Session Overview

Lymphadenectomy around the recurrent laryngeal nerve during robot-assisted esophagectomy is a highly demanding procedure that must balance radicality and safety. In this symposium, speakers will share refinements and challenges based on their established techniques and outcomes, aiming to further polish the procedure and improve the completeness of dissection.

Keyword

Robotic esophagectomy, Lymphadenectomy, Recurrent nerve lymph nodes

Session Overview

Robot-assisted esophagectomy has become more widespread in recent years and is regarded as safe and minimally invasive. This symposium will draw on short- and mid-term results from multiple centers to evaluate benefits and challenges—focusing on complications, postoperative recovery, and recurrence—and explore directions for standardization and further development.

Keyword

Robotic esophagectomy, Short-term outcomes, Standardization

Session Overview

In the treatment of esophagogastric junction cancer, strategies vary according to tumor location and extent. This symposium will review the latest evidence and institutional outcomes regarding resection range, lymphadenectomy, surgical approach and reconstruction, and perioperative therapy, to identify optimal treatment strategies.

Keyword

Esophagogastric junction cancer, Surgical approach, Treatment strategy

Session Overview

Robotic surgery for gastric cancer enables minimally invasive, high-precision procedures leveraging fine instrument control. Based on the speakers’ experience, this symposium will clarify the current status and future value—covering procedural features, clinical outcomes, safety, and practical aspects of implementation.

Keyword

Robotic gastrectomy, Safety, Implementation

Session Overview

In recent years, a variety of new surgical robots have emerged, expanding options for minimally invasive surgery. This session will share each platform’s characteristics and advantages, tips for implementation, and clinical outcomes, and will explore prospects for achieving safe and effective MIS.

Keyword

Robotics, Innovationm, Minimally-invasive

Session Overview

Laparoscopic para-aortic lymphadenectomy is technically demanding, and current practice varies among institutions in technique and indications. This panel will discuss approach selection, measures to ensure safety, and the potential to broaden indications, and will identify issues toward future standardization.

Keyword

Para-aortic lymphadenectomy, Safety, Standardization

Session Overview

Although conversion surgery for advanced gastric cancer might improve outcomes, optimal timing and procedure selection remain unsettled. In this discussion, speakers will draw on their own experience to debate patient selection, intraoperative tips, and strategies to avoid complications, with the goal of optimizing treatment plans.

Keyword

Conversion surgery, Timing, Optimization

Session Overview

The dissemination of robot-assisted surgery in the upper GI field requires a safe and efficient training system. This panel will address curriculum design, training pathways and supervision, practical methods for assessing proficiency, current challenges, and future prospects, aiming to establish a practical and sustainable education model.

Keyword

Education, Proficiency, Sustainability

Session Overview

Hybrid surgery that combines robot-assisted and laparoscopic procedures is expected to improve outcomes by leveraging the strengths of both. Through discussion of indication, technical refinements, intraoperative challenges, and case reviews, the session will consider the practical significance of hybrid surgery and future perspectives.

Keyword

Hybrid surgery, Indication, Technique

Session Overview

Surgical and endoscopic approaches for PPI-refractory GERD offer a range of therapeutic options. In this panel, speakers will draw on clinical experience to exchange views on patient selection, procedural features, complication prevention, and postoperative outcomes, with the aim of building optimal treatment strategies.

Keyword

GERD, PPI resistance, Therapeutics

Session Overview

An anatomical understanding of the thoracoabdominal junction is key to safe and effective lymphadenectomy in endoscopic surgery. This panel will explore clinical practice and intraoperative techniques in depth from multiple perspectives to seek optimal dissection strategies and share new insights to advance technique.

Keyword

thoracoabdominal anatomy, Lymphadenbectomy, Endoscopic Surgery

Session Overview

Minimally invasive surgery for far-advanced esophageal cancer still presents many technical challenges. This workshop will share the latest procedures, technical refinements, and intraoperative troubleshooting, and—through interactive discussion—seek improvements and new approaches to raise quality and advance technique.

Keyword

Advanced esophageal cancer, Endoscopic surgery, Technical challenges

Session Overview

The use of AI in minimally invasive surgery for esophageal cancer is opening new possibilities for preoperative diagnosis and intraoperative support. This workshop will introduce the latest AI tools and systems, share real-world challenges and expectations, and discuss how AI can improve operative efficiency and safety.

Keyword

Esophageal cancer, Endoscopic surgery, Artificial intelligence

Session Overview

Gastrectomy in obese patients involves anatomical variation and higher technical difficulty, requiring specific precautions. This workshop will share practical know-how—technical refinements, port placement, and responses to intraoperative problems—and, through discussion with participants, aim to achieve safe and effective surgery.

Keyword

Gastrectomy, Obesity, Technical tips

Session Overview

Mediastinoscopic esophagectomy is a newer technique aimed at precise, minimally invasive surgery, but technical issues and clearer indications are still needed. This workshop will present the latest techniques, technical refinements, and intraoperative troubleshooting, and will chart a path to improvement through active discussion.

Keyword

Transmediastinal esophagectomy, Minimally incasive surgery, Tecnical refinements

Session Overview

This session will discuss the technical and safety benefits of robotic-assisted colorectal cancer surgery, the current situation and issues, treatment outcomes, medical costs, and cost-effectiveness in various countries, by resenting actual implementation status, treatment outcomes, medical costs, etc., and will also discuss resolution and future prospects of robotic-assisted colorectal cancer surgery.

Keyword

Robotic surgery, Surgical safety, Cost effectiveness

Session Overview

Lymph node dissection in the surgical trunk area for right-sided colon cancer and lateral lymph node dissection for lower rectal cancer have developed into specialties in Japan. The magnification effect of laparoscopic and robotic surgery also improves the precision of these techniques. This session will be an opportunity to learn about efficient and safe lymph node dissection with minimal bleeding, by presenting to actual these lymph node dissection techniques and pitfalls.

Keyword

lymph node dissection, surgical trunk, lateral lymph node

Session Overview

New models of Robot-assisted surgery have entered from Japan and around the world. This session will explore the future prospects for robotic colorectal surgery, comparing the current situation of new models with conventional models in terms of device function, safety, effectiveness, and medical costs, and identifying issues.

Keyword

New robotic surgery, colorectal surgery, surgical cost

Session Overview

Bridge to surgery can avoid emergency surgery for advanced colorectal cancer with bowel obstruction by temporarily placing a self-expanding metallic stent (SEMS). Furthermore, time is secured for stabilization of the patient's general condition and preoperative evaluation, allowing for planned, safety and radical surgery, and the avoidance of the need for a stoma. On the other hand, there is room for consideration regarding the optimal waiting period and surgical procedure, and the incidence of complications and long-term prognosis have not been clarified. In this session, we invite presentations on each institution's perioperative management methods, surgical techniques, and short- and long-term treatment outcomes.

Keyword

SEMS, Bridge to Surgery, Obstructive CRC

Session Overview

This session will examine the selection and effectiveness of neoadjuvant treatment strategies for locally advanced rectal cancer, focusing on chemoradiotherapy (CRT) and total neoadjuvant therapy (TNT). Faculty will compare their impact on tumor downstaging, pCR rates, sphincter preservation, and postoperative outcomes. The session will also address patient selection, treatment-related toxicity, and emerging evidence supporting the use of TNT. Through evidence-based discussion, participants will gain insights into optimizing treatment pathways for advanced rectal cancer.

Keyword

Rectal cancer, Neoadjuvant therapy, Non-operative management

Session Overview

Fluorescence-guided surgery and AI-navigated surgery are advanced techniques that visualize organs, blood vessels, lymph nodes, tumors, etc. to assist surgeons in making decisions during surgery. Real-time, highly accurate navigation will enable more fine surgery and complete resection of lesions, and is expected to improve safety and treatment outcomes. In this session, we invite presentations on actual surgical techniques, innovations, and treatment outcomes.

Keyword

Fluorescence-guided surgery, Artificial intelligence, Navigation surgery

Session Overview

This session will review the short- and long-term outcomes of intracorporeal anastomosis in colon cancer surgery. Speakers will compare perioperative results, recovery, and oncologic safety with extracorporeal anastomosis. Key topics include anastomotic leakage, SSI reduction, specimen handling, and recurrence patterns. Using current evidence and real-world data, the session aims to clarify the role of intracorporeal anastomosis in minimally invasive colon cancer surgery.

Keyword

colon cancer, intracorporeal anastomosis, short and long-term outcome

Session Overview

Preoperative treatment for rectal cancer, such as chemotherapy or radiotherapy, is expected to improve long-term outcomes and reduce the rate of local recurrence. Although preoperative treatment is expected to shrink tumours and improve local control, thereby enabling more radical resection, there have been reports of increased technical difficulty and a higher risk of complications due to tissue changes such as fibrosis and edema. We would like to hear presentations on the technical approaches adopted and the treatment outcomes achieved at each institution.

Keyword

Rectal cancer, Preoperative chemoradiotherapy, Minimally invasive surgery

Session Overview

Treatment for Stage IV colorectal cancer has improved due to advances in chemotherapy. However, it is considered that an integrated strategy, combining surgical treatment with approaches such as conversion from unresectable disease and management of stenotic cases, significantly impacts both treatment outcomes and patient quality of life. Here, we invite discussion on the timing of surgical intervention and choice of surgical procedure within the overall treatment approach for Stage IV colorectal cancer at each institution.

Keyword

Stage IV CRC, surgical treatment, conversion to resection

Session Overview

The technical certification examination remains a formidable challenge. With laparoscopic surgery and robot-assisted surgery now being performed in parallel, we request presentations on each institution's approaches to effective training methods for both techniques. Furthermore, for those aiming to obtain certification in colorectal surgery, we also request presentations on methods for high-scoring dissection and mobilisation techniques, coordination and standardisation with assistants and scopes operators, and techniques specific to robot-assisted surgery.

Keyword

laparoscopic and robotic surgery, education, skill certification

Session Overview

Robotic-assisted surgery is increasingly being applied to colon cancer. We request a presentation on its current safety and efficacy, and if it is replacing laparoscopic surgery, we also request discussion on its superiority. Furthermore, we expect a comprehensive discussion covering challenges and costs associated with its widespread adoption, as well as the training of surgeons for colon cancer which surgeons at an early stage in their careers.

Keyword

Robotic surgery, colon cancer, surgical education

Session Overview

Speakers will address strategies for managing obesity, adhesions, a narrow pelvis, and other factors that complicate endoscopic procedures. We aim to share practical tips for securing visualization in obese or narrow-pelvis patients, refining operative steps, and efficiently handling adhesions, including those after multiple surgeries or in persistent descending mesocolon.

Keyword

difficult situation, minimally invasive surgery, persistent descending mesocolon

Session Overview

In Japan, postoperative hospital stays after colorectal resection remain longer than in Western countries, partly due to variations in clinical pathways such as bowel preparation, pre- and postoperative testing and fluids, diet initiation, drain use and removal, and discharge criteria. We hope to share each institution’s perioperative management practices and discuss their rationale and costs to help refine future clinical pathways.

Keyword

colorectal surgery, clinical path, hospital stay

Session Overview

This session will focus on the practical aspects of minimally invasive extended pelvic surgery for advanced malignancies. Presenters will describe key anatomical landmarks, nerve-preserving strategies, and technical refinements for procedures such as lateral lymph node dissection and extended pelvic resections. Real-time decision-making, risk reduction, and the integration of laparoscopic and robotic platforms will be highlighted. The session aims to provide participants with practical insights that enhance safety, radicality, and functional preservation in complex pelvic surgery.

Keyword

Minimally invasive surgery, Total pelvic exeteration, Combined resection

Session Overview

This session will explore strategies for recognizing, managing, and preventing intraoperative complications in gastrointestinal surgery. Through case-based discussions, faculty will examine common and critical scenarios including bleeding, organ injury, anatomical variations, and device-related problems. Emphasis will be placed on surgical judgment, situational awareness, and team communication during unexpected events. Participants will gain practical approaches to improving intraoperative safety and maintaining surgical quality under challenging conditions.

Keyword

intraoperative complication, trouble shooting, conversion to open surgery

Session Overview

This session will review the current evidence and challenges related to minimally invasive surgery for inflammatory bowel disease. Topics include laparoscopic and robotic approaches for ulcerative colitis and Crohn’s disease, patient selection, perioperative optimization, and management of immunosuppressive therapy. Presenters will also address complications, reoperation rates, functional outcomes, and quality of life. The session aims to clarify the evolving role of minimally invasive techniques in complex IBD surgery and discuss future directions for improving patient outcomes.

Keyword

IBD, minimally invasive surgery, total proctocolectomy

Session Overview

Surgery for diverticulitis can be challenging due to the risk of inflammation spreading to neighbouring organs and fibrosis. However, recent advances in surgical techniques mean that minimally invasive surgery is now a viable option. This approach is considered particularly suitable for elderly patients and those with comorbidities. In this session, we invite presentations on the indications for minimally invasive surgery for diverticulitis, technical innovations, strategies for avoiding intraoperative injury, and treatment outcomes.

Keyword

diverticulitis, minimally invasive surgery, intraoperative complications

Session Overview

In surgery for splenic-flexure cancer or left transverse colon cancer, key points of discussion include the surgical approach, identification of feeding vessels and lymphadenectomy extent, management of the greater omentum, and techniques to avoid spleen and pancreas injury. We aim to discuss ways to improve exposure, streamline the procedure, reduce complications, and address the specific challenges and solutions in both laparoscopic and robotic surgery.

Keyword

splenic flexure, minimally invasive surgery, lymph node dissection

Session Overview

Minimally invasive surgery for right-sided colon cancer includes medial, cranial, and retroperitoneal approaches, with variation between centers. Presentations will cover each approach’s advantages, key techniques, lymphadenectomy, pitfalls, and case-based approach selection.

Keyword

minimally invasive surgery, right hemi colectomy, surgical approach

Session Overview

Anastomotic leakage after rectal resection remains a serious unresolved issue. Presentations will cover each center’s strategies—including preoperative preparation, intraoperative perfusion assessment, additional suturing, transanal drains, and temporary stomas—and their outcomes. The usefulness of minimally invasive surgery for treating peritonitis from leakage will also be discussed.

Keyword

anastomotic leak, rectal resection, peritonitis

Session Overview

Laparoscopic cholecystectomy is a widely established standard procedure; however, serious complications such as bile duct injury still occur. As this operation is frequently performed by young surgeons, achieving zero morbidity requires both standardization of surgical techniques and the establishment of structured educational systems. In this session, we invite presentations on institutional efforts and strategies to reduce complications and aim to share knowledge toward achieving safer cholecystectomy.

Keyword

laparoscopic cholecystectomy, bailout procedure, bile duct injury

Session Overview

Surgical resection for hilar cholangiocarcinoma requires highly delicate techniques, including meticulous dissection and division of the hilar vessels and complex biliary reconstruction with multiple anastomoses, in addition to the inherent difficulty of achieving negative surgical margins. In recent years, the introduction of robotic surgery for this challenging disease has been progressing both in Japan and worldwide. This session aims to discuss whether robotic surgery can overcome these technical challenges and to explore its current status and future potential in terms of curability and safety.

Keyword

robotic surgery, periihilar cholangiocarcinoma, Klatskin tumor

Session Overview

Minimally invasive approaches are increasingly being applied to highly complex hepatobiliary and pancreatic procedures such as vascular resection, hilar cholangiocarcinoma, and liver transplantation. However, these surgeries remain technically demanding and are often associated with prolonged operative time and challenges in ensuring oncological radicality. Is minimally invasive surgery truly beneficial in these settings? Comprehensive evaluation—including not only short-term outcomes such as safety, but also oncological validity and long-term results—is essential. In this session, we invite presentations discussing the potential and limitations of minimally invasive approaches for these highly complex cases.

Keyword

minimally invasive HPB surgery, vascular resection, advanced HPB surgery

Session Overview

Laparoscopic liver resection (LLR) has been established as a standard approach for hepatic surgery, while the introduction of robotic liver resection (RLR) has rapidly progressed in recent years. The advantages of RLR—such as enhanced dexterity with articulated instruments and a three-dimensional magnified view—are increasingly recognized. However, several challenges remain, including device limitations, cost-effectiveness, disparities in access across institutions, and training of the next generation of surgeons. This session aims to compare these two techniques from multiple perspectives and discuss whether robotic liver resection truly surpasses laparoscopic liver resection, as well as explore the future of liver surgery.

Keyword

robotic liver resection, laparoscopic liver resection, future perspective

Session Overview

In recent years, minimally invasive pancreatectomy has been increasingly introduced even for advanced pancreatic cancer; however, its indications and the choice of operative procedures remain subjects of debate. In particular, for tumors close to major vessels such as the portal vein or superior mesenteric artery, careful consideration is required from both oncological and technical perspectives. This session invites presentations on the criteria for selecting candidates, surgical approaches, and the safety and efficacy of minimally invasive surgery for advanced pancreatic cancer.

Keyword

minimally invasive pancreatic resection, indications for minimally invasive surgery, pancreatic cancer

Session Overview

We invite abstracts on the outcomes, safety, and challenges of minimally invasive surgery for living liver donors across countries. We also welcome analyses of the current situation in Japan, international differences, and future challenges. In addition, the session will address the current status and potential of minimally invasive approaches for liver transplant recipients, with the aim of discussing the future of minimally invasive surgery in liver transplantation.

Keyword

liver transplantation, minimally invasive living donor liver resection, minimally invasive surgery for liver transplant recipients

Session Overview

Minimally invasive surgery for gallbladder cancer is becoming increasingly widespread; however, the risks of residual disease and intraoperative bile spillage remain major concerns. Accurate preoperative assessment of tumor depth is often difficult, leading to uncertainty in determining the optimal surgical procedure. Furthermore, the appropriate extent and clinical benefit of prophylactic lymph node dissection have not been clearly established. This session will focus on discussing the criteria for selecting surgical procedures—including whole layer cholecystectomy and gallbladder bed resection—as well as the indications and extent of lymph node dissection.

Keyword

gallbladder cancer, minimally invasive surgery, radical cholecystectomy

Session Overview

To achieve truly minimally invasive liver resection, surgeons must not only minimize postoperative complications but also respond appropriately to unexpected intraoperative events such as massive bleeding, device malfunction, and difficulties in securing the operative field or access route. In this session, presenters are invited to share practical troubleshooting strategies and innovations in both laparoscopic and robot-assisted liver resection, illustrated with specific clinical cases, as well as approaches to prevent such intraoperative troubles.

Keyword

minimally invasive hepatobiliary and pancreatic surgery, troubleshooting, management of bleeding

Session Overview

With the advancement of minimally invasive surgery, an increasing number of young surgeons now perform laparoscopic procedures without prior experience in open surgery, and an era may soon come when training begins directly with robotic surgery. Is prior experience in open surgery still necessary? Should laparoscopic experience be required before performing robotic procedures? This session aims to discuss from multiple perspectives the optimal approach to training young surgeons in minimally invasive liver resection, including the potential role of AI-based educational systems.

Keyword

minimally invasive liver surgery, education, training

Session Overview

Surgical robots offer numerous advantages; however, their acquisition, maintenance, and device-related costs remain significantly higher than those of open or conventional laparoscopic surgery. In hepatobiliary and pancreatic surgery, where procedures are often prolonged, the resulting reduction in case volume and increased personnel costs are also important considerations. This session aims to discuss what is needed to ensure the long-term sustainability of robotic surgery in the hepatobiliary and pancreatic field.

Keyword

robotic HPB surgery, financial impact, personnel costs

Session Overview

Although robotic pancreaticoduodenectomy (RPD) still requires institutional accreditation and remains technically demanding, the number of cases has been steadily increasing. To achieve both curability and safety, surgeons have developed various technical refinements while identifying differences from laparoscopic procedures and addressing current challenges. In this session, presenters are invited to share their institutional experiences, including specific techniques and outcomes, and to discuss the key challenges and innovations in robotic pancreaticoduodenectomy.

Keyword

robot-assisted pancreaticoduodenectomy , laparoscopic pancreaticoduodenectomy, surgical technique

Session Overview

ICG-guided liver resection is highly useful for visualizing anatomical resection planes and tumor localization, and its application has rapidly expanded in recent years alongside the development of robotic and laparoscopic techniques. In this session, presenters are invited to discuss not only the practical methods of ICG use but also strategies for selecting between robotic and laparoscopic approaches, procedural refinements specific to each modality, and considerations for ensuring safety.

Keyword

ICG-guided liver resection, lobotic liver resection, laparoscopic liver resection

Session Overview

The magnified view provided by laparoscopic surgery has dramatically advanced the understanding of microanatomical structures in the hepatobiliary and pancreatic regions—structures that were previously difficult to appreciate during open surgery. This progress has significantly improved the precision and safety of minimally invasive procedures. In this session, we invite presentations on technical innovations and practical strategies for safely and effectively performing complex hepatobiliary and pancreatic surgeries based on detailed microanatomical knowledge.

Keyword

minimally invasive HPB surgery, precise surgical anatomy, surgical techinique

Session Overview

In robotic liver resection, techniques for surgical field exposure, methods of parenchymal transection, and selection of instruments vary among institutions, and a standardized procedure has yet to be established. Each center continues to explore strategies to achieve safe and smooth transection while minimizing intraoperative bleeding. In this session, presenters are invited to share practical techniques and strategies for parenchymal transection, methods for hemostasis, and effective use of devices, from a hands-on and pragmatic perspective.

Keyword

robotic liver resection, liver parenchymal transection, useful devices

Session Overview

Splenic vessel–preserving distal pancreatectomy has been increasingly performed in recent years from the perspective of organ preservation; however, this procedure requires meticulous vascular dissection and can be technically challenging under laparoscopy. Inappropriate use of energy devices may increase the risk of splenic vessel thrombosis, whereas robotic surgery offers the potential to perform these delicate maneuvers more safely. In this session, presenters are invited to share their institutional experiences regarding technical refinements, intraoperative precautions, and short-term outcomes, and to discuss the usefulness of this procedure when performed with robotic assistance.

Keyword

Spleen-preserving distal pancreatectomy, Kimura method, surgical technique

Session Overview

There are various surgical approaches for abdominal wall hernia. However, the treatment strategies and surgical options remain controversial. For Laparoscopic repair, this session will share each approach including their ingenuity, tips, and pitfalls by experts, and deepen the discussion of best practice.

Keyword

Abdominal Wall Hernia, Laparoscopic Surgery, Tips and Pitfalls

Session Overview

There are various surgical approaches for inguinal hernia. However, the treatment strategies and surgical options remain controversial. For Laparoscopic repair, this session will share each approach including their ingenuity, tips, and pitfalls by experts, and deepen the discussion of best practice.

Keyword

Inguinal Hernia, Laparoscopic Surgery, Tips and Pitfalls

Session Overview

For high-risk abdominal wall hernia, it is necessary to aim for reliable repair while preventing complications such as infection, recurrence, and pain. However, treatment strategies and surgical options based on risk factors of each case remain controversial. This session will share the latest surgical strategies, management, and long-term results to explore the safety and efficacy for these high-risk cases, and reconsider optimal treatment guidelines.

Keyword

Abdominal Wall Hernia, High-risk Case, Surgical Approach

Session Overview

For inguinal hernia as benign disease, it is necessary to aim for reliable repair while preventing postoperative complications such as infection, recurrence, and pain. Among these complications, CPIP can be prevented with a thorough understanding in advance. This session will share each procedure by experts, and reconsider reliable methods for preventing CPIP.

Keyword

Inguinal Hernia, CPIP, Tips and Pitfalls

Session Overview

There are various surgical approaches for abdominal wall hernia. However, the treatment strategies and surgical options remain controversial. IPOM Plus, one of these procedures, is still far from common. This session will share each approach including their ingenuity, tips, and pitfalls, and deepen the discussion of current status and future prospects.

Keyword

Abdominal Wall Hernia, IPOM Plus, Tips and Pitfalls

Session Overview

There are various surgical approaches for incisional abdominal hernia. However, the treatment strategies and surgical options remain controversial. Laparoscopic retromusculer repair, one of these procedures, is gaining popularity, but is still far from common. This session will share each approach including their ingenuity, tips, and pitfalls, and deepen the discussion.

Keyword

Laparoscopic Retromusculer Repair, Incisional Hernia, Tips and Pitfalls

Session Overview

The number of robot-assisted surgery, primarily for malignant neoplasms, is rapidly increasing in Japan. However, robotic surgery for inguinal hernia is not covered by health insurance, so it is now performed on a self-pay care fee at the limited facilities. This session will share its advantages and disadvantages, as well as its cost-effectiveness for adult hernia, and discuss its current status and future prospects.

Keyword

Robotic Surgery, Hernia, Future Prospects

Session Overview

Following the JCOG0802 trial, anatomical segmentectomy has been increasingly implemented in many institutions. This session will present clinical outcomes and complication profiles of robot-assisted thoracoscopic segmentectomy and discuss current evidence and future directions through comparisons with conventional techniques.

Keyword

segmentectomy, RATS, Complications

Session Overview

Reduced-port robot-assisted thoracoscopic surgery (RATS) has been introduced as part of the ongoing pursuit of minimally invasive thoracic surgery. This session will present institutional experiences and data comparing treatment outcomes, safety, and operability between reduced-port and multi-port RATS, and discuss current challenges and future perspectives for broader implementation.

Keyword

reduce-port RATS, multi-port RATS, minimally invasive surgery

Session Overview

Securing an adequate surgical margin is a key determinant of therapeutic outcomes in pulmonary segmentectomy. This session will discuss technical approaches such as preoperative imaging, intraoperative navigation, and resection line planning, focusing on innovations, challenges, and future perspectives.

Keyword

segmentectomy, surgical margin, navigation system

Session Overview

Perioperative treatment for lung cancer has advanced significantly, and surgical cases are steadily accumulating. This session will highlight the current state of minimally invasive surgery in patients receiving perioperative therapy, presenting clinical experiences that demonstrate treatment strategies, technical refinements, and approaches to minimize complications. Through multidisciplinary discussion, we aim to explore the possibilities and challenges of minimally invasive surgery and to identify future directions for surgical management.

Keyword

perioperative treatment, minimally invasive surgery, surgical outcomes

Session Overview

Minimally invasive techniques have become widely adopted in surgery for anterior mediastinal tumors. This session will review the current status and indications of thoracoscopic and robot-assisted approaches, as well as troubleshooting and practical issues encountered in daily practice. By sharing institutional experiences and discussing ongoing challenges, we aim to explore the optimal strategies and future directions for surgical management of anterior mediastinal tumors.

Keyword

RATS, VATS, surgical outcomes

Session Overview

Establishing effective teaching and mentoring methods tailored to different surgical approaches is essential for training young surgeons. This session will focus on educational strategies and practical innovations in robotic, thoracoscopic, and open surgery. Speakers will share experiences in intraoperative guidance and curriculum design, and discuss how to enhance the quality of surgical education and foster the next generation of skilled thoracic surgeons.

Keyword

RATS, VATS, surgical training

Session Overview

Thoracoscopic surgery has been established as a standard procedure for lung cancer, while robot-assisted surgery has rapidly gained adoption in recent years.
This session will discuss institutional perspectives on differences in indications and clinical decision-making between robotic and thoracoscopic surgery, exploring their respective advantages, limitations, and future roles through open discussion and experience sharing.

Keyword

RATS, VATS, surgical approach

Session Overview

In the field of pediatric urology, many procedures—including pyeloplasty and nephrectomy—are now indicated for laparoscopic and robot-assisted surgery, with increasing insurance coverage. In recent years, laparoscopic surgery for vesicoureteral reflux (extravesical approach) has been approved for insurance coverage. Additionally, more specialized procedures, such as laparoscopic intravesical surgery, have also been included. In this symposium, we would like speakers to present on differences in surgical approaches, key technical points, and surgical outcomes, including procedures that are not yet covered by insurance.

Keyword

Laparoscopic Surgery, Robotic Surgery, Pediatric Urology

Session Overview

Laparoscopic surgery for congenital biliary dilatation has been covered by insurance in Japan since 2016, marking ten years since its approval. Currently, robot-assisted surgery has also been approved for insurance coverage, and among gastrointestinal procedures in pediatric surgery, it is the most widely performed robot-assisted operation. In this symposium, we invite presentations on best practices for both laparoscopic and robot-assisted surgery for congenital biliary dilatation.

Keyword

Congenital Biliary Dilatation, Laparoscopic Surgery, Robotic Surgery

Session Overview

Laparoscopic surgery for biliary atresia was approved for insurance coverage in 2018; however, due to existing institutional requirements, the number of facilities able to perform the procedure remains limited. In this symposium, we invite presentations discussing the necessity of these institutional standards, based on surgical outcomes and safety data accumulated over the eight years since insurance approval.

Keyword

Biliary Atresia, Laparoscopic Surgery, Medical Insurance System

Session Overview

Thoracoscopic repair of congenital esophageal atresia has been covered by insurance in Japan since 2016, marking ten years since its approval. Although the procedure requires highly advanced suturing skills and meticulous anesthetic management—and thus remains limited to a small number of institutions—its indications have been gradually expanding. In this panel discussion, we aim to explore in depth the indications and limitations of the thoracoscopic approach for Gross type A and long-gap Gross type C esophageal atresia.

Keyword

Tracheo-Esophageal Fistula, Long Gap, Thoracoscopic Repair

Session Overview

In the pediatric field, endoscopic surgery is ideally performed by a highly specialized and well-coordinated surgical team. In recent years, robot-assisted surgery has also been introduced in pediatric practice, requiring careful attention to complications unique to children. In this workshop, we invite presentations from various professionals—including surgeons, nurses, clinical engineers, and anesthesiologists—on team-based medical care and safety management in pediatric endoscopic surgery.

Keyword

Pediatric Endoscopic Surgery, Team Medical Care, Safety Management

Session Overview

In the pediatric field, the declining birth rate represents a serious and pressing issue, and it is expected to have a significant impact on various aspects of pediatric endoscopic surgery in the future. In this workshop, we invite presentations addressing key challenges in pediatric endoscopic surgery during the era of declining birth rates, including certification systems, training programs, and the transmission of surgical skills to the next generation.

Keyword

Declining Birthrate, Endoscopic Surgical Skill Qualification System, Training System

Session Overview

Cases of common pediatric diseases—such as inguinal hernia and acute (or chronic) appendicitis—are relatively frequent, and endoscopic surgery for these conditions does not typically require advanced suturing skills. Therefore, these procedures also serve as important opportunities for basic surgical training. In this workshop, we invite presentations on the knacks and pitfalls of endoscopic surgery for common pediatric diseases.

Keyword

Pediatric Endoscopic Surgery, Common and Rare Disease, Knack and Pitfalls

Session Overview

Young surgeons not only gain experience through their own institutions but also study endoscopic surgery through academic meetings, workshops, training courses, and online videos. Many of them develop their own unique approaches and principles that differ from those of their mentors. In this workshop, we invite presentations exclusively from surgeons aged 45 and under, focusing on their passion, curiosity, beliefs, and personal philosophies in pediatric endoscopic surgery.

Keyword

Pediatric Endoscopic Surgery, Young Surgeons, Commitment

Session Overview

The use of robot-assisted surgery in gynecology is expanding; however, complications specific to this procedure are also being observed. In this symposium, we have invited experts to discuss the current status of these complications in Japan and to share their insights on countermeasures.

Keyword

robot-assisted surgery, complication, gynecology

Session Overview

The gynecologic MIS certification system improves safety but raises concerns regarding unnecessary laparotomies and the erosion of open surgery skills. We address the system's clinical pros, cons, and future perspectives.

Keyword

laparoscopic surgery, robot-assisted surgery, certification

Session Overview

This session addresses the challenges of acquiring MIS certification for female gynecologists balancing family duties. We discuss the certification's value and future, sharing insights from physicians at different career phases.

Keyword

female surgeon, certification, laparoscopy

Session Overview

Managing extragenital endometriosis requires multidisciplinary collaboration, yet the scope of gynecological minimally invasive surgery (MIS) varies by facility. This panel features experts discussing the feasible limits and boundaries of gynecological MIS for these complex cases.

Keyword

bowel endometriosis, urinary endometriosis, thoracic endometriosis

Session Overview

This presentation examines the evolving role of laparoscopy in ovarian cancer, addressing concerns such as staging risks and PDS indications. We discuss current challenges and future perspectives regarding safety and oncologic outcomes.

Keyword

ovarian cancer, debulking surgery, diagnostic laparoscopy

Session Overview

In robot-assisted radical cystectomy, ECUD and ICUD are performed as methods of urinary reconstruction; however, complication rates and operative times vary among institutions. Please present in detail the advantages and disadvantages of each approach.

Keyword

RALC, ECUD, ICUD

Session Overview

Institutional Approaches and Techniques for the Safe Performance of RANU

Keyword

RANU, LND, tecchnique

Session Overview

IVC tumor thrombectomy is a technically demanding procedure that requires careful case selection and technical refinements to ensure safety. Institutional approaches and experiences will be discussed.

Keyword

RARN, IVC, thrombectomy

Session Overview

The necessity of lymph node dissection in prostate cancer surgery remains a subject of debate. This session will discuss institutional practices, indications, dissection extent, and the significance of PLND, along with future perspectives.

Keyword

RALP, LND, technique

Session Overview

The optimal extent of lymph node dissection in radical cystectomy remains a matter of debate. As the therapeutic significance of super-extended lymph node dissection continues to be questioned, this session will discuss the necessity and optimal range of dissection based on current practices at each institution.

Keyword

RALC, LND, indication

Session Overview

The potential introduction of robot-assisted surgery in kidney transplantation has attracted increasing attention. The current status and future perspectives in Japan and abroad will be discussed.

Keyword

RSC, complication, technique

Session Overview

The potential introduction of robot-assisted surgery in kidney transplantation has attracted increasing attention. The current status and future perspectives in Japan and abroad will be discussed.

Keyword

kidney, transplantation, robot

Session Overview

While various surgical procedures have been developed for metabolic and bariatric surgery, the emergence of incretin-based drugs has brought renewed attention to pharmacological treatments. Bridge bariatric surgery is also gaining attention. We would like to discuss the current global situation for each of these approaches, along with the supporting evidence.

Keyword

Sleeve plus, Revision surgery, Robotic surgery

Session Overview

In 2024, GLP-1 analogs were approved as a treatment for obesity, and new incretin-based drugs have also emerged. While their effects seem to be comparable to surgery, there are also issues such as the inability to administer long-term, weight regain after discontinuation, and side effects. In this context, we would like to discuss the differences in indications and appropriate use compared to metabolic and bariatric surgery, as well as collaboration with drug therapy.

Keyword

GLP-1, Metabolic and bariatric surgery, comprehensive approach

Session Overview

Gastric cancer surgery and metabolic and bariatric surgery differ significantly in terms of patient background, objectives, and surgical techniques. Sharing the concepts and expertise of each surgery can lead to the advancement and new developments in both procedures.

Keyword

Robotic surgery, Nutrition, Complication

Session Overview

In recent years, "bridge bariatric surgery," performed to control body weight in preparation for surgery for other diseases, has also been attracting attention. Bridge bariatric surgery is now being considered for orthopedic and gynecological conditions, as well as in organ transplantation and for even malignant diseases. We would like to discuss the current situation and future challenges of bridge bariatric surgery.

Keyword

Malignancy, Body weight control, Orthopedic surgery

Session Overview

Adolescents’ obesity is becoming a major social problem worldwide. Furthermore, obesity in the elderly often involves sarcopenic obesity and impaired motor function, and its pathology differs significantly from that in younger individuals. International guidelines suggest that in both cases, surgical indications should not be determined solely by age, but rather by the overall health condition. We would like to discuss the future surgical indications for young and elderly patients.

Keyword

Elderly patients, Adolecent, Nutrition

Session Overview

In 2024, the sleeve gastrectomy with bypass procedure has been included in the national health insurance coverage in Japan. Around the world, various procedures combining sleeve gastrectomy with small intestinal bypass surgery have been developed and are collectively referred to as "sleeve plus" procedures. We would like to discuss what constitutes an appropriate procedure for sleeve plus bypass surgery in Japanese patients.

Keyword

Sleeve bypass, Sleeve plus, Long-term outcome

Session Overview

Endoscopic surgery for breast cancer is increasingly becoming an option, particularly for patients prioritizing cosmetic outcomes. Meanwhile, the Japanese Breast Cancer Society is advancing efforts to ensure the safe implementation of robot-assisted breast surgery, specifically for nipple-sparing mastectomy. Both approaches face challenges such as cost and specialist training, making the accumulation of evidence and institutional development key to their widespread adoption. We request a presentation covering the current status and future prospects of these technologies.

Keyword

endoscope-guided breast surgery, robot assisted breast surgery, breast cancer

Session Overview

Otolaryngology is a medical specialty that deals with diseases affecting cavities and tubular organs such as the ear, nose, paranasal sinuses, pharynx and larynx. In recent years, minimally invasive endoscopic surgeries have been developed for all of these regions, utilizing natural body orifices as working spaces. In the deeper areas of these cavities and orgns, critical structures such as nerves, blood vessels, sensory organs, and even the brain must be carefully preserved to avoid injury. In this symposium, we invite presentations on safe endoscopic surgical techniques for accessing deeper cavities, as well as long-term treatment outcomes and the supporting evidence.

Keyword

Transcanal Endoscopic Ear Surgery (TEES), Endoscopic sinus surgery (ESS), Endoscopic Laryngopharyngeal Surgery (ELPS)

Session Overview

Endoscopic thyroid surgery was first introduced in the late 1990s as the video-assisted neck surgery (VANS). With over two decades of development, both endocrine surgeons and head and neck surgeons in Japan have contributed to its evolution, adopting various approaches beyond the original method—including VANS modifications and gas insufflation techniques. These innovations have since spread across Asia and Western countries. In this panel discussion, we aim to explore and exchange ideas on the surgical strategies and refinements developed by specialists in endocrine surgery and otolaryngology.

Keyword

Video Associated Neck Surgery, Endocrine Surgeon, Head and Neck Surgeon

Session Overview

In the field of head and neck surgery, transoral robotic surgery(TORS) in Japan was approved for national health insurance coverage in 2022. Currently, TORS has been available at several dozen institutions across Japan. In 2023, the single-port da Vinci SP system-considered more suitable for head and neck procedures compared to the multi-arm da Vinci Xi-was introduced to the market. This panel discussion aims to explore the current status of TORS in head and neck surgery, compare the da Vinci Xi and SP systems, and examine their respective indications and limitations.

Keyword

Trans Oral Robotic Surgery, Surgical technique, Indication & limitation

Session Overview

The introduction of robotic surgery has improved precision, reduced invasiveness, lessened surgeon workload, and sped patient recovery, but challenges remain, including cost and learning curve. This session will review these benefits and issues, explore how robotics can shape the future of surgery, and present evidence from large databases and RCTs.

Keyword

Robotic surgery, Evidence, Clinical trial

Session Overview

Harassment in healthcare has become a major social issue, and endoscopic surgery is no exception. This session will focus on power and gender harassment, boundaries in teaching, and other challenges specific to endoscopic surgery, sharing real cases and discussing countermeasures to foster a safe and supportive learning and working environment.

Keyword

Harassment Prevention, Endoscopic Surgical Education, Safe and Equitable Work Environment

Session Overview

With more female surgeons and diverse work styles, the composition of the OR is changing, yet challenges like unconscious bias, gender gaps, and generational differences remain. This session will discuss practices and challenges in fostering diversity and collaboration among surgeons, nurses, and clinical engineers to achieve better team-based care.

Keyword

Interprofessional Collaboration, Operating Room Culture, Unconscious Bias

Session Overview

In Asia, medical device development driven by clinical needs is expanding, with diverse models of industry-academia collaboration. This symposium will showcase examples from Japan and other Asian countries, discussing the current status and future prospects of novel device development in endoscopic surgery, including international collaboration, regulatory issues, and commercialization strategies.

Keyword

Industry-Academia Collaboration, Medical Device Development, International Collaboration in Asia

Session Overview

Endoscopic surgery strives for high quality and safety but generates significant environmental impact. This panel will discuss surgeons’ efforts to reduce waste and emissions, use reusable materials, design eco-friendly ORs, and promote education, exploring practical strategies for sustainable healthcare.

Keyword

Sustainability, Medical Waste, Environmentally Conscious Healthcare

Session Overview

AI is increasingly applied across society, and its potential in endoscopic surgery continues to grow. Beyond intraoperative navigation and skill assessment, new applications are emerging. Against the backdrop of digital surgery, this session will explore AI’s possibilities and future in surgical care from multiple perspectives.

Keyword

AI, digital, innovation,

Session Overview

Sustainability has become a global issue, and the large volume of waste generated by surgical care is increasingly recognized as a threat to the environment. Discussion on this problem has only recently begun. In this session, we hope to explore SDGs and surgical treatment from a broad range of perspectives.

Keyword

SDGs ,Ethical, Environmental,

Session Overview

Clinical research using real-world big data generates evidence from perspectives that differ from clinical trials conducted under predefined criteria. In recent years, studies utilizing big data have been increasing, and this trend is extending to endoscopic surgery as well. In this session, we invite presentations on various big-data–based studies and aim to discuss the new forms of evidence that emerge from these perspectives.

Keyword

endoscopic surgery, big data, evidence

Session Overview

In Japan, technical qualification based on unedited surgical video evaluation has become established, though challenges remain in the assessment methods. New approaches, such as AI-based evaluation, are also emerging. This session invites presentations on the current status, effectiveness, and future directions of surgical skill assessment.

Keyword

surgical technique, quolification, evaluation

Session Overview

This session examines the impact of robot-assisted surgery on healthcare economics. While high acquisition and maintenance costs are a challenge, improved surgical precision and faster recovery can enhance patient satisfaction and resource efficiency. We will evaluate its cost-effectiveness and discuss implications for wider adoption and future challenges.

Keyword

Robotic surgery, cost, reimbursement

Session Overview

Training young surgeons in robot-assisted surgery is a key challenge for developing the next generation. This session will discuss simulator- and program-based training, mentorship strategies, skill assessment, and practical approaches to help trainees gain safe and effective operative proficiency.

Keyword

Robotic surgery, Education, Training

Session Overview

With the spread of robot-assisted surgery, certification systems are being revised and expanded to new fields. This session will discuss the need for updated standards, methods for skill assessment, and challenges in implementing certification programs.

Keyword

Robotic surgery, Endoscopic Surgical Skill Qualification System, Training

Session Overview

Robotic surgery has become widespread in endoscopic surgery, and its digital nature makes it well suited for AI integration. This session will present future possibilities and discuss the vision that robotic surgery may create

Keyword

robot, AI, future surgery

Session Overview

With the shift from open to endoscopic and robotic surgery, surgical costs have risen. While minimally invasive surgery offers clear benefits, economic concerns are growing. In this session, we invite open discussion on how to manage limited healthcare resources effectively.

Keyword

endoscopic, robotic, cost benefit

Session Overview

Robot-assisted surgery improves precision and reduces patient burden but poses economic challenges. This session discusses how institutions with multiple robotic platforms select and use each system, considering procedure type, patient factors, and cost-effectiveness, to optimize efficient and effective robotic surgery.

Keyword

Robotic surgery, robotic platforms, management

Session Overview

Robot-assisted surgery can involve equipment malfunctions and unique operational issues. This session will share practical insights from real cases, covering prevention, rapid response, and team-based strategies to ensure intraoperative safety.

Keyword

Robotic surgery, Troubleshooting, Safty

Session Overview

As minimally invasive surgery becomes more common, VTE prevention is increasingly important. This session will share the latest guidelines and evidence, focusing on MIS-specific risk factors and strategies for effective clinical prevention.

Keyword

Robotic surgery, Venous thromboembolism (VTE), Minimally invasive surgery

Session Overview

Endoscopic surgeons are expected to contribute globally. This workshop will share experiences in overseas training, research, and medical aid, highlighting language, culture, and career strategies for international impact.

Keyword

Academic exchange in endoscopic surgery, Mentorship and career support for young surgeons, Training programs for minimally invasive surgery

Session Overview

Innovative endoscopic procedures and devices often start as self-pay treatments, facing many challenges before insurance coverage. This workshop will discuss case studies of successful coverage, addressing regulatory hurdles, industry collaboration, and strategies for implementing advanced medical care.

Keyword

Cutting-edge Medicine, Non-Insurance-Covered Medical Care, Strategy for listing in public insurance systems

Session Overview

This session will explore how AI can support safe surgery and enhance surgical education, from improving existing methods to enabling entirely new approaches.

Keyword

AI, navigation, education

Session Overview

Advances in imaging and streaming systems have made real-time surgical guidance possible, and with the rise of robotic surgery, true remote surgery is becoming more realistic. In this session, we will discuss the current status and future outlook of remote surgical guidance across specialties, including the potential for remote surgery.

Keyword

Remote surgery, current status, future perspective