Skip Navigation

Text From Here.

Message from Professor Hiroki Yamaue

Bring the highest standard to Wakayama !

The Second Department of Surgery has experienced a significant increase in the number of operations carried out on gastroenterological cancers, in particular complex malignant hepato-biliary-pancreatic lesions, and digestive tract/rectal cancers. We are working to the best of our abilities to ensure that we meet the expectations of patients coming into our department, but a lack of operating theaters and inpatient beds mean that we are not always able to offer immediate availability for admission and surgery. We apologize wherever this is the case.

In terms of medicine, we work on the motto “For the community, living in the community”, and aim to deliver the best possible surgical treatment for each of our patients. Our basic principle is evidence-based medicine (EBM), based on strong evidence, and we have created the Second Department of Surgery’s own guidelines for medical practice in regard to each internal organ. 

Our patients come to the hospital because they trust the Second Department of Surgery here at Wakayama Medical University. We take extreme care to avoid complications, and ensure that our patients can return to normal life as early as possible. Once our patients are discharged, we at the Second Department of Surgery at Wakayama Medical University also communicate with their referring clinic or hospital, to ensure that treatment is continued. The type of partnership depends on the institution, but we are committed to developing specific hospital-hospital or hospital-clinic partnerships.

We believe that “improving community medicine” means providing the highest standards of medical care to the community. We are working with all our might to ensure that we make a contribution to community medicine through our surgical treatment of gastroenterological cancer.   

From a research perspective, we have set up a range of clinical research projects, and with the approval of the Wakayama Medical University Ethics Committee we are currently engaged in randomized controlled trials (RCT) relating to surgical technique across six different themes. Among these, our results in RCT relating to pylorus-preserving pancreaticoduodenectomy in pancreatic head cancer cases has been featured in the American surgical journal Annals of Surgery. We are extremely proud of the fact that surgical evidence has been communicated from Wakayama to the world. Since the standard of clinical teaching in the department is measured by the quality and quantity of our RCTs, we intend to press ahead with increasing numbers of RCTs of even higher quality.

Each member of staff in the Second Department of Surgery offers guidance to ensure that our students can write papers suitable for leading international journals. In order to continue with this type of clinical research, we hope that the membership of the Japan Medical Association will continue to provide the same support and guidance that has been enjoyed by the Second Department of Surgery to date.

Pre- and post-graduate education is a major task that has been assigned to this department, alongside our medical practice and clinical research. It could even be said that, as a university hospital, our medical and research work exists for the purpose of education.

From spring 2004 onwards, we began a new system in which post-graduate training was made compulsory, and doctors hoping to become surgeons are now obliged to complete a two-year rotation, including internal medicine and other compulsory areas. A large number of highly skilled surgeons are required in order to ensure the health of the people of Wakayama Prefecture. We intend to continue improving our post-graduate education program to ensure that increasing numbers of surgeons can be trained here.

The surgeons the Second Department of Surgery graduated from a range of universities, and we work together in an extremely free atmosphere, in an environment that promotes friendly competition. We hope that many more young prospective surgeons will join the department in the future.