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Consultation Info.:049-228-3411

Number Info.:049-228-3400

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Department of Hepato-Biliary-Pancreatic Surgery & Pediatric Surgery

July 6,2021 Update

Introduction

No one left behind
This is our tenet when we take care of our patients, and also colleagues. We pursue to provide the best medical care for each patient, no matter how sick the patient is. Further, we help each other to accomplish our goal.

Our department consist of two specialty groups, Hepato-Biliary-Pancreatic Surgery and Pediatric Surgery,and pursue the following three themes beyond the groups.

  1. Precise diagnosis and optimal treatment strategy for each patient.
  2. Meticulous surgery to pursue curative surgery and prevent complications.
  3. Meticulous patient care to prepare all possible situations after the surgery
We always keep these three themes in mind so that patients can have surgery and treatment with peace of mind.

Patient care at our department

Our Competency - Hepato-Biliary-Pancreatic Surgery

Comprehensive computer simulations for precise surgery
Though we are experienced surgeons, we should not place too much confidence on our experience and intuition. By comprehending the anatomical structure and measuring precise resection volume using a computed image prior to the surgery, we can perform safe and accurate procedure.
Advanced surgery for advanced cancer
Malignant tumors in the liver, biliary tract (gallbladder, bile duct), and pancreas sometimes diagnosed as inoperable due to the extension of the disease. We are actively treating patients who have been given up for surgery with our unique strategy using chemotherapy and transplant technology.
Pursuing the safety of laparoscopic surgery
We are actively conducting minimal invasive laparoscopic surgery. Our hospital is accredited as an facility for advanced laparoscopic liver and pancreas surgery.

Our competency - Pediatric surgery

Optimal surgical strategy for inguinal hernia
We adopt Laparoscopic surgery for hernia repair for girls because of its excellent cosmetic benefit. On the other hand, conventional open surgery is applied for boys to secure vas deferens and testicular arteriovenous vein under direct vision.
Conservative strategy for acute appendicitis
We adopt a conservative strategy for treating acute appendicitis. Briefly, antibiotics is administered first then schedule appendectomy. In case of appendicitis with perforation and/or abscesses, a strong antibiotic is administered first, and then decide whether to remove the appendix a couple of month later. Emergency surgery is considered for appendicitis which is complicated with pan-peritonitis and/or intestinal obstruction.
Laparotomy through the umbilicus for cosmetic benefit
We have developed a minimally invasive surgical method using flexibility of the children's abdominal wall for cosmetic benefit, and apply it for surgeries such as Hypertrophic pyloric stenosis, Meckel diverticulum, ovarian cysts, etc.
Surgery for Newborn and Infant
Our hospital has one of the world's leading neonatal intensive care units (NICU) and performs a large number of neonatal and infant surgeries. In addition, we are continuously working on the treatment of Biliary Atresia and Pediatric tumors by participating in the national registry for the biliary atresia and Pediatric tumors.

Main diseases

Hepato-Biliary-Pancreatic Surgery group

  • Liver cancer (hepatocellular carcinoma, intrahepatic bile duct carcinoma, metastatic liver cancer, etc.)
  • Biliary tract cancer (gallbladder cancer, distal bile duct cancer, hepatobiliary tract cancer)
  • Pancreatic cancer
  • Pancreatic neuroendocrine tumors
  • Intraductal papillary mucinous neoplasm of the pancreas (IPMN, IPMC)
  • Adrenal cancer
  • Cholelithiasis
  • Cholecystitis
  • Malfusion of pancreaticobiliary ducts
  • Renal cyst
  • Pancreatic cystic tumors, etc.

Pediatric surgery group

  • Inguinal hernia
  • Umbilical hernia
  • Hydrocele of the testicle (testicular water aneurysm)
  • Hydrocele funiculi spermatici
  • Nuck's canal hydrocele
  • Undescended testicle
  • Migratory testicle (migratory testis)
  • Diaphragmatic hernia
  • Eventration of diaphragm
  • Congenital cystic lung disease
  • Congenital Cystic Adenomatoid Malformation (CCAM)
  • Pulmonary sequestration
  • Bronchogenic cysts
  • Pectum excavatum
  • Esophageal atresia/stenosis
  • Esophageal hiatal hernia
  • Gastroesophageal reflux disease
  • Volvulus of stomach
  • Hypertrophic pyloric stenosis
  • Gastrointestinal atresia/stenosis
  • Gastrointestinal perforation, ileus (intestinal obstruction)
  • Gastrointestinal overlap symptom
  • Malrotation
  • Intussusception
  • Meconium peritonitis
  • Meconium related diseases
  • Meckel diverticulum
  • Appendicitis
  • Hirschsprung disease
  • Perianal abscess
  • Infant anal fistula
  • Anal atresia
  • Anorectal anomaly
  • Biliary atresia
  • Biliary dilation
  • Umbilical hernia
  • Abdominal wall rupture
  • Hepatic tumor
  • Pancreatic tumors
  • Renal tumors
  • Adrenal tumors
  • Sacrococcygeal region tumors
  • Ovarian tumor
  • Median cervical cyst, etc.

(Although the target age is basically up to 15 years old, diseases which require a specialty peculiar to pediatric surgery can be treated for persons who are 16 years of age or older.) On the other hand, we treat appendicitis, which develops in the adult, up to the age of elementary school students, and we request the Department of Digestive Tract and General Surgery to treatment the junior high school students or older.)

 

Target Symptoms

Hepato-Biliary-Pancreatic Surgery group
There are many cases where there are no symptoms for the diseases treated in the hepato-biliary-pancreatic surgery area. In addition, there are many cases that start with general abdominal pain and back pain so please visit us depending on the discretion of your initial doctor.
Pediatric surgery group
Bulging and swelling of the groin and the navel (bulges, lumps), enlargement of the scrotum (swollen), testicle is non-palpable (can't touch), swelling around the anus, abnormal position and shape of the anus, chest recess (dent), etc. (We are sorry but with the symptoms such as abdominal pain, vomiting, constipation, bloody bowel discharge, abdominal bloating, and jaundice, please consult a pediatrician first.)

Treatment results

Hepato-Biliary-Pancreatic Surgery group

2020 Number of surgical cases by disease
Disease Total
Hepatocellular carcinoma 15
Intrahepatic bile duct cancer 3
Metastatic liver cancer 4
Other liver diseases
(Transplantation,other tumors,trauma,etc.)
6
Hilar region bile duct cancer 6
Distal bile duct cancer 9
Cancer of the gallbladder
(including cancer of the gallbladder duct)
3
Cancer of the papillary region 12
Cancer of the pancreatic head 36
Cancer of the pancreatic tail 18
IPMN/IPMC 7
Other pancreatic diseases
(Transplant,other tumors,trauma,etc.)
3
Benign gallbladder disease 78
Other 91
281
2020 Number of surgeries by operation type
Laparotomy Laparoscopic Total
Simultaneous resection of liver and pancreas
Hepatic resection
2 2
More than hepatic subsection resection 31 2 33
Transplant surgery for liver transplant recipients 1 1
Hepatic resection of liver transplant donor 1 1
Partial liver resection 14 16 30
Extrahepatic segmental resection 2 2 4
Pancreatectomy      
Total pancreatectomy
(including total pancreatectomy of the remaining pancreas)
7 7
Pancreatoduodenectomy (including pyloric ring preservation) 62 1 63
Resection of the tail of the pancreas
(limited to pancreatic cancer with D2 lymph node dissection)
10 5 15
Pancreatic transplant recipient surgery 1 1
Resection of the pancreatic tail without dissection 7 7 14
Others
Resection of gallbladder and bile duct
+ anastomosis of bile duct and digestive tract
(except for congenital biliary dilatation)
5 2 7
Pancreatic tumor enucleation 1 1 2
Kidney Transplant Recipient Surgery 3 3
Cholecystectomy 5 73 78
Splenectomy (laparoscopic) 3
Others 17
Annual total 281

Pediatric surgery group

2020 Cases by disease in pediatric surgery
(1) Newborn baby
Anal fistula 6
Idiopathic bowel perforation 5
Fetal-associated ileus 4
Esophageal atresia 3
Abdominal wall rupture 3
Duodenal atresia 2
Diaphragmatic hernia  2
Necrotizing enterocolitis 2
Hirschsprung's disease 1
Hirschsprung's analogous disease 1
Biliary atresia 1
Small intestine obstruction 1
Abnormal bowel rotation 1
Mesenteric hiatal hernia 1
Abdominal and pelvic lymphangioma 1
Sacroiliac teratoma 1
Neonatal hepatitis 1
Total 36
 
(2) Infants to older children
Inguinal hernia (open) 28
   Same as above (laparoscopic) 22
Stasis testis 24
Umbilical hernia 14
Scrotal edema 8
Acute appendicitis (laparoscopic) 11
Gastroesophageal reflux disease (laparoscopic) 6
  Same as above (open) 4
Feeding disorder (gastrostomy) 9
Ileus 6
Crotalgia 5
Hirschsprung's disease 4
Small bowel volvulus 3
Ureteral remnant 2
Anal fistula 2
Biliary atresia 1
Congenital biliary dilatation 1
Bile duct hypoplasia 1
Congenital pulmonary cysticercosis  1
Hirschsprung's analogous disease 1
Necrotizing enterocolitis 1
Gastrointestinal perforation 1
Hypertrophic pyloric stenosis 1
Intussusception 1
Rectal polyp 1
Splenic hemangioma 1
Funnel chest 1
Linea alba hernia 1
Perineal lipoma 1
Mammary mass 1
Cervical masses 1
Total 164
 

Medical staff

Characteristics of the Hepato-Biliary-Pancreatic Surgery group

Name Job Title Position Specialized Field Credentials
別宮 好文
(Beck Yoshifumi)
肝胆膵外科スタッフ001
Professor Chief of Hepatobiliary Surgery and Research
Director of the Transplant Center
Deputy Hospital Director
Hepato-Biliary-Pancreatic Surgery
Transplantation Surgery
Chemotherapy
Board certification
Japan Surgical Society,
The Japanese Society of Gastroenterological Surgery
Professional Membership
Lift Endoscopy and Minimal Incision Surgery
The Japan Society for Transplantation
Japanese Society for Hitocompatibility and Immunogenetics
優秀専門臨床医™
牧 章
(Maki Akira)
肝胆膵外科スタッフ002
Associate Professor Vice-Chief of Clinical Services
Vice-Chief of Education
Vice-Director of the Transplant Center
Hepato-Biliary-Pancreatic Surgery
Transplantation Surgery
Chemotherapy
Board certification
Japan Surgical Society
The Japanese Society of Gastroenterological Surgery
Japanese Society of Hepato-Biliary-Pancreatic Surgery
The Japan Society for Transplantation
American Society of Transplant Surgeons)
Professional Membership
Japanese Society of Hepato-Biliary-Pancreatic Surgery
The Japan Society for Transplantation
駒込 昌彦
(Komagome Masahiko)
肝胆膵外科スタッフ003
Instructor Manager of Outpatient Services Hepato-Biliary-Pancreatic Surgery
Transplantation Surgery
Chemotherapy
Board certification
Japan Surgical Society
The Japanese Society of Gastroenterological Surgery
Professional Membership
Japanese Society of Hepato-Biliary-Pancreatic Surgery
木村 暁史
(Kimura Takehumi)
肝胆膵外科スタッフ004
Instructor Hepato-Biliary-Pancreatic Surgery
Transplantation Surgery
Chemotherapy
Board certification Japan Surgical Society The Japanese Society of Gastroenterological Surgery The Japanese Society of Abdominal Emergency Medicine Infection Control Doctor(ICD)
Professional Membership Japanese Society of Hepato-Biliary-Pancreatic Surgery
二宮 理貴
(Ninomiya Riki)
肝胆膵外科スタッフ004
Instructor Hepato-Biliary-Pancreatic Surgery
Transplantation Surgery
Chemotherapy
Board certification
Japan Surgical Society
The Japanese Society of Gastroenterological Surgery
Japanese Society of Hepato-Biliary-Pancreatic Surgery
Japan Society of Endoscopic Surgery
Professional Membership
Japanese Society of Hepato-Biliary-Pancreatic Surgery
小暮 亮太
(Kogure Ryouta)
肝胆膵外科スタッフ006
Instructor Hepato-Biliary-Pancreatic Surgery
Transplantation Surgery
Chemotherapy
Board certification
Japan Surgical Society
阿部 学
(Abe Satoru)
肝胆膵外科スタッフ007
Instructor Hepato-Biliary-Pancreatic Surgery
Transplantation Surgery
Chemotherapy
Board certification
Japan Surgical Society
The Japanese Society of Gastroenterological Surgery
Professional Membership
Japanese Society of Hepato-Biliary-Pancreatic Surgery
千代田 武大
(Chiyoda Masahiro)
肝胆膵外科スタッフ008
Instructor Hepato-Biliary-Pancreatic Surgery
Transplantation Surgery
Chemotherapy
Board certification
Japan Surgical Society
丸田 祥平
(Maruta Shohei)
肝胆膵外科スタッフ008
Senior resident
山田 永徳
(Yamada Naganori)
肝胆膵外科スタッフ008
Senior resident
布川 靖啓
(Nunokawa Yasuhiro)
肝胆膵外科スタッフ008
Senior resident

Characteristics of the pediatric surgery group

Name Job Title Position Specialized Field Credentials
小高 明雄
(Odaka Akio)
肝胆膵外科・小児外科スタッフ001
Professor Vice-Chief of Clinical Services
Chief of Education
Manager of Outpatient Services
Pediatric Surgery
Neonatal Surgery
Invasive surgical
Board certification
The Japanese Society of Pediatric Surgeon
The Japanese Society of Gastroenterology
The Japan Gastroenterological Endoscopy Society
Japanese College of Cardiology
井上 成一朗
(Inoue Seiichirou)
肝胆膵外科・小児外科スタッフ002
Associate Professor Manager of Inpatient Services
Manager of Residency Programs
Vice-Chief of Research
Pediatric Surgery
Neonatal Surgery
Surgical Immunology
Board certification
The Japanese Society of Pediatric Surgeon
Japan Society Perinatal and Neonatal Medicine
The Japan Society for Transplantation
牟田 裕紀
(Muta Yuuki)
肝胆膵外科・小児外科スタッフ003
Instructor Pediatric Surgery
Neonatal Surgery
Pediatric Urology
Board certification
The Japanese Society of Pediatric Surgeon
Japan Society Perinatal and Neonatal Medicine
Japanese Society of Pediatric Urology
竹内 優太
(Takeuchi Yuuta)
肝胆膵外科・小児外科スタッフ003
Senior resident Pediatric Surgery
川嶋 寛
(Kawashima Hiroshi)
肝胆膵外科・小児外科スタッフ004
Visiting Associate Professor Pediatric Surgery
Endoscopic Surgery
Board certification
The Japanese Society of Pediatric Surgeon
Japan Society of Endoscopic Surgery
池田 理恵
(Ikeda Rie)
肝胆膵外科・小児外科スタッフ004
Adjunct Instructor Pediatric Surgery Board certification
The Japanese Society of Pediatric Surgeon

Outpatient clinic

To the Medical Institutions

Hepato-Biliary-Pancreatic Surgery

Hepato-Biliary-Pancreatic Surgery outpatient clinic accepts referrals from 9:00am to 11:00am on Monday through Saturday. Reservation is not required.
Attending physicians in charge.

Monday: Komagome Masahiko
Tuesday: Akira Maki
Wednesday: Shift system
Thursday: Yoshifumi Beck
Friday: Ryota Kogure
Saturday: Shift system

Pediatric surgery

Pediatric surgery outpatient clinic accepts referrals on Monday, Tuesday and Saturday by following physicians. Reservation is not required.

Monday morning (Physician in charge: Seiichiro Inoue)
Monday afternoon (Physician in charge: Akio Odaka)
Tuesday afternoon (Physician in charge: Yuuki Muta)
Saturday morning (Physician in charge: Akio Odaka, Rie Ikeda; the first Saturday only).

・Physician in charge may change, please confirm with the outpatient office in advance when you need to refer specific physician.
Please call the Surgery outpatient clinic in the case of an emergency.
(Surgery outpatient clinic) TEL049-228-3618, available on Monday - Saturday, 9:00 am to 5:30 pm.

・A referral as second opinion is accepted at any time. Please find information to make a reservation in our website from Second Opinion Outpatient in Outpatient Guide.

(Attending physician in charge of second opinion)
Hepato-biliary-pancreatic Surgery: Yoshifumi Beck
Pediatric Surgery: Akio Odaka

・Please contact us by email if you have any questions about the diseases, treatment option, or education for medical professionals.
(Contact information)
Hepato-Biliary-Pancreatic Surgery: Yoshifumi, Bekkuybeck@saitama-med.ac.jp
Pediatric Surgery: Akio Odaka, 07aoda@saitama-med.ac.jp

埼玉医科大学バナー 埼玉医科大学看護学校バナー