{"id":834,"date":"2026-02-16T06:37:00","date_gmt":"2026-02-16T06:37:00","guid":{"rendered":"https:\/\/kishiwada.tokushukai.or.jp\/en\/?page_id=834"},"modified":"2026-02-25T03:37:20","modified_gmt":"2026-02-25T03:37:20","slug":"surgeries-clinical-outcome","status":"publish","type":"page","link":"https:\/\/kishiwada.tokushukai.or.jp\/en\/research\/clinical-research-outcomes\/surgeries-clinical-outcome\/","title":{"rendered":"Surgeries Clinical Outcome"},"content":{"rendered":"<section class=\"op-section max-container\">\n<p>  <!-- H1 \/ Intro --><\/p>\n<header class=\"page-hero\">\n<p class=\"page-lead\">\n      Latest available data are presented below (<strong>2023<\/strong> where available).<br \/>\n      This page summarizes surgical volume, minimally invasive activity, and key procedural categories.\n    <\/p>\n<div class=\"op-alert\" role=\"note\" aria-label=\"Data note\">\n<div class=\"op-alert-icon\" aria-hidden=\"true\">i<\/div>\n<div class=\"op-alert-body\">\n        <strong>Data note:<\/strong> \u201cTotal Number of Surgeries\u201d excludes peritoneal metastases procedures, consistent with the source dataset.\n      <\/div>\n<\/p><\/div>\n<\/header>\n<p>  <!-- Quick anchors --><\/p>\n<nav class=\"page-nav\" aria-label=\"On this page\">\n<ul class=\"page-nav-list\">\n<li><a href=\"#overview\">Overview<\/a><\/li>\n<li><a href=\"#volume\">Surgery Statistics (2021\u20132023)<\/a><\/li>\n<li><a href=\"#mininv\">Minimally Invasive &#038; Robotic (2021\u20132023)<\/a><\/li>\n<li><a href=\"#focus\">Clinical Focus Areas<\/a><\/li>\n<li><a href=\"#research\">Research &#038; Academic Activities<\/a><\/li>\n<\/ul>\n<\/nav>\n<p>  <!-- 1) Overview --><\/p>\n<section id=\"overview\" class=\"op-section\">\n<h2>Overview<\/h2>\n<div class=\"dept-when\">\n<div class=\"dept-when__block\">\n<h3 class=\"dept-when__title\">Key Highlights (Latest Available: 2023)<\/h3>\n<ul class=\"dept-when__list\">\n<li><strong>Total number of surgeries:<\/strong> 1066 <span style=\"color:#666;\">(2023; excluding peritoneal metastases)<\/span><\/li>\n<li><strong>Laparoscopic surgeries:<\/strong> 616 <span style=\"color:#666;\">(2023; excluding peritoneal metastases)<\/span><\/li>\n<li><strong>Robotic surgery:<\/strong> Rectum 22 \/ Colon 24 \/ Stomach 6 \/ Lungs 4 <span style=\"color:#666;\">(2023)<\/span><\/li>\n<\/ul>\n<p class=\"dept-when__note\">\n          Numbers shown here are summaries; see details below.\n        <\/p>\n<\/p><\/div>\n<div class=\"dept-when__block dept-when__block--er\">\n<h3 class=\"dept-when__title\">What this service provides<\/h3>\n<p>\n          Our surgical services cover a broad range of gastrointestinal, hepatobiliary\u2013pancreatic, thoracic,<br \/>\n          breast, vascular and hernia procedures, supported by endoscopic, laparoscopic, and robotic approaches<br \/>\n          depending on indication and patient condition.\n        <\/p>\n<ul class=\"dept-when__list\">\n<li>Emergency and elective surgery across multiple organ systems<\/li>\n<li>High-volume minimally invasive surgery (laparoscopic) program<\/li>\n<li>Robotic surgery for selected cases (e.g., colorectal, stomach, lung)<\/li>\n<\/ul><\/div>\n<\/p><\/div>\n<\/section>\n<p>  <!-- 2) Surgery Statistics --><\/p>\n<section id=\"volume\" class=\"op-section\">\n<h2>Surgery Statistics (2021\u20132023)<\/h2>\n<p class=\"section-lead\">\n      Case volumes by organ system are shown across recent years (2021\u20132023) for trend visibility.\n    <\/p>\n<p class=\"kth-table-caption\">Total Number of Surgeries (Excluding Peritoneal Metastases)<\/p>\n<table class=\"kth-table\">\n<thead>\n<tr>\n<th scope=\"col\">Year<\/th>\n<th scope=\"col\">Total cases<\/th>\n<th scope=\"col\">Note<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>2023<\/td>\n<td><strong>1066<\/strong><\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>2022<\/td>\n<td>1093<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<tr>\n<td>2021<\/td>\n<td>978<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"kth-table-caption\">Surgery Statistics by Category (2021\u20132023)<\/p>\n<table class=\"kth-table\">\n<thead>\n<tr>\n<th scope=\"col\">Category<\/th>\n<th scope=\"col\">2023<\/th>\n<th scope=\"col\">2022<\/th>\n<th scope=\"col\">2021<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Stomach (Malignant)<\/td>\n<td><strong>57<\/strong><\/td>\n<td>61<\/td>\n<td>57<\/td>\n<\/tr>\n<tr>\n<td>Entire Colon (Malignant)<\/td>\n<td><strong>151<\/strong><\/td>\n<td>131<\/td>\n<td>113<\/td>\n<\/tr>\n<tr>\n<td>Gallbladder\/Bile Ducts (Benign)<\/td>\n<td><strong>169<\/strong><\/td>\n<td>150<\/td>\n<td>136<\/td>\n<\/tr>\n<tr>\n<td>Abdomen Wall (Inguinal Hernia)<\/td>\n<td><strong>169<\/strong><\/td>\n<td>154<\/td>\n<td>122<\/td>\n<\/tr>\n<tr>\n<td>Lungs\/Mediastinum (Malignant)<\/td>\n<td><strong>40<\/strong><\/td>\n<td>31<\/td>\n<td>45<\/td>\n<\/tr>\n<tr>\n<td>Breast<\/td>\n<td><strong>60<\/strong><\/td>\n<td>49<\/td>\n<td>66<\/td>\n<\/tr>\n<tr>\n<td>Peripheral Vessels<\/td>\n<td><strong>61<\/strong><\/td>\n<td>78<\/td>\n<td>66<\/td>\n<\/tr>\n<tr>\n<td>Appendix<\/td>\n<td><strong>79<\/strong><\/td>\n<td>85<\/td>\n<td>88<\/td>\n<\/tr>\n<tr>\n<td>Pancreas (Malignant)<\/td>\n<td><strong>12<\/strong><\/td>\n<td>12<\/td>\n<td>17<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div class=\"op-alert\" role=\"note\" aria-label=\"Note\">\n<div class=\"op-alert-icon\" aria-hidden=\"true\">i<\/div>\n<div class=\"op-alert-body\">\n        <strong>Note:<\/strong> The full category list (including benign and rare categories) is available in the source dataset.\n      <\/div>\n<\/p><\/div>\n<\/section>\n<p>  <!-- 3) Minimally invasive & robotic --><\/p>\n<section id=\"mininv\" class=\"op-section\">\n<h2>Minimally Invasive &#038; Robotic (2021\u20132023)<\/h2>\n<p class=\"section-lead\">\n      Laparoscopic volume and selected laparoscopic rates are shown below (excluding peritoneal metastases).<br \/>\n      Robotic surgery volumes are shown for 2023.\n    <\/p>\n<p class=\"kth-table-caption\">Laparoscopic Surgeries (Excluding Peritoneal Metastases)<\/p>\n<table class=\"kth-table\">\n<thead>\n<tr>\n<th scope=\"col\">Metric<\/th>\n<th scope=\"col\">2023<\/th>\n<th scope=\"col\">2022<\/th>\n<th scope=\"col\">2021<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Laparoscopic surgeries (cases)<\/td>\n<td><strong>616<\/strong><\/td>\n<td>601<\/td>\n<td>562<\/td>\n<\/tr>\n<tr>\n<td>Laparoscopic rate \u2013 Stomach<\/td>\n<td><strong>61.2%<\/strong><\/td>\n<td>66.7%<\/td>\n<td>65.6%<\/td>\n<\/tr>\n<tr>\n<td>Laparoscopic rate \u2013 Colon<\/td>\n<td><strong>58.0%<\/strong><\/td>\n<td>61.5%<\/td>\n<td>78.9%<\/td>\n<\/tr>\n<tr>\n<td>Laparoscopic rate \u2013 Gallbladder\/Bile Ducts<\/td>\n<td><strong>89.9%<\/strong><\/td>\n<td>90.7%<\/td>\n<td>91.5%<\/td>\n<\/tr>\n<tr>\n<td>Laparoscopic rate \u2013 Abdominal Wall<\/td>\n<td><strong>69.4%<\/strong><\/td>\n<td>64.5%<\/td>\n<td>62.8%<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"kth-table-caption\">Robotic Surgery (2023)<\/p>\n<table class=\"kth-table\">\n<thead>\n<tr>\n<th scope=\"col\">Procedure<\/th>\n<th scope=\"col\">Cases<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Rectum<\/td>\n<td><strong>22<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Colon<\/td>\n<td><strong>24<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Stomach<\/td>\n<td><strong>6<\/strong><\/td>\n<\/tr>\n<tr>\n<td>Lungs<\/td>\n<td><strong>4<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>    <!-- Graph area (Chart.js) - optional --><\/p>\n<section class=\"op-section\">\n<h2>2023 Snapshot<\/h2>\n<div class=\"chart-card\">\n<h3 class=\"chart-title\">Laparoscopic Rate by Key Category (2021\u20132023)<\/h3>\n<div class=\"chart-wrap\" style=\"height:320px;\">\n    <canvas id=\"chartSurgeryLapRate\" role=\"img\"\n      aria-label=\"Laparoscopic rate trends by category\"><\/canvas>\n  <\/div>\n<\/div>\n<\/section>\n<\/section>\n<p>  <!-- 4) Focus --><\/p>\n<section id=\"focus\" class=\"op-section\">\n<h2>Clinical Focus Areas<\/h2>\n<div class=\"three-col\">\n<div class=\"cap-card\">\n<h3>Gastrointestinal Surgery<\/h3>\n<ul class=\"bullet\">\n<li>Stomach and colorectal cancer surgery (case-dependent approach selection)<\/li>\n<li>Emergency surgery for perforation, obstruction, and related conditions<\/li>\n<li>Laparoscopic options where appropriate<\/li>\n<\/ul><\/div>\n<div class=\"cap-card\">\n<h3>Hepatobiliary &#038; Pancreas<\/h3>\n<ul class=\"bullet\">\n<li>Gallbladder\/bile duct surgery including high-volume benign procedures<\/li>\n<li>Selected malignant hepatobiliary and pancreatic procedures<\/li>\n<li>Multidisciplinary coordination with imaging and related services<\/li>\n<\/ul><\/div>\n<div class=\"cap-card\">\n<h3>Thoracic \/ Breast \/ Vascular \/ Hernia<\/h3>\n<ul class=\"bullet\">\n<li>Thoracic surgery including lung\/mediastinum cases<\/li>\n<li>Breast surgery volume tracking and perioperative support<\/li>\n<li>Peripheral vascular procedures and abdominal wall hernia repair<\/li>\n<\/ul><\/div>\n<\/p><\/div>\n<\/section>\n<p>  <!-- 5) Research --><\/p>\n<section id=\"research\" class=\"op-section\">\n<h2>Research &#038; Academic Activities<\/h2>\n<p class=\"section-lead\">\n      Academic activities and educational initiatives are conducted as part of ongoing clinical practice.<br \/>\n      Updates are reflected in the Research section when applicable.\n    <\/p>\n<div class=\"op-alert\" role=\"note\" aria-label=\"Related pages\">\n<div class=\"op-alert-icon\" aria-hidden=\"true\">i<\/div>\n<div class=\"op-alert-body\">\n        <strong>Related pages:<\/strong> Publications \/ Training &#038; Education \/ Ongoing Studies\n      <\/div>\n<\/p><\/div>\n<\/section>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>Latest available data are presented below (2023 where available). This page summarizes surgical volume, minimally invasive activity, and key procedural categories. i Data note: \u201cTotal Number of Surgeries\u201d excludes peritoneal metastases procedures, consistent with the source dataset. Overview Surgery Statistics (2021\u20132023) Minimally Invasive &#038; Robotic (2021\u20132023) Clinical Focus Areas Research &#038; Academic Activities Overview Key [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":933,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-834","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/834","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/comments?post=834"}],"version-history":[{"count":4,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/834\/revisions"}],"predecessor-version":[{"id":838,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/834\/revisions\/838"}],"up":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/933"}],"wp:attachment":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/media?parent=834"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}