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国立がん研究センター 中央病院

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Surgical Center

Hitoshi Katai

Introduction

The Surgical Center deals with all kinds of malignant neoplasm. Our mission is to provide safe surgical care to the patients (Safe Surgery Saves Lives). Several groups collaborate to ensure the best surgical care, consisting of anesthesiologists, surgeons from 18 surgical oncology groups, nurses, and medical-technical staff with support staff from Department of Pathology and Clinical Laboratories.

Routine activities

During 2015, the Surgical Center supported 5,294 surgical cases and 4,738 general anesthesia surgical cases, a 12.6% increase in the general anesthesia cases over 2014. Sentinel node navigation surgery in breast cancer, autonomic nerve preservation proximal gastrectomy with jejunal interposition in early gastric cancer, hepatectomy and pancreatectomy in patients with hepatobiliary and pancreas diseases, and placement of an artificial urinary sphincter for bladder incontinence after prostate cancer treatment are unique treatments in our institution, and are occasionally performed in the Surgical Center. Over the years, minimally invasive procedures have increased remarkably. Endobronchial brachytherapy under general anesthesia in lung cancer, endoscopic resection under general anesthesia in GI cancer are also unique treatments and are carried out in the Surgical Center.

The Da Vinci robotic surgical system has been introduced to provide less invasive surgery for the patients for not only prostate cancer but also rectal cancer.

The post-anesthesia care unit has been a part of the Surgical Center this year.

The multidisciplinary meeting started in 2014. The multidisciplinary team includes medical doctors, nurses, and ME, and meet to plan the best surgical pathways during operations.

The Surgical Center staff work as part of a multidisciplinary team active in planning the best utilization of operating rooms. Scheduling, equipment usage, and staffing in the 16 operating suites were evaluated to establish an optimal work flow, streamline room turnover, and improve start times.

A medical device nurse, who is engaged in equipment usage, has been assigned.

Education and training

All surgical oncology groups have their own training programs for their fellows with the support of the Surgical Center staff. Our Center also provides virtual reality simulators to allow fellows to develop the skills used in laparoscopic and thoracoscopic surgery. About 50 foreign doctors have visited our surgical center.

Table 1. Total number of operations


Table 2. Number of general anesthesia cases