We provide precise laparoscopic surgery with minimal invasiveness and reduced patient burden.

Laparoscopic surgery minimizes the burden on the body with small incisions and enables precise procedures through magnified visualization. It is applicable for a wide range of conditions, including colorectal cancer and acute appendicitis.

Providing Medical Institution

Kishiwada Tokushukai Hospital

〒596-0042
4-27-1 Kamoricho, Kishiwada City

https://kishiwada.tokushukai.or.jp/en/

Specialty

**Cardiovascular Surgery:**
1. Coronary Artery Disease
2. Heart Valve Disease
3. Aortic Aneurysm
4. Aortic Dissection
5. Arteriosclerosis Obliterans
6. Arterial Thrombosis
7. Complications of Myocardial Infarction
- Ischemic Cardiomyopathy
- Left Ventricular Rupture
- Left Ventricular Aneurysm
- Ventricular Septal Rupture
- Papillary Muscle Dysfunction (Mitral Regurgitation)
8. Infective Endocarditis
9. Intracardiac Tumors

**Cardiology:**
1. Ischemic Heart Disease (e.g., Angina, Myocardial Infarction)
2. Lower Limb Arteriosclerosis Obliterans
3. Arrhythmia
4. Heart Valve Disease
5. Aortic Stenosis
6. Mitral Regurgitation

**Lower Gastrointestinal Surgery**
*Da Vinci Si - Robot-Assisted Surgery*
1. Malignant Diseases
2. Surgical Treatment of Small and Large Intestine Diseases
3. Primarily Surgical and Medical Treatments for Colon and Rectal Cancer
4. Robot-Assisted Surgery
5. Laparoscopic Surgery
6. Multimodal Therapy Combining Surgery, Chemotherapy, and Radiation Therapy
7. Systemic Chemotherapy for Unresectable Colorectal Cancer

**Breast Surgery:**
1. Breast-Conserving Surgery
2. Mastectomy
3. Sentinel Lymph Node Biopsy
4. Lymph Node Dissection
5. Breast Reconstruction Using Autologous Tissue

**Neurosurgery:**
1. Stroke
2. Cerebral Hemorrhage
3. Subarachnoid Hemorrhage
4. Cerebral Infarction
5. Head Trauma
6. Traumatic Intracranial Hematoma
7. Skull Fracture
8. Chronic Subdural Hematoma
9. Brain and Spinal Cord Tumors
10. Acoustic Neuroma
11. Pituitary Tumor
12. Meningioma
13. Metastatic Brain Tumors
14. Functional Neurological Disorders
15. Facial Spasm
16. Trigeminal Neuralgia
17. Epilepsy
18. Normal Pressure Hydrocephalus

**Urology**
*Da Vinci Si - Robot-Assisted Surgery*
1. Robot-Assisted Laparoscopic Radical Prostatectomy
2. Prostate Cancer
3. Renal Cancer
4. Upper Urinary Tract Cancer
5. Urolithiasis (Urinary Stones)

**Radiology:**
1. Comprehensive Imaging Diagnosis (X-ray, Ultrasound, CT, MRI, Angiography, PET)
2. Liver Tumors
3. Gastrointestinal Hemorrhage
4. Arterial Embolization for Hemoptysis and Traumatic Hemorrhage
5. Transcatheter Venous Embolization for Gastric Varices
6. Intra-Arterial Chemotherapy for Cancer
7. Reservoir Placement
8. CT-Guided Biopsy (Interventional Radiology - IVR)
9. TomoTherapy - Radixact

**Dialysis**
*Travel Hemodialysis* (Available for Individual Travelers Only, Not for Groups)

**Other**
*Second Opinion* (In-person Only, Online Not Available)

Eligibility Criteria/Exclusions for Treatment

Eligibility Criteria 1. Medical Information: - Diagnosis (e.g., colon cancer, rectal cancer, rectal prolapse, acute appendicitis, lower gastrointestinal perforation, generalized peritonitis, etc.) - Disease progression (e.g., cancer stage, extent of peritonitis) - Examination results from other institutions (e.g., CT, MRI, endoscopy) - Presence of comorbidities (e.g., heart disease, diabetes, hypertension) 2. History of Treatment: - Previous surgeries or treatments for gastrointestinal diseases - Current medications (e.g., anticoagulants, antiplatelet agents) - Presence of allergies or adverse drug reactions 3. Age and Physical Fitness: - Assessment of whether elderly or comorbid patients can tolerate surgery and anesthesia - Evaluation of eligibility for laparoscopic surgery under general anesthesia 4. Preoperative Testing and Preparation: - Ability to undergo required preoperative tests (e.g., blood tests, ECG, chest X-ray) - Verification of adequate nutritional and intestinal conditions before surgery 5. Postoperative Management and Follow-Up: - Willingness to cooperate with inpatient care and rehabilitation - Commitment to attending regular outpatient follow-up visits

Precautions / Contraindications

【Precautions and Contraindications】

1. Cases Not Suitable for Treatment:
- Laparoscopic surgery may not be suitable for cases involving extensive tumor metastasis or peritoneal dissemination.
- Patients with severe cardiopulmonary dysfunction and high risks associated with general anesthesia may face limitations in surgery eligibility.
- Patients unable to discontinue anticoagulant medications may have an elevated bleeding risk, making them unsuitable for surgery.

2. Risks Associated with Laparoscopic Surgery:
- Risks include bleeding, infection, and thrombus formation, especially for severe peritonitis or perforation cases, requiring careful management.
- Intraoperative complications such as risk of bowel or organ injury and gas embolism may occur.

3. Postoperative Recurrence Risk:
- Some patients may experience recurrence or new complications, emphasizing the importance of regular follow-up.

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# 【Important Pre-Treatment Information】

1. Preoperative Preparation:
- Discontinuation of antiplatelet or anticoagulant medications is required before surgery under medical supervision.
- Patients must undergo necessary preoperative tests (e.g., blood tests, CT, ECG) to confirm surgical eligibility.

2. Postoperative Care and Follow-Up:
- After surgery, monitor for bleeding, infection, and fever. Contact a medical institution immediately if abnormalities are detected.
- Temporary symptoms such as abdominal pain or delayed bowel movement may occur; follow medical instructions for recovery.

3. Lifestyle and Daily Precautions:
- Follow a diet that includes easily digestible foods and maintain hydration to support recovery.
- Focus on easily digestible foods and monitor fluid intake to support recovery.

4. Regular Follow-Up:
- Regular tests (e.g., CT, tumor markers) are necessary post-surgery to monitor recurrence risks and ensure proper recovery.
- Report any changes in symptoms or health promptly and consult your physician.

5. Emergency Response:
- Contact a medical provider immediately if severe abdominal pain, bleeding, or fever occurs after discharge.
- Confirm the contact details of medical institutions and physicians available for emergencies.