This department continues to achieve good results for coronary artery bypass surgery for angina and valvuloplasty and valve replacement for valvular heart disease. For aortic aneurysm, optimal treatment method is selected from thoracotomy, laparotomy, or stent and graft treatment. For obstructive arteriosclerosis, bypass surgery below the ankle is also actively performed. Autologous blood is stored preoperatively in an effort to perform bloodless surgeries.
This department works in close cooperation with the Department of Pulmonary Medicine to operate on over 500 cases annually. Surgery on the lungs, mediastinum, thoracic wall, diaphragm, and trachea/bronchi is conducted by well experienced team consisting of various specialists such as thoracic surgeons, anesthesiologists, OR staffs, and pathologists. Highly advanced, internationally acclaimed thoracoscopic surgery is performed in more than 97% of the cases. Taking advantage of the features offered by a major general hospital, surgery is also performed in patients with concomitant other diseases.
This department performs treatment mainly focusing on surgery for benign and malignant cancers of the gastrointestinal system. Staff specializing in the esophagus, stomach, liver, bile, pancreas, colon, and proctology work together to provide treatment. Laparoscopic surgery is performed for gallstones as well as gastric and colorectal cancers. Treatment methods other than surgery such as radiotherapy or treatment with anticancer agents are also emphasized.
In this department, surgical treatment for breast diseases, mainly breast cancer, and endocrine diseases, mainly thyroid and parathyroid neoplasms, are performed. Breast cancer surgery is performed on 300 cases per year while endocrine surgery is performed on 50 cases per year. All four staff members are board-certifid specialists in this fild, two of which are female doctors. Comprehensive treatment unique to Toranomon Hospital is offered in coordination with all departments and our 340 regular physicians.
This department deals with cerebrovascular diseases, brain tumors, spinal cord tumors, and diseases related to the craniospinal nerves such as cranial injuries. It also treats functional disorders such as trigeminal neuralgia and facial spasms in addition to offering general elective screening tests for the brain, thereby emphasizing the prevention of cerebrovascular diseases and the early detection of disorders. The department began offering emergency stroke medicine in 2010 and now offers 24-hour diagnosis and treatment. The number of emergency ambulance patients is also increasing.
This is a new treatment method that uses catheters through vessels for vascular diseases of the brain and spinal cord without craniotomy or conventional surgery. These treatments are indicated for cerebral aneurysms, carotid or intracranial stenosis, brain and spinal cord arteriovenous malformations or dural arteriovenous fitulas to prevent subarachnoid hemorrhage, brain hemorrhage or cerebral infarction.
In contrast to other ordinary brain tumors, pituitary adenomas or other parasellar lesions (craniopharyngioma, chordoma, meningioma, and germ cell tumor) are usually accompanied by endocrine disorders by pituitary hormone hypersecretion from tumor itself or hormone impairment by the tumor and these lesions need long-term multidisciplinary treatment. Therefore, specialized knowledge and experience is required for diagnosis and treatment for these diseases. The Department of Hypothalamic and Pituitary Surgery was established in 2007 which was the fist development as a separate department in Japan. We are providing up-to-date and appropriate medical treatments to any patients suffering from these intractable and lifelong disorders in cooperation with other related departments especially with the Departments of Endocrinology and Metabolism, Pediatrics and Pathology.
This department deals with emergency outpatient treatment predominantly of patients who arrive by ambulance. Doctors from this department cooperate with specialists from all other departments to offer treatment 24 h a day, 365 days a year. They principally treat emergency cases of stroke, cardiac and respiratory disorders, and cancer. Specialists also manage pediatric and obstetrics and gynecological emergencies. It is important that emergency treatment does not begin only when patients enter the hospital, but from the onset of symptoms at the patient’s home. Therefore, patients are requested to contact the hospital by telephone before arriving.
This department primarily focuses on surgical treatment for gastrointestinal diseases. In particular, it offers hepatectomy for liver cancer (primary, metastasis) and laparoscopic surgery for colonic and rectal cancer and gallstones. In addition, hernia treatment and endoscopic gastrostomy are commonly performed.