Annual Report 2022
Surgical Center
R. Hayashi, N. Katagiri
Introduction
The 12 operation rooms at the Surgical Center are used by 12 surgical departments. As our main strategy is less-invasive and function-preserving surgery, we conduct more thoracoscopic and laparoscopic surgeries than other hospitals. Indications for robot-assisted surgery have been expanding year by year. We increase medical safety through good communication between anesthesiologists, nurses, doctors and other medical staff members.
The Team and What We Do
The total number of surgeries we performed this year was 4,790, hitting a record high (Table 1). Robotic-assisted surgeries were used by the departments of Urology, Gastric Surgery, Esophageal Surgery, Thoracic Surgery, Gynecology, Hepatobiliary and Pancreatic Surgery, and Head and Neck Surgery. The number of da Vinci Surgical Systems increased from two to three, and this has contributed to an all-time-high total number of robotic-assisted surgeries (630 cases; Table 2). In 2022, six new, highly complex medical technologies were introduced and implemented in four departments, as follows: robotic-assisted mediastinoscopic surgery by the Department of Esophageal Surgery; laparoscopic para-aortic lymph node dissection/robotic-assisted resection of uterine malignancies by the Department of Gynecology; robotic-assisted hepatectomy/robotic-assisted pancreaticoduodenectomy by the Department of Hepatobiliary and Pancreatic Surgery; and transoral robotic-assisted surgery for oropharyngeal cancer.
Table 1. Total number of operations
Table 2. Total number of robotic surgeries
The Department of Gastric Surgery serves as a model center for demonstrating da Vinci surgery in physician training, attracting many visitors from various facilities. A number of surgeries for rectal cancer are performed in combination with transanal Total Mesorectal Excision (taTME) in the Department of Colorectal Surgery. In addition, we actively provide other facilities with education programs, including live seminars conducted by connecting the operating room to the conference room. We are also working to establish a system for introducing new surgical methods and highly complex medical technologies.
Education
A cross-departmental education system is used in a training program targeting surgical residents. In particular, training for endoscopic surgery is offered in a systematic and efficient manner. We also actively invite visitors and residents from other countries to offer technical guidance.
We have been collaborating with manufacturers to hold workshops, including training for novice nurses to address the increased use of robotic surgeries. Furthermore, as part of continuous education aimed at developing in all staff members the skills necessary to manage robotic surgeries, all operating room nurses are encouraged to take online training courses and to receive a certificate of completion. Specific action should be taken in the event of bleeding during da Vinci surgery. Therefore, we conduct “conversion” simulation training to help nurses complete an advanced cardiac life support (ACLS) course qualifying them to take appropriate action in response to sudden changes in their patients’ condition. This year we have continued to strengthen our partnership with the ICU to boost the number of surgeries and further the development of operating room nursing. We have ongoing training in ICU operations for operating room nurses, as well as training in operating room operations for ICU nurses.
Future Prospects
The number of surgeries and surgical clinical trials, as well as the introduction of new, highly complex medical technologies, is expected to further increase in the future. In preparation for the increased number of surgeries, we plan to increase our number of operating rooms from 12 to 13 to ensure efficient surgical operations.
It is important for the hospital to cooperate not only with physicians and nurses, but also with various other types of professionals, and to continue to foster the evolution of healthcare providers with a view to the next generation of treatment.