Greetings
Gastroenterological Surgery department strives to meet the needs of our patients and contribute to regional medical care. Our organ-specific divisions, consisting of upper gastrointestinal, lower gastrointestinal, and hepatobiliary, pancreatic, and rectal sections, provide highly specialized surgical treatment for malignant diseases. Our experienced staff also treat benign conditions, such as esophageal achalasia, reflux esophagitis, gastroduodenal ulcers, cholelithiasis, and inguinal hernias, as well as emergency transport. We receive many patient referrals from within and outside Kanagawa Prefecture, and our surgical experience for esophageal, gastric, colon, pancreatic, bile duct, and liver cancers is among the best in Japan. We also perform robot-assisted surgery using the Da Vinci system, which allows for minimally invasive and precise surgery, on many patients with esophageal, gastric, rectal, colon, pancreatic, and liver cancer, making us one of Japan's leading hospitals.
Our department's motto is "from diagnosis to treatment," so that we can provide responsible medical care to referred patients. Unlike so-called centralized facilities, we place great importance on the entire process from diagnosis to treatment. Cancer treatment involves many methods, including endoscopic therapy, surgery, chemotherapy, immunotherapy, and radiation therapy. Multidisciplinary treatments, such as pre- and post-operative chemotherapy (radiation) therapy, have also become standard. By providing these diverse treatments in Gastroenterological Surgery, we are able to provide patients with accurate and seamless care. Even if cancer recurs after surgery, we strive to alleviate the anxiety of patients and their families by being involved in the treatment.
Patient needs are becoming more diverse, and the number of elderly patients with underlying diseases and cancers in other organs is increasing. In response to this historical background, we always consider "what is best" for each patient and their family, and strive to provide medical care. Furthermore, for patients who are difficult to treat at other facilities, we take advantage of our university hospital's advantages and provide safe surgical treatment under a cross-sectional cooperative system within the hospital. We also participate in many clinical trials and clinical studies to create new and standard treatments, and quickly provide the latest knowledge gained from such multi-institutional collaborative research.
All of our staff think together with patients and their families, and cooperate with people from other professions to provide medical care that "treats the patient, not the disease," in the hope that as many patients as possible can live happy lives. If you have any concerns or concerns about the treatment of digestive diseases, please feel free to contact us.
Head of Gastroenterological Surgery Department
Kazuo Koyanagi
Treatment details
Gastroenterological Surgery aims to be a medical department that is trusted by doctors at referring medical institutions.
For malignant esophageal diseases, we combine endoscopic examinations, gastrointestinal contrast examinations, CT, MRI, PET/CT, etc., and provide appropriate treatment based on accurate diagnostic results. For benign esophageal diseases, we have a specialized testing system in place, including esophageal pressure tests and pH/impedance tests, and we accept even benign diseases that are difficult to treat. Endoscopic surgery using minimally invasive thoracoscopes and laparoscopes is the standard surgery, and we also actively perform robot-assisted surgery.
We perform surgery, endoscopic therapy, and chemotherapy for gastric diseases, primarily targeting gastric cancer and gastric submucosal tumors. Our treatments are characterized by preserving the stomach as much as possible and reducing surgical invasiveness, resulting in a significant improvement in postoperative quality of life. For early-stage gastric cancer, we actively perform laparoscopic robot-assisted surgery. For terminally ill patients, we work with Department of Palliative Care to provide home care with total parenteral nutrition.
We perform approximately 200 colon cancer surgeries per year. For colon cancer, we basically perform laparoscopic surgery, minimizing pain and suffering while maintaining the cure for the cancer, and aiming for early social reintegration of patients. We are also expanding the application of laparoscopic surgery for rectal cancer. In particular, for locally advanced lower rectal cancer, we perform preoperative chemoradiotherapy, which is the international standard treatment, to improve treatment outcomes. In addition, we will introduce laparoscopic surgery widely for recurrent cancer, malignant diseases other than carcinoma, inflammatory bowel diseases such as ulcerative colitis and Crohn's disease, chronic intestinal obstruction, small intestinal diseases, and emergency diseases, aiming to improve treatment outcomes. We also specialize in surgery for pelvic recurrence and advanced malignant diseases.
The Hepato-Biliary-Pancreatic Surgery Department primarily performs surgical treatment and chemotherapy for hepato-biliary-pancreatic cancer. We also treat benign diseases such as cholelithiasis. We perform minimally invasive endoscopic surgery using laparoscopy in many cancer cases, and also perform robot-assisted surgery. We work closely with Gastroenterology and Department of Diagnostic Imaging to perform diagnostic imaging and endoscopic diagnosis, and select the optimal treatment after discussions at joint conferences between the Surgery, Gastroenterology, Department of Diagnostic Imaging, and Department of Diagnostic Pathology. Thanks to excellent teamwork between each department and a proven track record of treatment by experienced surgeons, our hepato-biliary-pancreatic surgery department has been certified as a high-level training facility A by the Japanese Society of Hepato-Biliary-Pancreatic Surgery.
Main target diseases
1. Esophageal diseases:
Esophageal cancer, esophagogastric junction cancer, gastroesophageal reflux disease (GERD), hiatal hernia, esophageal achalasia, esophageal diverticulum, esophageal submucosal tumor, spontaneous esophageal rupture, etc.
2. Stomach disease:
Gastric cancer, gastric submucosal tumor (GIST, etc.), gastric ulcer, duodenal ulcer, etc.
3. Colon diseases:
Neoplastic diseases: colon cancer, rectal cancer, colon polyps, polyposis, liver metastasis of colon cancer, lung metastasis, recurrent colon cancer, rectal cancer, pelvic recurrence, retroperitoneal tumor, GIST, NET, etc.
Anal diseases: hemorrhoids, anal fistula, perianal abscess, anal fissure, rectal prolapse, etc.
Inflammatory bowel disease: Crohn's disease, ischemic colitis, ulcerative colitis, etc.
Functional bowel disorders: intractable constipation, colonic diverticulosis, etc.
4. Hepatic, biliary and pancreatic diseases:
Liver: hepatocellular carcinoma, intrahepatic cholangiocarcinoma, mixed hepatic cancer, metastatic hepatic cancer, liver cyst
Biliary tract: gallbladder cancer, extrahepatic bile duct cancer, ampullary cancer, pancreaticobiliary maljunction, congenital biliary dilatation, cholelithiasis
Pancreas: pancreatic cancer, intraductal papillary mucinous neoplasm (IPMN), pancreatic neuroendocrine tumor (NEN), mucinous cystic neoplasm (MCN), solid pseudopapillary neoplasm (SPN), chronic pancreatitis
Other: Duodenal cancer
5. Other
Abdominal tumors, retroperitoneal tumors, hernias, abdominal wall hernias, appendicitis, intestinal obstruction, metastatic or recurrent colon cancer, malignancies other than carcinoma
Main medical achievements
1. upper gastrointestinal tract
The total number of treatments for esophageal diseases in 2023 was 221. There were 209 cases of esophageal cancer, of which 69 underwent surgery, and 159 underwent endoscopic treatment, stent insertion, chemotherapy, and chemoradiotherapy. In addition, we performed surgery on 8 cases of benign esophageal diseases, including submucosal tumors, gastroesophageal reflux disease, esophageal achalasia, and idiopathic esophageal rupture. Thoracoscopic surgery and laparoscopic surgery, which have small incisions and are less painful, are called endoscopic surgery and are performed in approximately 70% of esophageal cancer cases nationwide. Our department is a leading facility in Japan and performs almost all cases. In addition, we have introduced robot-assisted surgery since 2019 and are actively performing it. As an "Esophageal Surgery Specialist Certified Facility" by the Japan Esophageal Society and a "Certified Participating Facility" of the Japan Clinical Oncology Group (JCOG), we provide advanced medical care for esophageal diseases and contribute to the establishment of standard treatment.
Gastric diseases are mainly treated for gastric cancer and submucosal tumors (GIST, etc.). In the in-hospital cancer registry at our hospital in 2022, the total number of gastric treatments was 219, including 70 surgical cases. Chemotherapy (anticancer drug treatment) is performed for cases of unresectable metastasis and recurrence. Surgical treatment for gastric cancer is determined based on the location (site) and depth (depth of invasion) of the cancer, and the presence or absence of metastasis (lymph node metastasis and distant metastasis), and includes pylorus-side gastrectomy, total gastrectomy, and fundus-side gastrectomy. Partial gastrectomy is performed for gastric submucosal tumors. Surgical approaches include laparotomy, laparoscopic surgery, and robot-assisted surgery, and are selected according to the condition. In recent years, we have been actively performing minimally invasive surgery (robotic surgery and laparoscopic surgery) that is less burdensome for patients, and the number of such cases is increasing. Chemotherapy is performed for unresectable or metastatic/recurrent gastric cancer. For postoperative gastric cancer with a final diagnosis of Stage II/III, postoperative adjuvant chemotherapy is performed to prevent recurrence. In addition to surgery, we also use molecular targeted drug therapy to treat GIST.
2. lower gastrointestinal tract
Every year, we treat approximately 150 patients with colon cancer and approximately 60 patients with rectal cancer. Colon cancer is divided into stages I, II, III, and IV depending on the stage of progression, and recurrence occurs in 20% of stage II patients and 35% of stage III patients with surgery alone. In stage IV, treatment for metastasis to the liver, lungs, etc. must be performed at the same time. Therefore, we provide specialized treatment (called multidisciplinary treatment) according to the stage of progression of each patient. Specifically, we perform surgery using laparoscopy for large cancers and cancers other than those that have infiltrated the surrounding area, and radiation therapy before surgery for locally advanced rectal cancer. This reduces the recurrence rate in the pelvis, which is 15-20% with surgery alone, to 2-3%, and further shrinks the cancer to avoid the need for a permanent colostomy. We also specialize in surgery for pelvic recurrence and advanced malignant diseases. In 2021, we performed approximately 210 colon cancer resections, approximately 50 other malignant disease resections, and approximately 120 benign disease surgeries (approximately 80 inguinal hernia surgeries).
Recently, mainly in Europe and the United States, it has been reported that a treatment method that combines radiation therapy and chemotherapy for advanced rectal cancer (TNT: Total Neoadjuvant Therapy) can eliminate the need for surgery in about 30-50% of patients, and we have introduced this treatment in our department. To date, we have performed TNT on more than 20 patients, and about half of the patients have been observed without surgery. In order to fulfill our mission as a university hospital, we also participate in various clinical trials and clinical trials. We also put effort into mentoring young patients.
3. Liver, gallbladder and pancreas
Each year, we perform approximately 60 pancreatoduodenectomy/total pancreatectomies (including robotic-assisted surgery), approximately 20 distal pancreatectomies (including laparoscopic/robotic-assisted surgery), and approximately 70-80 liver resections (including laparoscopic liver resections and robotic-assisted surgery). In April 2024, we opened Pancreatic and Biliary Diseases Center focusing specifically on the diagnosis and treatment of this area. We perform numerous highly challenging pancreatectomies and liver resections, and actively provide preoperative and postoperative adjuvant chemotherapy to improve treatment outcomes. Hepato-biliary-pancreatic cancers are often difficult to treat, but recent advances in chemotherapy have led to an increase in the number of drugs available under health insurance. Even for cancers deemed difficult to resect at initial consultation, prior chemotherapy can sometimes offer a treatment strategy that allows patients to avoid abandoning resection. In addition, particle beam therapy for locally advanced cancer is also covered by insurance, and from a surgical perspective, we will present all of these treatment options and provide treatment methods that maximize the benefits of surgical treatment.
Doctor List
Department Head: Kazuo Koyanagi
Ward 11A Chief Physician: Kenichi Okada
Assistant Chief Physician of Ward 11B: Arata Kayano
Clinical department URL: https://www.fuzoku-hosp.tokai.ac.jp/service/shouka-geka/
https://gastro-surgery-med-tokai.jp
Outpatient: 0463(93)1121 extension 6221
Professor Kenichi Okada
| Specialization | Hepato-biliary-pancreatic, gastrointestinal, Minimally invasive surgery |
|---|---|
| Specialist | Specialist and instructor of the Japan Surgical Society / Specialist and instructor of the Japanese Society Gastroenterological Surgery / Advanced specialist of the Japanese Society of Hepato-Biliary-Pancreatic Surgery / Certified instructor of the Japan Biliary Association / Certified instructor of the Japan Pancreas Society / Certified cancer treatment physician / Certified gastrointestinal cancer surgery physician / Certified technical physician of the Japan Society of Endoscopic Surgery (Pancreas) / Specialist and instructor of the Japan Society of Gastroenterology / Specialist and instructor of the Japan Society of Gastrointestinal Endoscopy / Clinical trainee instructor |
| Specialized Areas | Surgery for hepato-biliary-pancreatic diseases, chemoradiotherapy for hepato-biliary-pancreatic cancer, laparoscopic surgery for hepato-biliary-pancreatic diseases |
| Outpatient medical day | Thursday |
Professor Seiichiro Yamamoto
| Specialization | Colon, digestive system, laparoscopic surgery, abdominal emergency disease |
|---|---|
| Specialist | Specialist and instructor of the Japan Surgical Society / Specialist and instructor of the Japanese Society Gastroenterological Surgery / Specialist and instructor of the Japanese Society of Coloproctology / Certified surgeon of the Japan Society of Endoscopic Surgery / Specialist of the Japan Society of Gastroenterological Endoscopy / Certified surgeon for surgical treatment of gastrointestinal cancer |
| Specialized Areas | Colon cancer, surgical treatment of colon diseases, laparoscopic surgery, advanced/recurrent colon cancer, pelvic recurrence of rectal cancer, extensive surgery and multidisciplinary treatment of highly advanced malignant diseases, surgical treatment of abdominal emergency diseases |
| Outpatient medical day | Wednesday |
Professor Kazuo Koyanagi
| Specialization | Esophagus/stomach, digestive system, endoscopic surgery |
|---|---|
| Specialist | Japan Surgical Society Specialist and Instructor / Japan Society Gastroenterological Surgery Specialist and Instructor / Japan Society of Endoscopic Surgery Certified Surgeon / Japan Society of Endoscopic Surgery Robot-assisted Surgery Proctor / Japan Esophageal Society Certified Esophageal Surgeon and Esophageal Surgery Specialist / Japan Society of Gastroenterological Endoscopy Specialist and Instructor / Cancer Treatment Certified Surgeon / Gastroenterology Specialist and Instructor / New Clinical Training Instructor / Japan Society of Robotic Surgery Specialist |
| Specialized Areas | Surgical treatment for esophageal and gastric cancer, thoracoscopic and laparoscopic surgery, robot-assisted surgery for esophageal and gastric cancer, surgical treatment for reflux esophagitis and achalasia, multidisciplinary treatment for esophageal and gastric cancer, surgical treatment for spontaneous esophageal rupture |
| Outpatient medical day | Monday |
Associate Professor Arata Kayano
| Specialization | Colon, laparoscopic surgery, gastrointestinal |
|---|---|
| Specialist | Specialist and instructor of the Japan Surgical Society / Specialist and instructor of the Japanese Society Gastroenterological Surgery / Specialist and instructor of the Japanese Society of Coloproctology / Certified surgeon of the Japan Society of Endoscopic Surgery / Specialist and instructor of the Japan Society of Gastroenterological Endoscopy / Specialist and instructor of the Japanese Society of Gastroenterology / Specialist and instructor of the Japanese Society of Gastroenterology / Certified gastroenterologist of the Japanese Society of Gastroenterology / Certified cancer treatment physician |
| Specialized Areas | Surgical treatment of colon cancer and colon diseases, laparoscopic surgery, robot-assisted colon cancer surgery, multidisciplinary treatment of colon cancer, endoscopic treatment of colon cancer |
| Outpatient medical day | Tuesday |
Takayuki Nishi (Specially Appointed Associate Professor)
| Specialization | esophagus, stomach, digestive system |
|---|---|
| Specialist | Specialist and instructor of the Japan Surgical Society / Specialist and instructor of the Japanese Society Gastroenterological Surgery / Specialist and instructor of the Japanese Gastroenterological Association / Specialist and instructor of the Japanese Society of Gastroenterological Endoscopy / Specialist and instructor of gastroenterology by the Japanese Gastroenterological Society / Certified physician and educator of the Japanese Society of Abdominal Emergency Medicine / Certified esophageal physician of the Japan Esophageal Society / Tracheoesophageal specialist of the Japanese Tracheoesophageal Society / Certified physician in gastrointestinal cancer surgery / Certified physician in cancer treatment |
| Specialized Areas | Multidisciplinary treatment of esophageal and gastric cancer |
| Outpatient medical day | Tuesday |
Associate Professor Miho Yamamoto
| Specialization | Esophagus/stomach, digestive system |
|---|---|
| Specialist | Specialist and instructor of the Japan Surgical Society / Specialist and instructor of the Japanese Society Gastroenterological Surgery / Specialist of the Japan Gastroenterological Endoscopy Society / Specialist of the Japanese Society of Gastroenterology / Certified esophageal specialist by the Japan Esophageal Society / Certified surgeon for gastrointestinal cancer surgery |
| Specialized Areas | Surgical treatment of esophageal and gastric cancer, surgical treatment of reflux esophagitis and achalasia, multidisciplinary treatment of esophageal and gastric cancer, surgical treatment of spontaneous esophageal rupture, laparoscopic surgery for inguinal hernia |
| Outpatient medical day | Tuesday |
Lecturer: Akihito Kazuno
| Specialization | Esophagus/stomach, digestive system, endoscopic surgery |
|---|---|
| Specialist | Specialist of the Japan Surgical Society / Specialist of the Japanese Society Gastroenterological Surgery / Certified by the Japan Society of Endoscopic Surgery / Certified by the Japan Esophageal Society |
| Specialized Areas | Surgical treatment of esophageal and gastric cancer, thoracoscopic and laparoscopic surgery, robot-assisted esophageal cancer surgery, surgical treatment of reflux esophagitis and achalasia, multidisciplinary treatment of esophageal and gastric cancer, surgical treatment of spontaneous esophageal rupture |
| Outpatient medical day | Wednesday |
Associate Professor Shigenori Ei
| Specialization | Hepato-biliary-pancreatic, gastrointestinal, Minimally invasive surgery |
|---|---|
| Specialist | Japan Surgical Society Specialist / Japanese Society Gastroenterological Surgery Specialist and Instructor / Hepatologist from the Japan Society of Hepatology / Certified Transplant Doctor from the Japan Transplant Society / Certified Technical Doctor from the Japan Society of Endoscopic Surgery / Advanced Specialist from the Japanese Society of Hepato-Biliary-Pancreatic Surgery / Certified Cancer Therapist / Certified Gastrointestinal Cancer Surgery Doctor / Specialist from the Japanese Society of Gastroenterology / Robot-Assisted Pancreatic Resection Proctor / Certified Instructor from the Japan Pancreas Society / Certified Instructor from the Japan Biliary Association / Infection Control Doctor |
| Specialized Areas | Gastroenterological Surgery, laparoscopic surgery of the liver, biliary tract and pancreas, multidisciplinary treatment of hepato-biliary-pancreatic cancer |
| Outpatient medical day | Wednesday |
Lecturer: Yoshihito Masuoka
| Specialization | Hepato-biliary-pancreatic, gastrointestinal, Minimally invasive surgery |
|---|---|
| Specialist | Japan Surgical Society Specialist / Japanese Society Gastroenterological Surgery Specialist / Certified Gastrointestinal Cancer Surgery Specialist / Japanese Gastroenterological Society Specialist / Hepatologist from the Japan Society of Hepatology / Pancreas Instructor from the Japan Pancreas Society / Certified Abdominal Emergency Physician and Instructor from the Japanese Society of Abdominal Emergency Medicine / Certified Instructor from the Japan Biliary Association / Certified Perioperative Infection Control Physician and Instructor from the Japanese Society of Surgical Infectious Diseases / Infection Control Doctor |
| Specialized Areas | Gastroenterological Surgery, liver, biliary and pancreatic surgery, endoscopic surgery, multidisciplinary treatment of hepato-biliary-pancreatic cancer |
| Outpatient medical day | Thursday |
Associate Professor Hiroshi Miyakita
| Specialization | large intestine, digestive system |
|---|---|
| Specialist | Specialist of the Japan Surgical Society / Specialist and Supervising Doctor of the Japanese Society Gastroenterological Surgery / Certified Surgeon for Gastrointestinal Cancer / Specialist of the Japanese Society of Coloproctology |
| Specialized Areas | General surgery, laparoscopic surgery, colon cancer surgery, inguinal hernia |
| Outpatient medical day | Thursday |
Lecturer: Yoshiaki Shoji
| Specialization | Esophagus/stomach, digestive system, endoscopic surgery |
|---|---|
| Specialist | Specialist of the Japan Surgical Society / Specialist of the Japanese Society Gastroenterological Surgery / Certified surgeon for gastrointestinal cancer surgery / Certified esophageal surgeon by the Japan Esophageal Society |
| Specialized Areas | Surgical treatment for esophageal and gastric cancer, thoracoscope and laparoscope surgery, robot-assisted esophageal cancer surgery/surgical treatment for reflux esophagitis and achalasia, multidisciplinary treatment for esophageal and gastric cancer, surgical treatment for spontaneous esophageal rupture |
| Outpatient medical day | Friday |
Lecturer: Yamato Ninomiya
| Specialization | Esophagus/stomach, digestive system, endoscopic surgery |
|---|---|
| Specialist | Japan Surgical Society Specialist / Japan Gastroenterological Surgery Society Specialist / Certified Gastrointestinal Cancer Surgery Specialist / Japan Esophageal Society Certified Esophageal Surgery Specialist / Japan Esophageal Society Specialist in Esophageal Surgery |
| Specialized Areas | Surgical treatment of esophageal and gastric cancer, thoracoscopic and laparoscopic surgery, surgical treatment of reflux esophagitis and achalasia, multidisciplinary treatment of esophageal and gastric cancer, surgical treatment of spontaneous esophageal rupture |
| Outpatient medical day | Saturday |
Assistant Professor Takashi Ogimi
| Specialization | large intestine, digestive system |
|---|---|
| Specialist | Specialist of the Japan Surgical Society / Specialist of the Japan Society Gastroenterological Surgery / Certified surgeon for gastrointestinal cancer surgery |
| Specialized Areas | General surgery, laparoscopic surgery, colon cancer surgery, inguinal hernia |
| Outpatient medical day | Monday |
Assistant Professor Taro Mashiko
| Specialization | Liver, gallbladder, pancreas, digestive system |
|---|---|
| Specialist | Japan Surgical Society Specialist / Japanese Society Gastroenterological Surgery Specialist / Japanese Gastroenterological Association Specialist / Hepatologist of the Japan Society of Hepatology / Instructor of the Japan Pancreas Society / Instructor of the Japan Biliary Association / Certified Physician of the Japanese Society of Abdominal Emergency Medicine / Certified Cancer Therapist / Certified Gastrointestinal Cancer Surgery Therapist / Infection Control Doctor |
| Specialized Areas | Gastroenterological Surgery, liver, biliary tract and pancreatic surgery, endoscopic surgery, multidisciplinary treatment of hepato-biliary-pancreatic cancer |
| Outpatient medical day | Friday |
Assistant Professor Mika Ogimi
| Specialization | Esophagus/stomach, digestive system |
|---|---|
| Specialist | Specialist of the Japan Surgical Society / Specialist of the Japanese Society of Gastroenterology / Specialist of the Japanese Society Gastroenterological Surgery / Specialist of the Japanese Society of Gastroenterological Endoscopy |
| Specialized Areas | Surgical treatment for gastric cancer, multidisciplinary treatment for gastric cancer/laparoscopic surgery/robot-assisted gastric cancer surgery |
| Outpatient medical day | Wednesday |
Lecturer: Kohei Kanamori
| Specialization | Esophagus, stomach, digestive system, endoscopic surgery |
|---|---|
| Specialist | Japan Surgical Society Specialist / Japanese Society Gastroenterological Surgery Specialist / Certified Cancer Treatment Doctor / Certified Gastrointestinal Cancer Surgery Doctor / Certified Esophageal Specialist by the Japan Esophageal Society / Specialist by the Japanese Society of Gastroenterology |
| Specialized Areas | Surgical treatment of esophageal cancer, gastric cancer, thoracoscopic and laparoscopic surgery, gastroesophageal reflux disease, surgical treatment of esophageal achalasia, multidisciplinary treatment of esophageal and gastric cancer, surgical treatment of spontaneous esophageal rupture |
| Outpatient medical day | Monday |
Assistant Professor Nana Mamuro
| Specialization | large intestine, digestive system |
|---|---|
| Specialist | Japan Surgical Society Specialist |
| Specialized Areas | General surgery, laparoscopic surgery, colorectal cancer surgery |
| Outpatient medical day | Friday |
Assistant Professor Hisamichi Yoshii
| Specialization | Liver, gallbladder, pancreas, digestive system |
|---|---|
| Specialist | Specialist of the Japan Surgical Society / Specialist of the Japanese Society Gastroenterological Surgery / Specialist of the Japanese Society of Gastroenterology / Specialist of the Japan Society of Hepatology |
| Specialized Areas | Gastroenterological Surgery, liver, biliary tract and pancreatic surgery, endoscopic surgery, multidisciplinary treatment of hepato-biliary-pancreatic cancer |
| Outpatient medical day | Monday |
Assistant Professor Rika Fujino
| Specialization | Liver, gallbladder, pancreas, digestive system |
|---|---|
| Specialist | Japan Surgical Society Specialist |
| Specialized Areas | Gastroenterological Surgery, liver, biliary tract and pancreatic surgery, endoscopic surgery, multidisciplinary treatment of hepato-biliary-pancreatic cancer |
| Outpatient medical day | Tuesday |
Assistant Professor Riko Nishida
| Specialization | large intestine, digestive system |
|---|---|
| Specialized Areas | General surgery, laparoscopic surgery, colorectal cancer surgery |
| Outpatient medical day | Wednesday |