Treatment details
Pediatric Surgery treats surgical diseases, primarily of the digestive tract, in newborns through 15 years of age. When diseases are discovered in the neonatal or fetal stage, they are admitted to Center for Comprehensive Perinatal Medicine in collaboration with pediatrics and Obstetrics departments, while infants and older are treated in specialized pediatric wards. We have introduced same-day endoscopic surgery for inguinal hernias and actively perform endoscopic surgery in standard Pediatric Surgery surgery procedures. We have expanded endoscopic surgery beyond the digestive tract to include urinary and respiratory diseases, and provide safe, minimally invasive surgical procedures under the guidance of a certified pediatric surgeon (Pediatric Surgery) by the Japan Society for Endoscopic Surgery.
Pediatric Surgery surgery involves multiple organs, so multidisciplinary teamwork is crucial. We strive to maintain smooth collaboration with pediatrics, including the NICU team, as well as other related departments, such as adult Gastroenterological Surgery, Thoracic Surgery, Department of Diagnostic Pathology, obstetrics and gynecology, Obstetrics and Gynecology, and radiology, depending on the disease. We provide treatment while considering questions like, "How would I make this decision if this child were my own?" and "How would my family want the doctor to treat me?" We strive to provide thorough explanations that take into consideration the feelings of the family. Our department provides Pediatric Surgery surgery for a wide area in western Kanagawa Prefecture. We aim to foster strong regional collaboration through face-to-face relationships between Pediatric Surgery, including by holding patient case meetings.
Chief of Pediatric Surgery Surgery
Toshihiko Watanabe
Main target diseases
Pediatric Surgery covers the respiratory system (trachea, lungs, etc.), digestive system (digestive tract, liver, pancreas, etc.), other abdominal organs (kidneys, spleen, etc.), skin and soft tissue (skin, muscles, etc.), and urogenital system (kidneys, ureters, bladder, vulva, etc.), and treats surgical diseases and tumors of these organs.
Everyday illnesses:
Inguinal hernia, umbilical hernia, undescended testicle, perianal abscess, anal fistula, anal fissure, acute appendicitis, chronic constipation in children
Neonatal and infant surgical diseases:
Hypertrophic pyloric stenosis, intussusception, anorectal malformation (imperforate anus), Hirschsprung's disease, gastroschisis/omphalocele, intestinal atresia/stenosis, esophageal atresia/stenosis, biliary atresia, common bile duct dilatation, intestinal malrotation, diaphragmatic hernia
Childhood cancer (solid malignant tumors):
Neuroblastoma, malignant liver tumor, nephroblastoma (Wilms' tumor), rhabdomyosarcoma, etc.
Pediatric emergency care:
Abdominal trauma, burns, ingestion of foreign bodies, intussusception, acute appendicitis, incarcerated inguinal hernia, burns
Pediatric genitourinary diseases:
Undescended testis, hydrocele, varicocele, testicular torsion, acute scrotum, hydronephrosis (congenital ureteral stenosis, vesicoureteral reflux), urachal remnant, cloacal exstrophy, cloacal remnant, vaginal atresia, vaginal tumor, ovarian tumor
Main medical achievements
The number of surgical patients over the past five years and the number of inguinal hernia and neonatal surgeries are as follows:
| year | 2020 | 2021 | 2022 | 2023 | 2024 |
| Number of surgical patients | 270 | 255 | 267 | 271 | 258 |
| (including inguinal hernia) | (90) | (70) | (107) | (91) | (100) |
| (Number of neonatal surgeries) | (8) | (12) | (10) | (10) | (9) |
Figure: Trends in the number of Pediatric Surgery surgery patients
Doctor List
Department Chief: Toshihiko Watanabe
Assistant Chief Physician of Ward 6B: Toshihiko Watanabe
Clinical department URL: https://www.fuzoku-hosp.tokai.ac.jp/service/shouni-geka/
Outpatient: 0463 (93) 1121 extension 5227
Professor Toshihiko Watanabe
| Specialization | Pediatric Surgery |
|---|---|
| Specialist | Japanese Society of Pediatric Surgery Surgeons, Instructor and Specialist / Japanese Surgical Society, Instructor and Specialist / Japanese Society of Endoscopic Surgery, Certified Technical Doctor (Pediatric Surgery) / Japanese Society of Perinatal and Neonatal Medicine, Certified Surgeon / Japanese Society of Clinical Nutrition and Metabolism, Instructor and Certified Doctor / Japanese Society of Pediatric Hematology and Oncology, Pediatric Cancer Certified Surgeon / Japanese Board of Cancer Therapy Certified Cancer Therapist / Certified Doctor of the Japanese Society Transplant Surgery |
| Specialized Areas | Neonatal surgery, pediatric endoscopic surgery |
| Outpatient medical day | Mondays and Thursdays |
Professor Hitoshi Hirakawa
| Specialization | Pediatric Surgery, pediatric emergency medicine |
|---|---|
| Specialist | Japanese Society Pediatric Surgery Surgeons Supervisor and Specialist / Japanese Society of Surgeons Certified Doctor |
| Specialized Areas | Pediatric gastrointestinal function, stubborn constipation, treatment of pediatric trauma and burns, care of abused children |
| Outpatient medical day | Wednesday (afternoon, third) |
Assistant Professor Masaharu Mori
| Specialization | Pediatric Surgery |
|---|---|
| Specialist | Specialist of the Japanese Society of Surgeons/Specialist of the Japanese Society Pediatric Surgery Surgeons |
| Specialized Areas | Pediatric endoscopic surgery |
| Outpatient medical day | Friday and Saturday |
Assistant Professor Naoko Komatsuzaki
| Specialization | Pediatric Surgery |
|---|---|
| Specialist | Specialist of the Japanese Society of Surgeons/Specialist of the Japanese Society Pediatric Surgery Surgeons |
| Specialized Areas | Pediatric Surgery Metabolism |
| Outpatient medical day | Tuesday, Friday, Saturday |
Assistant Professor Satoshi Yamaki
| Specialization | Pediatric Surgery |
|---|---|
| Specialist | Specialist of the Japanese Society of Surgeons/Specialist of the Japanese Society Pediatric Surgery Surgeons |
| Specialized Areas | Pediatric emergency care |
| Outpatient medical day | Monday, Tuesday, Wednesday |
