique and a knowledge of dissecting.
12:50Otherwise, he can't perform an accurate surgery in a short time.
12:56The three special devices are essential here.
13:03This is what my master, Dr. Uluru, suggested.
13:07It's great that it's shining.
13:09You can see it.
13:10If you can see it, you can grab it.
13:12I see.
13:14First, the conch of the heart.
13:17The device developed by Dr. Wolf
13:19is placed in the position where the abnormal electrical signals of the lung membrane are emitted.
13:24The light at the tip is the landmark.
13:27When the position is decided, the second device is led to that place.
13:33It's shining.
13:34It's shining.
13:36It's shining.
13:38If you burn the lung membrane with this device,
13:41you can block the abnormal electrical signals that cause heart failure.
13:46I see.
13:50This is the technique developed by Dr. Wolf
13:53so that he can perform the surgery accurately without worrying about the population.
14:01The only thing left is the prevention of stroke.
14:06This is chikisu.
14:08Close the tissue and cut it cleanly.
14:15What will he cut?
14:23It's amazing.
14:27The blood vessels that cause stroke
14:30can be cut almost 100% with a sashinji.
14:34In other words, by cutting this,
14:36we can prevent future stroke.
14:42The patient's long-term worries have been improved
14:46with a slight wound and an hour-long surgery.
14:50There is no need to keep taking medicine.
14:56What kind of medicine does Dr. Wolf aim for?
15:00I always say that medicine is chosen from the medicine that is given.
15:05I think we should aim for the kind of medicine
15:08that is chosen by us
15:11so that the patient can learn by himself
15:14and receive treatment from this doctor.
15:23Dr. Wolf Otsuka,
15:25who was born to aim for the chosen medicine
15:29is now famous all over the world.
15:34Dr. Otsuka is also active in the education of the public.
15:38The hospitals that he has led so far
15:41are spreading all over the country.
15:43If you are interested, please contact him directly.
15:48Next, I will introduce you to a super doctor for ovarian treatment.
15:54This time, I interviewed Dr. Fujii,
15:57who is in charge of the ovarian treatment center
16:00at Toyama University Hospital.
16:02Good morning, Dr. Fujii.
16:05Good morning.
16:11First, please look at this.
16:15This is the survival rate of the main cancer.
16:18The survival rate of ovarian cancer is 8.9% in men.
16:23The survival rate of ovarian cancer is 8.1% in women.
16:26The survival rate of ovarian cancer is low in men.
16:29Doctor, why is this?
16:31There are two main causes.
16:34One is that the ovarian cancer is located behind the stomach,
16:38so it is very difficult to find it early.
16:41It is difficult to find it
16:44when it is less than 2 cm,
16:47which is called stage 1.
16:50The other one is that the malignancy is very high.
16:54It progresses very quickly and causes degeneration in no time.
16:59In general, more than half of those who are found with ovarian cancer
17:04already have degeneration.
17:08In such a case, in Dr. Fujii's hospital,
17:11the survival rate of ovarian cancer patients who can be removed is about 40%.
17:16About 30% of ovarian cancer patients
17:19who have difficulty in removal of ovarian cancer
17:22can be removed by reducing the amount of anticancer drugs.
17:25In this case, 60% is a high number
17:28because sufficient pre-treatment is carried out.
17:32Next, let's meet the most terrifying cancer,
17:35the ovarian cancer specialist.
17:38You can see it in a hospital like this.
17:42Super Dr. File No. 3
17:45The last fortress of ovarian cancer patients.
17:48Suizo Tandou Center, a hospital affiliated with Toyama University.
17:54Here is the ovarian cancer specialist's office.
18:01Yasuda-sensei, the deputy director of the Suizo Tandou Center,
18:05What Yasuda-sensei has in his hand
18:08is a device called ultrasonic endoscopy.
18:14He puts it in his mouth and examines the ovarian state on the back of his stomach with ultrasonic waves.
18:22There are various tests such as CT, ultrasound, MRI, etc.
18:26It is said that it is the most sensitive and accurate test
18:30to find a small ovarian tumor.
18:35However, it is difficult to determine which organs are connected to each other,
18:39such as blood vessels around the digestive tract, such as the urine and water supply.
18:43When you don't have knowledge and experience,
18:46it is also a difficult test to find what is being reflected.
18:50What does Yasuda-sensei hide?
18:53He is the first person to use this ultrasonic endoscopy device.
18:58Before being introduced to Japan,
19:01and learned the technology in Germany.
19:06Now, there are more than 50 students in the world.
19:11Of course, the technology is the best in Japan.
19:15It is also said that there is no aquarium that cannot be found in Yasuda.
19:26A quick decision.
19:28When the wire is inserted into the internal organ,
19:34a thin shadow is reflected on the monitor.
19:43The ultrasonic internal organ can stab a needle in the targeted area
19:47and perform the autopsy.
19:51If the autopsy does not go well here,
19:54even if you have cancer, you may not be able to diagnose it.
19:59Yes, it is no exaggeration to say that the early discovery of aquarium cancer
20:03is on the arm of the internal organ.
20:10It is a huge job to remove the aquarium cancer with a diagnosis.
20:16Dr. Fuji is a teacher who never gives up.
20:20I think he is the worst surgeon in Japan.
20:31After this, we will talk about the surgery of Dr. Fuji,
20:35the worst surgeon in Japan.
20:38What is the secret that has dramatically improved the survival rate for 5 years?
20:42Dr. Fuji is a specialist in aquarium cancer surgery.
20:47He has operated on many difficult aquarium cancer patients
20:51and treated them.
20:54This time, he will operate on a 60-year-old man.
20:58The cancer is found in the middle of the aquarium.
21:05After the surgery, the cancer is almost healed.
21:09It takes about 5 hours.
21:18Dr. Fuji's heart and lungs are re-examined after the liver is removed.
21:24The surgery of aquarium cancer
21:27removes the 12 organs of the liver,
21:30and connects the gallbladder, aquarium, and stomach to the intestines.
21:33At this time, the water liquid often leaks from the aquarium,
21:37which can kill the patient.
21:40This is one of the reasons why the survival rate for 5 years is low.
21:44Dr. Fuji has come up with a new method.
21:49The intestines are not like this,
21:52but like this.
21:55I came up with a method to remove the intestines.
21:58I came up with a method to remove the intestines.
22:02By doing this,
22:05the aquarium will be more enveloped,
22:08so the water liquid will not leak.
22:11After using this method,
22:14the number of cases where water liquid leaks
22:17has decreased by one-tenth.
22:20He is a specialist in aquarium cancer.
22:24In addition,
22:25there is a reason why Toyama University's hospital
22:28is increasing the survival rate of 5 years.
22:32There was a hint at the meeting
22:35where patients' information was shared
22:38and opinions were exchanged.
22:41The doctors from different departments
22:44came together.
22:47This is unusual in general,
22:50but why here?
22:52People with cancer are in a hurry,
22:55so they can't wait to see the results.
22:58So, the department and the hospital
23:01have completely removed the barrier.
23:04For example, if a person with aquarium cancer comes,
23:07they can see either side.
23:10They can say,
23:13I will do this test tomorrow,
23:16and I will do this test today.
23:19That's how the process progresses.
23:21Professionals from different areas of aquarium cancer
23:24become one-eyed and face patients and doctors.
23:27This system may be the biggest reason
23:30why the survival rate of 5 years
23:33has been dramatically increased.
23:39It was amazing.
23:42I saw it.
23:45I saw it.
23:48I'm just an amateur,
23:51but I got a strange medical switch.
23:54What is the strongest point
23:57of your team?
24:00For example, aquarium surgery
24:03can take 5 to 6 hours.
24:06If it's long, it can take 15 to 16 hours.
24:09In general,
24:12it is thought that one surgeon
24:15has been operating for a long time.
24:18At Toyama University,
24:21we change members and teams
24:24to operate.
24:275 teams?
24:30Yes.
24:33For humans,
24:36it takes 4 to 5 hours to maintain concentration.
24:39We have prepared 3 teams of high level.
24:42If you operate while changing teams,
24:45you can operate more precisely,
24:48and it is very beneficial for patients.
24:51Thank you very much.
24:54Next time,
24:57they will learn how to take a rest.
25:00The key is
25:03how to take a rest.
25:06How to take a rest?
25:09We will teach you
25:12how to take a rest.
25:15Have a nice day.
25:18See you next week.
25:21Sponsored by KOWA.

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