Annual Report 2017
Surgical Center
Ryuichi Hayashi, Kazue Hayasaka
Introduction
The Surgical Center performs function-preserving operations for ordinary cancer patients as much as possible, in consideration of patients' quality of life (QOL), but depending on the case, extended surgeries are performed to cure localized highly progressive cancers. Also, thoracoscopic and laparoscopic surgeries are routinely indicated for the treatment of various cancer patients.
Our team and what we do
In this period (2017.1~2018.3), 4175 cases underwent surgical treatment including 3,829 general anesthesia cases (Table 1).
To preserve organ functions, limited resection or reconstructive operations are indicated in our hospital. These procedures include vertical partial laryngectomy for voice preservation, breast-conserving surgery, total mastectomy with breast reconstruction, pancreas-sparing duodenectomy, partial anal sphincter preserving surgery, and bladder-sparing surgery.
With refinements 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 Departments of Esophageal Surgery, Thoracic Surgery, Gastric Surgery, Colorectal Surgery, Hepatobiliary and Pancreatic Surgery, and Urology. A robotic surgical system has been in use to provide less invasive surgery since 2014. The system was indicated for prostate, rectal, and gastric cancers.
Table 1. Total number of operations in January 2017 - March 2018
Education
We place importance on the education for young surgeons. All surgical groups have their own training programs for resident surgeons. Many surgeons from domestic and foreign hospitals have visited our center to learn surgical techniques.