Surgical Center

Masaru Konishi, Hiroyuki Yamamoto, Emiko Kanazawa

Introduction

The Surgical Center performs functionpreserving operations for ordinary cancer patients as much as possible in consideration of patient quality of life (QOL), but depending on the case, the extended surgery is done to cure localized highly progressive cancers. Thoracoscopic and laparoscopic surgery are routinely indicated for the treatment of various cancer patients.

Routine activities

In 2015, 3,115 cases underwent surgical treatment including 2,834 general anesthesia cases. This total was an increase of 210 over 2014.

To preserve organ functions, limited resection or reconstructive operation is indicated in our hospital. These procedures include vertical partial laryngectomy for voice preservation, breastconserving surgery, total mastectomy with breast reconstruction, pancreas-sparing duodenectomy partial anal sphincter preserving surgery and bladder-sparing surgery.

With the refine ments in laparoscopic instruments and advances in surgical experience, laparoscopic surgery is a safe alternative for selected patients with malignant neoplasms, and has fulfilled its indications. In our hospital, laparoscopic surgery has been introduced in the esophageal, thoracic, gastric, colorectal, hepatobiliary, pancreatic, and urology divisions. A robotic surgical system had been used to provide less invasive surgery since 2014. The system was indicated for prostate, rectal and gastric cancer.

Education

We place importance on the education of young surgeons. All surgical groups have their own training programs for resident surgeons. Many surgeons from domestic or foreign hospitals have visited our center to learn surgical techniques.