Department of Hepato-Biliary-Pancreatic Surgery & Pediatric Surgery
April 6,2024 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.
- Precise diagnosis and optimal treatment strategy for each patient.
- Meticulous surgery to pursue curative surgery and prevent complications.
- 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
- 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
- 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
- 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
- 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
| Disease | Total |
|---|---|
| Hepatocellular carcinoma | 19 |
| Intrahepatic bile duct cancer | 5 |
| Metastatic liver cancer | 2 |
| Other liver diseases (Transplantation,other tumors,trauma,etc.) |
7 |
| Hilar region bile duct cancer | 5 |
| Distal bile duct cancer | 13 |
| Cancer of the gallbladder (including cancer of the gallbladder duct) |
1 |
| Cancer of the papillary region | 4 |
| Congenital biliary dilatation | 2 |
| Cancer of the pancreatic head | 34 |
| Cancer of the pancreatic tail | 19 |
| IPMN/IPMC | 9 |
| MCN | 1 |
| Other pancreatic diseases (Transplant,other tumors,trauma,etc.) |
7 |
| Benign gallbladder disease | 50 |
| Other | 78 |
| 256 |
| Laparotomy | Laparoscopic | Total | |
|---|---|---|---|
| Simultaneous resection of liver and pancreas Hepatic resection |
3 | 3 | |
| More than hepatic subsection resection | 31 | 1 | 32 |
| Transplant surgery for liver transplant recipients | 1 | 1 | |
| Hepatic resection of liver transplant donor | 1 | 1 | |
| Partial liver resection | 19 | 17 | 36 |
| Extrahepatic segmental resection | |||
| Pancreatectomy | |||
| Total pancreatectomy (including total pancreatectomy of the remaining pancreas) |
6 | 6 | |
| Pancreatoduodenectomy (including pyloric ring preservation) | 52 | 7 | 59 |
| Resection of the tail of the pancreas (limited to pancreatic cancer with D2 lymph node dissection) |
13 | 14 | 27 |
| Pancreatic transplant recipient surgery | 1 | 1 | |
| Resection of the pancreatic tail without dissection | 2 | 2 | |
| Others | |||
| Resection of gallbladder and bile duct + anastomosis of bile duct and digestive tract (Congenital biliary dilatation) |
1 | 1 | |
| Pancreatic tumor enucleation | 1 | 1 | |
| Kidney Transplant Recipient Surgery | 2 | 2 | |
| Cholecystectomy | 1 | 49 | 50 |
| Splenectomy (laparoscopic) | |||
| Others | 36 | ||
| Annual total | 256 |
Pediatric surgery
| (1) Neonatal Surgery | |
|---|---|
| Esophageal atresia | 3 |
| Congenital Diaphragmatic hernia | 3 |
| Duodenal atresia | 2 |
| Hypertrophic pyloric stenosis | 2 |
| Intestinal atresia | 1 |
| Anorectal malformation | 1 |
| Neronatal necrotizing enterocolitis | 1 |
| Hirschsprung's disease | 1 |
| Meconium peritonitis | 1 |
| Meconium related ileus | 1 |
| Biliary atresia | 1 |
| Gastroschisis | 1 |
| Omphalocele | 1 |
| Congenital Ovarian cyst | 1 |
| Urachal remnant | 1 |
| Intra-thoracic foreign body remore | 1 |
| Total | 22 |
| (2) Infants to older children | |
|---|---|
| Inguinal hernia (direct visualization) | 27 |
| Same as above (laparoscopic) | 28 |
| Undescended testis | 42 |
| Umbilical hernia | 18 |
| Closure of enterostomy | 12 |
| Acute appendicitis (laparoscopic) | 8 |
| gastrostomy | 7 |
| Gastroesophageal reflux disease (open) | 5 |
| Same as above (laparoscopic) | 1 |
| Intestinal obstruction | 6 |
| Anorectal malformation | 6 |
| hydrocele | 4 |
| Intussuscoption | 3 |
| Hydrocephalus | 3 |
| Hirschsprung's disease | 2 |
| Hemorrhoids | 2 |
| Biliary atresia | 2 |
| Congenital biliary dilatation | 2 |
| Congenital lung cyst | 2 |
| Retroperitoneal abscess | 2 |
| Ankyloglossia | 2 |
| Malignant tumor (fertility preservation surgery) | 2 |
| Hypertrophic pyloric stenosis | 1 |
| Esophageal atresia | 1 |
| Esophageal stenosis | 1 |
| Hiatal hernia | 1 |
| Intestinal rotation abnormality | 1 |
| Intestinal duplication | 1 |
| Pectus excaratum | 1 |
| Diaphragmatic hernia | 1 |
| Biliary stasis | 1 |
| Pancreatic cystic tumor | 1 |
| Abdominal and pelvic lymphangioma | 1 |
| Total | 197 |
Medical staff
Hepato-Biliary-Pancreatic Surgery
| Name | Job Title | Position | Specialized Field | Credentials |
|---|---|---|---|---|
| 別宮 好文 (Beck Yoshifumi)  |
Professor | Director of Saitama Medical Center Director of cliical service |
Hepato-Biliary-Pancreatic Surgery Transplantation Surgery Chemotherapy |
Board certification Japan Surgical Society Japan Society of Gastroenterological Surgery |
| 牧 章 (Maki Akira)  |
Professor | Dipuity derecter of Clinical Services Chief of Clinical Education Director of Center for Abdominal organ transplant |
Hepato-Biliary-Pancreatic Surgery Transplantation Surgery Chemotherapy |
Board certification Japan Surgical Society Japan Society of Gastroenterological Surgery Japan Society of Hepato-Biliary-Pancreatic Surgery Japan Society for Transplantation American Society of Transplant Surgeons |
| 竹村 信行 (Takemura Nobuyuki)  |
Professor | Hepato-Biliary-Pancreatic Surgery Chemotherapy |
Board certification Japan Surgical Society Japan Society of Gastroenterological Surgery Japan Society of Hepatology Japan Society of Hepato-Biliary-Pancreatic Surgery |
|
| 浦橋 泰然 (Urahashi Taizen)  |
Associate Professor | Vice-Chief of Clinical Research | Hepato-Biliary-Pancreatic Surgery Transplantation Surgery Regeneration Medicine |
Board certification Japan Surgical Society Japan Society for Transplantation ECFMG (Educational Commission for Foreign Medical Graduates) certified (USA) Certification for Senior Fellowship of Transplant Surgery in Queensland Liver Transplant Service (Australia) International College of Surgeons Fellow (USA) |
| 木村 暁史 (Kimura Akifumi)  |
Assistant Professor | Hepato-Biliary-Pancreatic Surgery Transplantation Surgery Chemotherapy |
Board certification Japan Surgical Society Japan Society of Gastroenterological Surgery Japan Pancreas Society Japan Society of Hepatology |
|
| 駒込 昌彦 (Komagome Masahiko)  |
Instructor | Manager of Outpatient Services Dipuity Director of Center for Abdominal organ transplant |
Hepato-Biliary-Pancreatic Surgery Transplantation Surgery Chemotherapy |
Board certification Japan Surgical Society Japan Society of Gastroenterological Surgery |
| 二宮 理貴 (Ninomiya Riki)  |
Instructor | Hepato-Biliary-Pancreatic Surgery Chemotherapy |
Board certification Japan Surgical Society & Gastroenterological Surgery Japan Society of Hepato-Biliary-Pancreatic Surgery Japan Society of Endoscopic Surgery Japan Pancreas Society Certificated instractor of robotic pancreatectomy |
|
| 長田 梨比人 (Nagata Rihito)  |
Instructor | Hepato-Biliary-Pancreatic Surgery Transplantation Surgery Chemotherapy |
Board certification Japan Surgical Society Japan Society of Gastroenterological Surgery Japan Society for Transplantation Japan Society of Hepato-Biliary-Pancreatic Surgery |
|
| 岡田 憲樹 (Okada Noriki) 
|
Instructor | Hepato-Biliary-Pancreatic Surgery Transplantation Surgery Chemotherapy |
Board certification Japan Surgical Society Japan Society of Gastroenterological Surgery Japan Society of Hepatology |
|
| 松平 慎一 (Matsudaira Shinichi)  |
Instructor | Hepato-Biliary-Pancreatic Surgery Transplantation Surgery Chemotherapy |
Board certification Japan Surgical Society Japan Society of Hepatology Japan Society of Gastroenterological Surgery Japan Society of Hepato-Biliary-Pancreatic Surgery Japan Board Certified Cancer Therapist |
|
| 山本 雅樹 (Yamamoto Masaki) |
Instructor | Hepato-Biliary-Pancreatic Surgery Transplantation Surgery Chemotherapy |
Board certification Japan Surgical Society Japan Society of Hepato-Biliary-Pancreatic Surgery Japan Society of Gastroenterological Surgery Japan Society of Gastroenterology |
|
| 丸田 祥平 (Maruta Shohei)  |
Instructor | Hepato-Biliary-Pancreatic Surgery Transplantation Surgery Chemotherapy |
Board certification Japan Surgical Society |
|
| 山田 永徳 (Yamada Naganori)  |
Senior resident | |||
| 布川 靖啓 (Nunokawa Yasuhiro)  |
Senior resident |
Pediatric surgery
| Name | Job Title | Position | Specialized Field | Credentials |
|---|---|---|---|---|
| 小高 明雄 (Odaka Akio) 
|
Professor | Vice-Chief of Clinical Services Chief of Education Manager of Outpatient Services |
Pediatric Surgery Neonatal Surgery Invasive surgical |
Board certification Japan Society of Pediatric Surgeon Japan Society of Gastroenterology Japan Gastroenterological Endoscopy Society Japan College of Cardiology |
| 井上 成一朗 (Inoue Seiichirou) 
|
Professor | Manager of Inpatient Services Manager of Residency Programs Chief of Clinical Research |
Pediatric Surgery Neonatal Surgery Surgical Immunology |
Board certification Japan Society of Pediatric Surgeon Japan Society Perinatal and Neonatal Medicine Japan Society for Transplantation |
| 牟田 裕紀 (Muta Yuki) 
|
Instructor | Vice Chief of Clinical education | Pediatric Surgery Neonatal Surgery Pediatric Urology |
Board certification Japan Society of Pediatric Surgeon Japan Society Perinatal and Neonatal Medicine Japan Society of Pediatric Urology |
| 竹内 優太 (Takeuchi Yuta) 
|
Instructor | Pediatric Surgery | Board certification Japan Surgical Society |
|
| 林 泰輔 (Hayashi Taisuke)
|
Senior resident | Pediatric Surgery | ||
| 川嶋 寛 (Kawashima Hiroshi) 
|
Visiting Associate Professor | Pediatric Surgery Endoscopic Surgery |
Board certification Japan Society of Pediatric Surgeon Japan Society of Endoscopic Surgery |
|
| 池田 理恵 (Ikeda Rie)
|
Adjunct Instructor | Pediatric Surgery | Board certification Japan 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
