Department of Gastroenterological Surgery

Overview of the department

Chairman Prof.  Takanori Goi

Takanori Goi

Surgery for digestive cancers, such as esophageal, gastric, colorectal (colonic cancer, rectal cancer), liver, pancreatic, and biliary (gallbladder cancer, cholangiocarcinoma) cancers, and tumors, as well as surgery for inflammatory diseases of the digestive system, such as cholelithiasis, cholecystitis, diverticulitis of the large intestine, and acute appendicitis, achalasia of the esophagus, splenic disease, and hernia of the abdominal wall, including inguinal hernia, are performed. The most advanced, high-quality treatment is provided based on accurate diagnoses made at conferences.

Consultation system/therapeutic strategies

A team consisting of 10 specialists, including our professor, the leading expert on surgery for digestive cancers, and 7 instructors authorized by the Japanese Society of Gastroenterological Surgery, is responsible for high-quality treatment. The best, latest medical care is always performed by organ-based specialists. Patients for whom surgery is indicated are reviewed, and therapeutic strategies are selected at conferences in which all physicians belonging to the Department of Gastroenterological Surgery participate. Care targeting radical treatment and the maintenance of the quality of life (QOL) is provided in accordance with conditions based on precise surgical diagnostics. Surgery is performed by skilled physicians, including specialists.

Outpatient medical care (initial/additional consultations) is primarily performed for patients referred from other hospitals, on Tuesday, Thursday, and Friday.

Field of expertise

We specialize in surgery and chemotherapy for colorectal cancer. In particular, a technique in which the autonomic nerves and anus are preserved is introduced for patients with rectal cancer to improve their quality of life (QOL). In those with peritoneal dissemination, intraperitoneal thermochemotherapy is performed to improve the prognosis. For those with gastric cancer, optimal surgical techniques are selected in accordance with the stage. In the treatment of patients with liver/pancreatic/biliary cancers, our hospital is the only skilled technique-certified hospital (2 instructors) in this prefecture, authorized by the Japanese Society of Hepato-Biliary-Pancreatic Surgery, and we specialize in hepatectomy, pancreaticoduodenectomy, and multidisciplinary treatment for non-resectable pancreatic cancer. To treat hilar cholangiocarcinoma, portal vein embolization is performed to improve the safety, followed by extended hepatectomy for radical treatment. Minimally invasive, laparoscopic surgery for various digestive diseases, such as gastric/colorectal cancers, is also conducted as a field of expertise.

Advanced medical practice

1) Anus-preserving surgery with intersphincteric resection for lower rectal cancer
2) Intraperitoneal chemotherapy for peritoneal dissemination from gastric cancer
3) Hyperthermia radiation chemotherapy for non-resectable pancreatic cancer
4) Laparoscopic surgery for digestive disorders including malignant diseases
5) Intraperitoneal thermochemical peritoneal perfusion therapy for peritoneal dissemination from colorectal cancer and peritoneal pseudomyxoma
6) Pancreaticoduodenectomy/liver lobectomy with concurrent vascular resection/reconstruction for highly advanced liver/biliary/pancreatic cancers

Symptoms/diseases treated in our department

Please undergo examinations when abnormalities on a health checkup or abdominal symptoms, such as upper abdominal discomfort, abdominal pain, nausea, anemia, bloody stools, and jaundice, are present. In most cases in which cancer, tumors, or calculi are detected in digestive organs, such as the stomach, large/small intestines, esophagus, liver, pancreas, and gallbladder, surgical treatment (surgery) is required in the early stage. Please consult the Department of Gastroenterological Surgery, University of Fukui Hospital, which specializes in treatment for these diseases. When a diagnosis is made in the Department of Gastroenterology, more prompt management based on a referral is possible.

Primary examinations and explanations

Examinations that are necessary to select surgery are conducted. Preoperative examinations are primarily performed in the outpatient clinic. During admission, various examinations are carried out if necessary.   

Examinations of the esophagus/stomach/large intestine (digestive tract)

Fluoroscopy, endoscopy (diagnosis of gastric/colorectal/esophageal cancers)

Examinations of the liver/pancreas/digestive organ infiltration/metastasis

Diagnosis based on CT (detailed diagnosis using the most advanced, multi-slice CT with high-level resolution), MRI (detailed diagnosis using the most advanced MRI with high-level resolution), and PET-CT, examinations to identify tumor cells preoperatively using endoscopy/examinations to precisely evaluate the stage of the resected tumor, metastasis, and grade of radical treatment postoperatively: histopathological examination (detailed diagnosis of cells/tissues, such as tumors)