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¡¾Major Papers of the Laboratory¡¿
?Left-atrial volume reduction reflects improvement of cardiac sympathetic nervous function in patients with severe aortic stenosis after transcatheter aortic valve replacement., Heart and vessels, 38(8), 2023
?Surgical strategies for localized colorectal amyloidosis., Surgical case reports, 9(1), 2023
?Prognostic factor in patient with recurrent pancreatic adenocarcinoma., Langenbeck's archives of surgery, 408(1), 2023

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One of the special features of 1st department of surgery is major surgical department including cardiovascular surgery, gastrointestinal surgery and pediatric surgery.  We diagnose and decide the therapeutic strategy for each patient in the conference of each group.  In addition, joint conference attending all members of 1st department of surgery is held (Pre- and postoperative conference, every Tuesday and Thursday).  In this conference, all specialized doctors discuss patients¡¯ disease and finally decide the therapeutic strategies.  Also, postoperative courses of all patients are reported in this conference.  Conferences with other departments including internal medicine and pathology are regularly held.

All specialized doctors hope to provide many chances of practice for residents and fellow doctors, and help them to get many clinical experiences.  Depending on the residents¡¯ choices, they can practice in each group of cardiovascular surgery, gastrointestinal surgery and pediatric surgery, respectively.

We have established the surgical training system which enables residents to get the Board Certified Surgeon just after completion of the initial training course.  To get the Board Certified Surgeon, residents need to practice the surgery, perioperative examinations, and anesthesia about the all of cardiovascular surgery, gastrointestinal surgery, thoracic surgery and pediatric surgery.

Since 1st department of surgery includes cardiovascular surgery, gastrointestinal surgery and pediatric surgery, all residents can easily experience these essential tasks.

We have curriculum which enables residents to experience the essential surgical procedures to get the Board Certified Surgeon in training hospital certificated from Japan Surgical Society.

We can provide residents with many chances of conference presentation and writing manuscripts.  We believe that conference presentation and writing manuscripts contribute to build an ability to summarize and express the patient¡¯s disease.

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1. Cardiovascular Surgery
   Research about atrial fibrillation after cardiac surgery
   Epidemiological study about atrial fibrillation after cardiac surgery
   Clinical research about spinal cord ischemia
2. Gastrointestinal Surgery
   Perioperative chemotherapy for pancreato-biliary cancer
   Prognostic impact of micrometastasis of paraaortic lymph nodes in pancreatic cancer
   Research about circulating cell-free in pancreatic cancer
   Evaluation of pancreatic exocrine function by (13)C-labeled mixed triglyceride breath test
   Epidemiological study about inflammatory bowel disease
3. Pediatric Surgery
   Research about neuroblastoma
   Research about hepatoblastoma
   Research about Wilms' tumor