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| Chief Resident Nao Takayanagi, M.D. |
Resident Riku Katayama, M.D. |
Resident Koki Kihara, M.D. |
Resident |
The Division of Plastic and Reconstructive Surgery specializes in “reconstructive surgery” which is to reclaim what is lost for the cancer treatment, including some body parts and functions as well as appearances. For surgical treatments of cancers, some parts of organs will have to be resected together with the tumor mass for the complete cure. When a cancer is small, the resected region can be small, too. However, on the contrary, when it needs to be resected to a large extent, it can affect appearance or physical functions and it might inconvenience the life after the treatment. At the Division of Plastic and Reconstructive Surgery, the affected regions are treated by “autogenic tissue transplantation (grafting)” which is transplanting the patient’s own tissues taken from other body regions. For example, if a whole breast is resected for a breast cancer surgery, the breast reconstruction will be performed. The breast reconstruction surgery is a typical procedure performed at this division. Nowadays such advanced reconstructive surgeries requiring very high skills as “microsurgery,” which is a procedure under a microscope to stitch together very thin blood vessels with only 2 or 3 mm in diameters, and “free tissue transplantation,” which is to transplant whole tissues including skin, muscle, bone and nerve while they still have normal blood flow resected from other body regions, are being widely performed. Even for progressed cancers, which used to be considered as very difficult for surgeries, total resections can be done nowadays without affecting physical functions or appearances much because of the skilled reconstructive surgeries being combined and customized for each case.
We always work together with the surgeons in other clinical departments handling cancer resections, which include the Divisions of Head and Neck Surgery, Hepato-Biliary-Pancreatic Surgery, Dermatology, Orthopedic Oncology, Breast Surgery, Esophageal Surgery, Neurosurgery and Ophthalmology, to perform reconstructive surgeries with considerable thoughts to both appearances and physical functions (i.e., voice production, swallowing, locomotion, etc. ). In order to bring on favorable outcomes, we repeatedly discuss on the proposed extent of resection and the required reconstruction procedure with the surgeon in charge during the planning phase. Our participation is always based on the planned manner being involved in the whole course of cancer treatment.
We continue supporting our patients after the reconstructive surgeries through collaborations with the Divisions of Oral Surgery and Rehabilitation Medicine as well as the Dietary Department when they try to resume body functions and improve the qualities of their lives. We also work together with the Division of Rehabilitation Medicine when a patient has lymphatic edema, which is not unusual at all after the lymph node dissection or the radiation therapy focused on there because of the stagnation of lymph flow. When a patient starts having lymphatic edema, the pressure therapy will be provided at the Division of Rehabilitation Medicine in the first place. However, when it does not work to improve the lymphatic edema, a surgery to let the accumulated lymph fluid in the limbs flow into the vein by sewing the lymph vessel, which is less than 1mm in diameter, to the vein will be done here. This delicate procedure, called lymphatic venular anastomosis (LVA), requires not just advanced and sensitive surgical techniques but also the team medicine providing the patient with wide-ranged supports. The team LVA consisting of the Divisions of Plastic and Reconstructive Surgery and Rehabilitation Medicine, as well as the Dietary Department and the ward nurses get together once a month as for the multidisciplinary conference to share information.
We employ such advanced skills as autogenic tissue transplantation as well as microsurgery to support cancer resections working together with other clinical division handling surgeries, when they try to save as much physical functions or appearances as possible. We also promote surgeries to improve the quality of life after the cancer treatment through breast reconstruction or lymphatic edema treatment. It’s part of our thorough efforts to support a patient letting him/her live a normal life after the cancer treatment. However, the cancer resection itself is not within our field. Please go to the Division of Dermatology for skin cancer, and to the Division of Orthopedic Oncology for bone and soft tissue tumor.
reconstruction after cancer resection
reconstruction in the head and neck region
breast reconstruction
lymphatic venular anastomosis
facial nerve reconstruction
vulva reconstruction
microsurgery
Specialist, Supervisory Doctor in Plastic Surgery, Supervisory Doctor in Reconstruction and Microsurgery, Supervisory Doctor in Pediatric Plastic Surgery and Supervisory Doctor in Surgery for Cutaneous Tumor Certified by the Japan Society of Plastic and Reconstructive Surgery
Specialist Certified by the Japan Society for Surgical Wound Care
Specialist Certified by the Japan Society of Cranio-Maxillo-Facial Surgery
General Clinical Oncologist Certified by the Japanese Board of Cancer Therapy
Councilor, the Japan Oncoplastic Breast Surgery Society
The Japan Society for Head and Neck Cancer
Councilor, the Japanese Society for Reconstructive Microsurgery
Councilor, the Japanese Society of Lymphology
Councilor, the Japanese Lymphedema Society
The Japanese Society for Lymphedema Therapy
Supervisory Doctor for Clinical Training
External Evaluator for Objective Structured Clinical Examination (OSCE) in Cooperative Medicine
Training Supervisor for Specific Nursing Care
Completed the Training Course for New Lymphedema Therapy
Clinician, Tokyo Medical & Dental University
plastic and reconstructive surgery
Specialist Certified by the Japan Society of Plastic and Reconstructive Surgery
plastic surgery
The Japan Society of Plastic and Reconstructive Surgery
breast reconstruction
Specialist, Supervisory Doctor in Surgery for Cutaneous Tumor and Supervisory Doctor in Reconstruction and Microsurgery Certified by the Japan Society of Plastic and Reconstructive Surgery
Councilor, the Japan Oncoplastic Breast Surgery Society
Councilor, the Japanese Society for Reconstructive Microsurgery
Specialist Certified by the Japanese Society for Surgery of the Hand
Specialist Certified by the Japan Society for Surgical Wound Care
Specialist Certified by the Japanese Society for Burn Injuries
Councilor, the Japanese College of Surgeons
The Japanese Breast Cancer Society
reconstruction after cancer resection
reconstruction in the head and neck region
breast reconstruction
nerve reconstruction
abdominal incisional hernia
microsurgery
Specialist, Supervisory Doctor in Surgery for Cutaneous Tumor and Supervisory Doctor in Reconstruction and Microsurgery, and Supervisory Doctor in Laser Surgery Certified by the Japan Society of Plastic and Reconstructive Surgery
Certified Specialist, Councilor, the Japan Society for Surgical Wound Care
Surgeon Certified by the Japan Surgical Society
General Clinical Oncologist Certified by the Japanese Board of Cancer Therapy
Commissioner, the Japanese Society for Reconstructive Microsurgery
Councilor, the Japanese Skin Cancer Society
Commissioner, the Japanese Association of Dermatologic Surgery
Commissioner, the Japan Oncoplastic Breast Surgery Society
Commissioner, The Japan Society for Head and Neck Cancer
The Japanese Hernia Society
The Japan Surgical Association
Special-appointed Professor in Plastic Surgery, Hamamatsu University School of Medicine
plastic surgery
reconstructive surgery
Specialist, Supervisory Doctor in Plastic Surgery, Supervisory Doctor in Reconstruction and Microsurgery Certified by the Japan Society of Plastic and Reconstructive Surgery
Specialist Certified by the Japan Society for Surgical Wound Care
The Japanese Society for Burn Injuries
The Japan Oncoplastic Breast Surgery Society
The Japanese Society for Surgery of the Hand
General Clinical Oncologist Certified by the Japanese Board of Cancer Therapy
The Japanese Society for Reconstructive Microsurgery
The Japan Society for Head and Neck Cancer
The Japan Society of Cranio-Maxillo-Facial Surgery
reconstruction in the head and neck region
breast reconstruction
perineal reconstruction
keloid
The Japan Society of Plastic and Reconstructive Surgery
The Japanese Society for Reconstructive Microsurgery
The Japan Oncoplastic Breast Surgery Society
The Japanese Society for Burn Injuries
plastic and reconstructive surgery
Specialist Certified by the Japan Society of Plastic and Reconstructive Surgery
The Japan Oncoplastic Breast Surgery Society
General Clinical Oncologist Certified by the Japanese Board of Cancer Therapy
The Japan Society for Surgical Wound Care
plastic surgery
The Japan Society of Plastic and Reconstructive Surgery
The Japan Society of Cranio-Maxillo-Facial Surgery
The Japanese Society for Reconstructive Microsurgery
plastic surgery
The Japan Society of Plastic and Reconstructive Surgery
The Japanese Society for Reconstructive Microsurgery
The Japan Society for Surgical Wound Care
The Japanese Society for Wound Healing
The Japan Society for Innovative Technique in Plastic Surgery
