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The Department of Gastroenterological Surgery, Tokyo Rosai Hospital

Head of Department of Surgery: Takashi Kobayashi, MD, PhD.

Surgical specialist/supervisor, Gastroenterological Surgery specialist/supervisor, Hepatobiliary and Pancreatic surgery highly skilled instructor

Introduction of our department and history of the past year

Five gastroenterological surgeons, consisting of two veterans in their 50s and three mid-career surgeons in their 30s and 40s, always work as “One Team” and work together with a multidisciplinary team to provide “patient first” treatment in a workplace, where footwork is light and agile.
New events in our department in 2023 included (1) the acquisition of institutional accreditation for laparoscopic liver resection and (2) the introduction of fluorescence-guided surgery using ICG fluorescence.

Our policy for treatment

  1. By actively introducing minimally invasive laparoscopic surgery,  laparoscopic surgery is performed in more than 60% of gastric and colorectal surgeries and in more than 80% of gallbladder, appendix, and hernia surgeries. From 2023, laparoscopic liver resection has also been introduced.
  2. For highly difficult liver surgery, preoperative simulation using 3D image analysis software is performed to make liver surgery safer.
  3. Surgery of the stomach, colon, liver, and gallbladder is performed under fluorescence guidance using the ICG fluorescence method, which enables a safer and less complicated procedure.
In this way, in our gastroenterological surgery department, we dedicate to provide multidisciplinary treatment, including preoperative and postoperative chemotherapy and radiotherapy, depending on the patient’s medical condition, while incorporating cutting-edge technology. Through this, all of our staff members work together as “One Team” to provide the best possible treatment to our patients.

Main diseases treated by our department

  • Malignant diseases: gastric cancer/colorectal cancer, primary/metastatic liver cancer, pancreatic cancer, biliary tract/cholangiocarcinoma, etc.
  • Benign diseases: gallstones, cholecystitis, inguinal/abdominal hernia, etc.
  • Emergency diseases: gastrointestinal perforation, acute appendicitis, intestinal obstruction (ileus), etc.
For emergency disease, we are available 24 hours a day, 365 days a year.

Surgery introduction videos

Laparoscopic distal gastrectomy for gastric cancer

Laparoscopy and endoscopy cooperative surgery (LECS) for gastric GIST

Laparoscopic liver resection for liver cancer

Trans-abdominal pre-peritoneal repair surgery (TAPP) for inguinal hernia