Staff and specialities
Professor: Masaji TANI
General and Gastrointestinal Surgery
Associate Professor: Shigeyuki NAKA
Associate Professor: Hiroshi YAMAMOTO
Associate Professor: Satoshi MURATA
Senior Assistant Professor: Hisanori SHIOMI
Senior Assistant Professor: Yoshihiro KUBOTA
Senior Assistant Professor: Tomoharu SHIMIZU
Assistant Professor: Tsuyoshi YAMAGUCHI
Assistant Professor: Hiromichi SONODA
Assistant Professor: Tsuyoshi MORI
Assistant Professor: Hiroyuki OHTA
Outline of the department
Gastrointestinal surgery covers the digestive tract and hepato-biliary-pancreatic surgery. Many leading operations using new techniques have been applied since quite early in this division, especially ileocolon or jejunal pouch interposition after total gastrectomy, pylorus preserving subtotal gastrectomy, pylorus preserving pancreatic duodenectomy, super low anterior dissection for rectal cancer that avoids stoma. Laparoscopic surgery is introducing actively as a minimal invasive surgery in recent years. We have tried to select more appropriate therapy including surgical and/or chemo-radio therapy according to a degree of a cancer progression as for the malignant tumors.
As a topic of new therapeutic maneuver, Shiga University of Medical Science installed the first intraoperative MR scanner (IVMR) in Asia and has started clinical trials since 2000. This system has enabled the application of minimally invasive MR-guided real time surgery and interventional therapy. Ablation therapy using microwaves under IVMR enables the minimally invasive therapy against liver tumor. Hyperthermia treatment on gastric cancer has been applied since 2001, and got excellent, survival effect.
General Surgery covers mainly breast, endocrine, pancreas, thyroid, adrenal and parathyroid surgery, renal transplantation, retro peritoneal or intraabdominal tumors and several diseases that a surgeon must be known generally (ex. inguinal herniation, hemorrhoid, subcutaneous tumor, etc).
Regarding the breast cancer, mastectomy with lymph node dissection has been indicated to the advanced cases. Recently, breast preserving operation with wide resection of tumor, which aimed for the cosmetic beauty, or trial of reserving the level of lymph node dissection on the basis of the diagnosis of sentinel lymph nodes biopsy is carried out to the cases of the early stage breast cancer.
This subdivision provide for the resident supervised surgical training, which encourages gradual development of clinical and operative skills. At the end of the postgraduate program in General Surgery, the resident should be a competent clinical surgeon who is qualified to practice in a variety of clinical settings.