Welcome to the Hiroshima University Gastroenterological and Transplant Surgery Course homepage.
With our motto of “from the top of your head to the tips of your toes,” this Course has covered a wide range of disorders from gastroenterological, chest, and peripheral vessels to endocrine issues. We have maintained an excellent balance that enables medical care through a broad understanding of the patient’s condition and deep expertise in the care and management of each bodily organ. However, with expertise requiring learning an increasingly high level of technology, medical care is becoming ever more complicated, and there are concerns that comprehensively covering all bodily organs in one course may actually hinder improvements in the level of care. In the classroom, we are therefore increasing our expertise by specializing in the field of gastroenterological surgery, and the four groups of upper gastrointestinal tract, lower gastrointestinal tract, hepato-biliary-pancreatic and transplant are applying themselves diligently as units to promote medical care, research and education. Their common principles are continuing tradition, change adapted to the surrounding environment and development of next generation medical care.
Surgery becomes permissible when the benefits outweigh the disadvantages of the burden and injury on the body. As a result, the ideal surgery for a surgeon is an extraction or reconstruction that is as minimally invasive as possible through an accurate understanding of the conditions and symptoms which minimizes complications and recurrence of the underlying condition. Minimally invasive surgery does not just simply mean that the injury is small, but that it is safe and quick and unnecessary tissue ablation is avoided.
Surgery is progressing at a faster speed than we had anticipated. When I became a physician, both removal of colon cancer that had metastasized to the liver and liver transplants for liver cancer were taboo. No one had imagined surgery using robots, but all of these new treatments occur on a daily basis.
Knowledge, insight, thinking and repeated practice to learn new technology based on an appropriate system for education and support are required to put into practice such an ideal type of surgery as well as these new treatments. Surgeons cannot build a foundation just on individual experience and trial and error. It is necessary to acquire the surgical theory and technique that surgeons throughout history have developed and improved and nurture the ability to apply them in many different variations, as well as to continue learning new technologies.
The training system in this Course is tailored to this. Junior and senior residents experience a wide variety of fields such as gastroenterological, respiratory, thyroid, mammary gland and endocrine surgery as well as dialysis at related hospitals to build a comprehensive surgical foundation. Study then continues in classrooms specialized for gastroenterological and transplant surgery where cutting-edge technology and knowledge are acquired so that patients have the utmost trust in their surgeons.
“It is not sufficient for researchers to just consider the mechanisms of illness and the condition of the patient as well as methods for new treatments. What is most important in medicine is for patients and physicians directly interacting with them to have a basic mindset to overcome the illness.” These words come from an admired authority in immunology. There should be discoveries and ideas that only surgeons well-versed in the requirements and treatment methods needed by patients that face illness are capable of. Great ideas are occasionally born in processes that overcome difficult clinical conditions. This Course strives to develop surgeon scientists / academic surgeons who link such discoveries and ideas to the development of new treatments in line with our motto since the beginning of the Course: “to develop surgeon scientists / academic surgeons who excel in research, technology, knowledge and character and can feel the pain and suffering of patients.”