Okayama University Hospital has the largest number of cases of lung transplantation in Japan. In 1998, we performed living partial lung transplantation for the first time in Japan, and in 2002 we successfully performed brain death lung transplantation. Up to July 2013, we had performed 110 cases of lung transplantation, which accounts for 36% of the total number of lung transplantations performed in Japan, which is the most in the country. Our postoperative results are extremely favorable, and the 5-year survival rate is 82% (87% of which was living lung transplantation), which is the world’s highest level. In December 2011, at the request of the Embassy, staff members from Okayama University Hospital successfully conducted lung transplantation surgery for the first time in Sri Lanka. Subsequently, we began to accept lung transplantation patients from overseas, including from Hong Kong. We also successfully performed living middle lobar lung transplantation for the first time in the world, in which part of the lung of an adult was transplanted to a small child. Furthermore, making use of the advanced techniques we have developed, we performed Japan’s first autologous lung transplantation, in which a pneumonectomy for advanced lung cancer was performed to remove only the lesion and a portion without cancer was transplanted from within the patient’s own body. Since then, we have accumulated a number of cases of experience with this procedure.
Our hospital also has a wealth of achievements in the field of cardiovascular surgery. In particular, in the area of pediatric cardiovascular surgery, we are at the foremost level in the world, and many patients with severe diseases such as complex cardiac anomalies visit us from all over Japan. Regarding congenital heart disease, in addition to diseases such as atrial septal defect, ventricular septal defect, and Tetralogy of Fallot (TOF), for complex heart diseases such as hypoplastic left heart syndrome and single ventricle defects, pulmonary atresia, and Ebstein’s anomaly, we perform surgical treatment when they require emergency treatment in the neonatal period. Correct diagnosis is indispensable for surgery, and so examinations such as echocardiography, fetal echocardiography, cardiac catheterization, cardiac CT, and MRI are performed in cooperation among the departments of pediatric cardiology, gynecology, and radiology to determine the preoperative diagnosis and therapeutic policy. Furthermore, the departments of resuscitology and pediatric anesthesia closely cooperate with the departments of perioperative intensive care and intraoperative anesthesia in order to provide medical care at the highest level. We also perform advanced treatment of heart failure, such as clinical research trials of regenerative medicine using myocardial stem cells as heart failure treatment, and heart transplants.
We have been conducting catheterization treatment and surgery for adult congenital heart disease, which has been increasing in recent years, and we take pride in having a level of results and contents of treatment that are in the top class in Japan. In the case of acquired heart diseases, for valvular diseases as well as for angina pectoris and myocardial infarction, and concomitantly arising complications such as ischemic heart disease and arrhythmia, we perform a combination of treatments such as valvuloplasty, prosthetic valve surgery, coronary artery bypass grafting, and surgery for arrhythmia.
The aim of our Interventional Radiology (IVR) Center, which we established in June 2012, is to become a national and thus an Asian base for IVR treatment. IVR is a minimally invasive treatment in which treatment of a lesion is conducted using a catheter or needle while confirming the lesion within the body by means of imaging using X-ray fluoroscopy, X-ray CT, ultrasonography, MRI, and so on.
|Pulmonary hypertension||32 cases|
|Interstitial pneumonia||29 cases (idiopathic, 12 cases; other, 8 cases)|
|Bronchiolitis obliterans||17 cases (after bone marrow transplantation, 12 cases; retransplantation due to chronic rejection, 11 cases)|
|Pulmonary lymphangioleiomyomatosis||10 cases|
|Pulmonary emphysema||6 cases|
|Diffuse panbronchiolitis||6 cases|
Our IVR Center is a large facility with 4 angiographic devices for heart catheterization, 4 DSA devices for cerebrovascular angiography , 2 IVR-CT scanners, and an open-type MRI, and we are proud that it is in the top class in Japan in terms of its scale and contents. The center is composed of 5 sections: the cerebrovascular section, the cardiology section, the pediatric cardiology section, the cancer/comprehensive section, and the anesthesia section. Various kinds of IVR treatment are conducted, such as treatment of the cardiovascular system and CR imaging-guided radiofrequency ablation treatment for lung cancer. Among all the national university hospitals in Japan, our hospital has the largest number of cases registered with the Japanese Society of IVR, and with our surgery we are a top-level institution in Japan in terms of the number of cases and their contents. We have physicians with excellent skills in each section, and our staff including nurses, radiology technologists, and medical engineers are also excellent.
Our hospital opened Japan’s first perioperative management center in September 2008. Perioperative care (peri-op) is a proactive medical intervention performed before, during, and after surgery for a patient undergoing an operation under general anesthesia in order to enhance the therapeutic value of the surgery. Proactive intervention is performed by a medical team with the cooperation of multiple specialties, starting as soon as the type of operation is determined. The staff is composed of nurses, dentists, pharmacists, physical therapists, dental hygienists, dental laboratory technicians, administrative dietitians, medical technologists, and anesthetists as leaders. As of March 2013, we had conducted interventions in 1,207 cases of respiratory surgery, 309 cases of esophageal surgery, and 17 cases of cervical esophagus laryngectomy. We have achieved outcomes such as a decrease of discontinuation just before the beginning of surgery, shorter postoperative hospital stays, and fewer complications, and we have accepted a large number of inspection tours from university hospitals in Japan.
Dr. Takahiro Daito
Okayama University Hospital is one of the most advanced institutions in Japan with respect to organ transplantation and pediatric heart surgery, and in the development of highly advanced medical care such as robotic surgery and gene and cell therapy. Our hospital’s philosophy is to provide advanced medical care with kindness, and to cultivate excellent human resources. We will continue to develop new medical treatments and to create and implement the kind of advanced medical care that is not found in other institutions.
Compared with other hospitals, our hospital has a higher rate of patients with serious illnesses. Therefore, in May 2013, we completed an integrated new ward that incorporates a large amount of state-of-the-art medical equipment that is fully capable of exhibiting a high level of medical technology. We firmly believe that we are able to provide advanced medical care that international patients can receive with confidence.
|Exterior View of Our Hospital||Hybrid Operating Room||IVR Center|
General Internal Medicine, Gastroenterology, Hematology and Oncology, Allergy and Respiratory Medicine, Nephrology, Diabetology and Endocrinology, Rheumatology and Collagen Disease, Cardiovascular Medicine, Neurology, Infectious Disease, Gastroenterological Surgery, Hepatobiliary and Pancreatic Surgery, Respiratory Surgery, Breast and Endocrine Surgery, Urology, Cardiovascular Surgery, Pediatric Surgery, Orthopedic Surgery, Plastic Surgery, Orthopedic Surgery, Ophthalmology, Otorhinolaryngology, Neuropsychiatry, Neurological Surgery, Anesthesiology, Resuscitology, Pediatrics/Pediatric Cardiology, Pediatric Neurology, Pediatric Hematology and Oncology, Pediatric Anesthesiology, Pediatric Radiology, Obstetrics and Gynecology, Radiology, Emergency Medicine, Anatomic Pathology, Palliative Care, Comprehensive Dentistry, Operative Dentistry, Periodontics, Oral Rehabilitation and Regenerative Medicine, Occlusal and Oral Functional Rehabilitation, Oral and Maxillofacial Reconstructive Surgery, Oral Diagnosis and Dentomaxillofacial Radiology, Oral Radiology, Dental Anesthesiology, Orthodontics, Preventive Dentistry, Pediatric Dentistry
2-5-1 Shikata-cho, Kita-ku, Okayama City 700-8558
|10 minutes by bus from JR Okayama Station|
|40 minutes by car from Okayama Airport|