Kishiwada Tokushukai Hospital > CRS + HIPEC Training Project

CRS + HIPEC Training Project



This program provides advanced clinical training in the management of peritoneal metastasis,
cytoreductive surgery (CRS), and hyperthermic intraperitoneal chemotherapy (HIPEC)
under the supervision of Dr. Yutaka Yonemura at Kishiwada Tokushukai Hospital.

The program is intended for physicians seeking practical exposure to advanced surgical oncology,
perioperative management, imaging evaluation, and academic activities related to peritoneal surface malignancies.

Eligible Applicants

Target specialties

  • Surgeons
  • Gynecologists
  • Physicians involved in oncology-related clinical practice

Applicants must

  • Hold a valid medical license in their home country
  • Have completed at least 3 years of specialty training or equivalent clinical experience after graduation
  • Be actively involved in surgical, oncological, or related clinical practice

Training Duration

Minimum
2 weeks

Maximum
Up to 2 years

Typical duration
Most trainees stay for approximately 1–3 months

Training Content

Perioperative Chemotherapy

  • Preoperative intraperitoneal chemotherapy
  • Intraperitoneal port placement techniques
  • Cytology techniques
  • Intraoperative HIPEC procedures
  • Simultaneous thoracic and peritoneal hyperthermic chemotherapy
  • Early postoperative intraperitoneal chemotherapy

Surgical Techniques

  • Cytoreductive surgery (CRS)
  • Peritonectomy procedures
  • Para-aortic lymphadenectomy
  • Hepatectomy techniques
  • 5-ALA fluorescence-guided surgery
  • Aqua dissection techniques
  • Pelvic peritonectomy with preservation of inferior mesenteric vessels
  • Diaphragm and urinary tract reinforcement using posterior rectus sheath patch
  • Peritoneal stripping around the liver

Imaging and Diagnostic Evaluation

  • CT, MRI, and PET evaluation of peritoneal metastasis
  • Peritoneal Cancer Index (PCI) assessment

Postoperative Management

  • Management of postoperative complications
  • Timing and indications for reoperation

Drug Sensitivity and Pathological Evaluation

  • Chemosensitivity assessment
  • Tissue sampling techniques
  • Pathological diagnosis of pseudomyxoma peritonei
  • Immunohistochemistry panel diagnosis

Molecular Mechanisms of Peritoneal Dissemination

  • Mechanisms of lymphatic metastasis
  • Biological behavior of peritoneal dissemination

Academic Activities

  • Clinical conferences
  • Case discussions
  • Guidance on English-language academic writing and publication

Funding and Expenses

Kishiwada Tokushukai Hospital does not provide scholarships, salary support,
housing support, or financial sponsorship for this program.
No program fees are charged for approved clinical training under Dr. Yonemura.

Applicant’s responsibility
  • Travel
  • Accommodation
  • Meals
  • Insurance
  • Visa procedures
  • Daily living expenses

Visa requirements
Applicants must satisfy the financial requirements necessary for visa issuance by the Japanese Embassy or Consulate in their country.

English Communication

Requirement
Applicants must be able to communicate effectively in spoken English in clinical, academic, and operating room settings.

If English is not your first language
Please include relevant English proficiency information in your CV, such as:

  • IELTS / TOEFL / OET scores
  • Overseas clinical or research experience
  • English-language publications
  • International conference presentations
  • Previous international training experience

Additional communication assessment or online interview may be requested.

Application Process

All applications are reviewed individually by the Committee for Advanced Clinical Training for Foreign Physicians
at Kishiwada Tokushukai Hospital.
Approved applicants will be guided through the necessary procedures for obtaining an Advanced Clinical Training visa
and related institutional documentation.

Acceptance is not guaranteed. The number of trainees accepted at any given time may be limited
depending on clinical scheduling, operating room activities, and institutional capacity.

Required Documents

  • Curriculum Vitae (CV)
  • Photocopy of passport
  • Letter of recommendation from current institution
  • Medical license
  • Certificate of specialty training or equivalent documentation
  • Other supporting documents if required

Initial Inquiry

Include in your message
  • Preferred training period
  • Desired duration
  • Current specialty and position
  • Brief description of your clinical background

Attachment
Please attach your most recent CV to your initial inquiry.

Before You Apply

Please note
Submission of an application does not guarantee acceptance for the requested period.
Training schedules are arranged according to:

  • Departmental training capacity
  • Overlap with other visiting doctors
  • Visa and Certificate of Eligibility processing feasibility
  • Overall hospital scheduling conditions

Current Intake Availability

Training must start on a Monday. The minimum training period is two weeks. Applications outside the listed available start dates may not be accepted.

Some training periods may include temporary breaks due to national holidays or hospital scheduling periods. Final acceptance remains subject to departmental approval, visa/COE feasibility, and hospital capacity.

Accommodation

Applicants are responsible for arranging their own accommodation during the training period.

Nearby Hotels (closest first)

Station Hotel IROHA

Sunrise Inn

Hotel Lake Alster

Note
Hotel availability, pricing, and reservation conditions should be confirmed directly with each hotel.

Contact

International Medical Support Department

Contact us from overseas

Start with a brief message including your specialty, current position,
and the training period you are considering.
Please attach your most recent CV.
We will review your inquiry and guide you through the next steps.