Max Robotics — Global Service Robot Directory + US Certification

About

Dr. Hiroyuki Sagawa is a pioneering surgeon specializing in minimally invasive robotic gastrectomy and complex upper gastrointestinal oncology. His research focuses on advancing surgical safety and organ preservation through innovative fluorescence-guided techniques. Dr. Sagawa’s major contributions center on the clinical application of indocyanine green (ICG) fluorescence imaging to assess anastomotic blood flow during robotic distal gastrectomy—a method proven to reduce the risk of remnant gastric ischemia, a devastating complication. His landmark 2022 study on this topic has garnered 9 citations, establishing a new standard for intraoperative perfusion assessment. Dr. Sagawa has further demonstrated exceptional technical skill by successfully performing simultaneous robotic distal gastrectomy and distal pancreatectomy for synchronous gastric and pancreatic tumors, avoiding total gastrectomy through ICG-guided preservation. He has also reported the first case of robotic distal gastrectomy in a patient with situs inversus totalis and vascular anomalies, showcasing his ability to navigate extreme anatomical challenges. With a growing portfolio of case reports and technical innovations, Dr. Sagawa’s work is shaping the future of complex, organ-sparing robotic surgery.