Juntendo University Hospital
Introduction of Departments

国際診療部
Department of International Healthcare2021

Departments
Internal Medicine◆ General Medicine◆ Cardiovascular Medicine◆ Gastroenterology

Surgery◆ Pediatric General and

Urogenital Surgery◆ Gastroenterology and◆ Respiratory Medicine

Minimally Invasive Surgery◆ Nephrology and Hypertension(currently as Esophageal and◆ Rheumatology

Gastroenterological Surgery)◆ Hematology◆ Diabetes, Endocrinology andMetabolism◆ Medical Oncology◆ Psychiatry◆ Neurology◆ Pediatrics and Adolescent

Medicine◆ Esophageal and

Gastroenterological Surgery◆ Colorectal and Proctological

Surgery◆ Hepatobiliary-Pancreatic

SurgeryOther◆ Dermatology◆ Urology◆ Ophthalmology◆ Otorhinolaryngology, Head andNeck Surgery◆ Radiology and Radiation

Oncology◆ Obstetrics◆ Gynecology◆ Anesthesiology and Pain

Medicine◆ Rehabilitation Medicine◆ Breast Oncology◆ Emergency Medicine◆ Cardiovascular Surgery◆ Oral and Maxillofacial Surgery◆ General Thoracic Surgery◆ Neurosurgery◆ Orthopedic Surgery and Sports

Medicine◆ Plastic and Reconstructive

Surgery

General Medicine
Target Disorders/Diseases◆

Disorders/diseases such as unknown fever, weight
loss, and fatigue◆

Infectious diseases such as pneumonia, urinary
tract infection, HIV, syphilis and more◆

Inpatient care for patients with undiagnosed
multiple organ disorders◆

After-hours outpatient services at the Primary
Care Center◆

Lifestyle-related diseases (e.g., abnormalcholesterol and uric acid levels)◆

Comprehensive health checkup (outpatient,
inpatient, and PET-CT) and more

Features◆◆◆

Specializes in outpatient services such as
vaccinations, constipation and more

Consultation

Weekly case study meetings

Respiratory
Renal/Urinary
Gastric system

Hematological
Orthopedic
Unknown fever
Bacteremia
Collagen disease

Performs preventive medicine per EBM guidelines
to enhance health literacy via consultation withtrusted doctor-patient relationships

Neurology

Produces infectious diseases manual for Juntendo
University Hospital and provides antimicrobial
consultations to all departments

Endocrine

Cardiac
HIV infection
DermalInpatient Cases by Diseases (2019)

Cardiovascular Medicine◆

Target Disorders/Diseases

2020 Treatments and Examinations

Coronary artery disease,arteriosclerosis obliterans (ASO)

Categories

DetailsCatheterization
treatments

Total number of PCIs

392

PTA

107
100

Cases

◆

Heart valve disease, congenital heart disease◆

Arrhythmia

Transcatheter aortic valve
implantation (TAVI)◆

Cardiomyopathy, cardiac insufficiency

19◆

Pulmonary hypertension

Balloon pulmonary angioplasty
(BPA)

◆

Sleep apnea syndrome

Percutaneous repair of mitralvalve regurgitation

11◆

Dyslipidemia

Percutaneous transluminal
septal myocardial ablation(PTSMA)

3

Structural heart diseases: ASD,
PDA, PFO

18

Features
◆

◆

◆

◆

Annually performs more than 400 percutaneous
coronary interventions (PCIs) and 100
transcatheter aortic valve implantations (TAVI)

Arrhythmia
treatments

Performs more than 250 catheter ablation
procedures annually for arrhythmias
Juntendo University Hospital’s Heart Center
provides one of the most advanced cardiac
rehabilitation programs in Tokyo (over 13,000
cases in 2020), accredited by the Japanese
Association of Cardiac Rehabilitation (JACR)
Actively utilizes the most advanced diagnostic
imaging technology for diagnosis and treatment

Pacemaker implant
Implantable Cardioverter
defibrillators (ICD)

Catheter ablation

133
16

259

Cardiac resynchronization
therapy (CRT), including ICD

26

Heart
rehabilitation

Cardiovascular rehabilitation(first-time patients)

1,162

Echocardiogram

Transthoracic echocardiogram

15,880CT

Coronary CT

792

MRI

Cardiac MRI

257

Nuclear medicine

Myocardial perfusion
scintigraphy (MPS)549

Gastroenterology
Target Disorders/Diseases◆

Esophageal cancer, gastric cancer, colon cancer◆

Inflammatory disorders/diseases, non-ulcer
dyspepsia (functional dyspepsia)◆

Liver cancer◆

Pancreatic cancer, biliary tract cancer◆

Viral hepatitis, alcoholic/non-alcoholic liverdisease, autoimmune hepatitis

Features◆

World #1 in gastric basal adenocarcinoma cases◆

Most capsule endoscopy procedures in Japan◆

World leader in high-level treatment technologies
for bile duct, duodenal, and colon stents◆

Japan’s largest number of radiofrequency
ablation (RFA) and new-generation microwave
ablation (MWA) procedures for 7 consecutive
years

◆

Development of an AI-supported endoscopic
diagnosis system for gastric cancer◆

Fecal transplantation therapeutic research forulcerative colitis

Fecal microbiota transplantation therapy
with antimicrobial agents

AI-supported endoscopic diagnosis system

Respiratory Medicine
Target Disorders/Diseases◆

Lung cancer/thoracic malignancies◆

Bronchial asthma◆

Chronic obstructive pulmonary disease（COPD）◆

Interstitial lung disease◆

Respiratory tract infection◆

Rare lung diseases （lymphangioleiomyomatosis,
pulmonary arterial hypertension, etc.）◆

Sleep apnea syndrome （SAS） and more

Features◆◆(patients)
50000
45000

Established in 1969, with the longest history of
respiratory medicine in Japan

40000

Largest number of outpatients and inpatientsamong university hospitals in Japan

30000

35000

25000
20000

◆

◆

◆

Specializes in chemotherapy and provides bestavailable treatments, including conducting
clinical trials for lung cancer patients
Actively adapting advanced treatment methods
for asthma, COPD, and interstitial pneumonia
Providing experts in treating rare lung diseases
and SAS

15000
10000
5000
0
2013

2014

2015

2016

2017

2018

2019

2020

(year)First visits (patients)

Revisits (patients)

Annual Outpatients (FY)Nephrology and Hypertension
Target Disorders/Diseases◆

Hypertension, hematuria, proteinuria and more◆

Glomerulonephritis, interstitial nephritis◆

Nephrotic syndrome◆

Acute kidney injury （AKI）, chronic kidneydisease （CKD）, diabetic kidney disease （DKD）◆

Complications of hemodialysis/peritoneal
dialysis

Features◆◆◆

Comprehensive treatment available for all
stages of CKD: treatment of primary disease;
control of CKD progression; and prevention ofcomplications
Accepting consultations from various
departments for conditions requiringcontinuous hemodiafiltration (CHDF) dialysis,contributing to improved overall healthconditions

Proactively performing kidney biopsies to
identify causes of acute and chronic nephritis,
nephrotic syndrome, and kidney damage
associated with systemic diseases

Annual Outpatients

Fiscal year

Total
outpatientsFirst-visit patients(with referral letter)

2013

40,947786 (446)

2014

39,820740 (426)

2015

41,859606 (434)

2016

45,146576 (401)2017

46,252568 (424)

2018

46,346617 (488)

2019

45,995584 (460)

Rheumatology
Target Disorders/Diseases◆

Wide range of connective tissue diseases◆

Providing specialized outpatient clinics forrheumatoid arthritis, systemic lupus
erythematosus, myositis, vasculitis,
spondyloarthritis, and Sjögren’s syndrome

Features◆First established department specializing inconnective tissue diseases in Japan◆

Abundant experience in treating large number
and wide variety of rheumatic diseases◆

Providing advanced in- and outpatient
treatments based on latest research findings,
using molecularly targeted therapies such as
biological drugs and therapeutic apheresis

Revisits(patients)

First visits(patients)
First visitsFirst visits & revisits (total)

April
2017

January
2018

January
2019

Outpatients

January2020

Hematology
Target Disorders/Diseases◆

Acute/chronic leukemia(myelogenous/lymphocytic)◆

Malignant lymphoma, multiple myeloma◆

Polycythemia vera, essential thrombocythemia◆

Myelofibrosis◆

Idiopathic thrombocytopenic purpura and more

Features◆

Advanced treatments are available based on
the following fundamental research results:
⚫

⚫

⚫

⚫

◆

Elucidation of the mechanisms of
myeloproliferative tumor development
Development and application of genetic
diagnosis technologies for hematologicaldiseases
Elucidation of functions of transcription
factors in hematopoietic tumors
Development of immuno-cell therapy using
iPS cell-derived T cells

Certified to offer CAR-T therapy for intractable
acute lymphoblastic leukemia and malignant
lymphoma

Malignant lymphoma(including suspicions cases)
16 13
20

73
257

24
51

Abnormal blood cell counts(excluding anemia andthrombocytopenia)
AnemiaThrombocytopenia(including ITP)

81

Myeloproliferative diseases
85

177
152

Plasmacytoid tumors
Lymphocytic and histiocytic
diseases
Myelodysplastic syndromes

Diseases of First-visit
Outpatients （2019）

Acute leukemia

Coagulation disorders,thrombotic diseases
Others (including donors)

Diabetes, Endocrinology and Metabolism
Target Disorders/Diseases◆

Diabetes mellitus◆

Dyslipidemia, hyperuricemia◆

Metabolic diseases◆

Thyroid diseases （Grave’s disease, etc.),
parathyroid diseases◆

Pituitary diseases （Cushing disease, etc.),
adrenal diseases （primary aldosteronism, etc.）
Hypertension, 193

Features◆One-week in-hospital diabetes education programprovides patient education on disease, diet, andexercise methods; examines insulin secretory
capacity and complications of diabetes mellitus;and develops treatment plans for patients◆

Introduction of Sensor Augmented Pump (SAP）
therapy for type 1 diabetes◆

Among the largest number of aspiration cytology
cases for thyroid tumors in Japan◆

Performing catheterization in cooperation with
the Department of Radiology for diagnosis andtreatment of primary aldosteronism

Other, 355

Hyperuricemia, 36

Dyslipidemia,
1,378

Endocrine disorders(other than thryoid),
1,350

Thyroiddisorders,
1,834Type 2 Diabetes
melitus(including othertypes), 4,492

Type 1 Diabetes melitus, 378

Outpatients by Major Disease (２０１９ FY)※ Duplications of same patients with multiple diseases

Medical Oncology
Target Disorders/Diseases◆

Solid tumors（bone/soft tissue; neuroendocrine;
gastrointestinal stromal tumors;
gastrointestinal cancers; hepatobiliary andpancreatic cancers; cancers of unknown
primary and more）

Outpatient
consultations

Features◆

Collaborating with other departments throughthe Cancer Board to discuss and implement
multidisciplinary treatment strategies andspecialized pharmacotherapy◆

Conducting cancer gene panel tests for
precision medicine in cancer treatment,
examining mutation profiles of cancer-related
genes in tumor cells of individual patients

Number of patients bydiseases (2019)
Cancer Board

Osteosarcoma/soft-tissue tumors
Cancer of unknown origin
Colorectal cancer
Gastric cancer
Germ cell tumor
Benign disease
Lung cancer
Esophageal cancer
Pancreatic cancer
Gallbladder cancer
Bile duct cancer
Liver cancer
Prostate cancer
Head and neck cancer
Malignant melanoma
Ovarian cancer
Cervical cancer
Brain tumor
Small intestine cancer
Breast cancer
Heart tumor
Adrenal cancer
Kidney cancer
Bladder cancer
Malignant lymphoma

Psychiatry
Target Disorders/Diseases◆

Organic mental health disorders◆

Mood （emotional） disturbance, somatoform
disorder◆Neurotic and stress-related disorders◆

Schizophrenia, delusional disorders◆

Psychological developmental disorders and more

Features◆Six Juntendo University affiliated hospitals offer
holistic psychiatric care in combinations witheach functionally differentiated care◆First university hospital in Tokyo to be
designated in the Tokyo Metropolitan PhysicalComplications Care Programme for psychiatricpatients◆

Focusing on diagnosis and treatment of mood
symptoms associated with neurodegenerative
diseases such as Parkinson’s disease, incollaboration with the Department of Neurology◆

Established an outpatient clinic specializing inmood disturbance, also focusing on treatments
for depression, bipolar disorder and more(patients)(year)

Outpatient Follow-up Visits (FY)Neurology
Target Disorders/Diseases◆

Degenerative diseases：
Parkinson’s diseases, dementia, etc.

◆

Cerebrovascular diseases:
atherothrombotic cerebral infarction and others◆

Neurological autoimmune/muscular diseases:
myasthenia gravis, muscular dystrophy, etc.

◆

Functional diseases： epilepsy, headaches and more◆

Peripheral nerve disorders： Guillain-Barré, CIDP, etc.

◆

Neuroinfectious diseases： meningitis, encephalitis, etc.

Features◆

Ranked 10th in the world (1st in Japan) in 2021 World’s
Best Hospitals Neurology by Newsweek magazine◆

Top-tier facility in Japan for Parkinson’s disease withremarkable achievements in treatment and clinicalresearch◆

Largest number of patients treated with device-aided
therapy (deep brain stimulation, levodopa-carbidopa
continuous infusion gel therapy) for Parkinson’s
disease in Japan◆

Recombinant tissue-type plasminogen activator (rt-PA)
and mechanical thrombectomy by catheter for acuteischemic stroke

Year 2019（patients）
Total outpatients

82,815First-visit patients

2,870

Follow-up visits
Emergency patients

79,945946

Pediatrics and Adolescent Medicine (1)Features

Target Disorders/Diseases (Groups)◆

Gastrointestinal:
abdominal pain, diarrhea,
and constipation◆

Neonatal:prematurity,
neonatal diseases◆

Cardiovascular: congenital heart diseases,
arrhythmia, Kawasaki disease◆

Endocrinal: endocrine and metabolic diseases such◆

Pediatric medical center and perinatal center
specialize in the treatment of all neonatal andpediatric diseases◆

A top-tier medical institution in Japan for treatmentof pediatric gastrointestinal diseases such as
inflammatory bowel disease, irritable bowel
syndrome, peptic ulcer, intractable diarrhea, andpancreatic diseases◆

as diabetes mellitus◆

Infection: infectious diseases, respiratory diseases◆

Renal: renal/urological diseases◆

Hematology and oncology: leukemia and otherhematological/malignant tumors◆

Neurology: epilepsy and neurological diseases◆

Liver and metabolic: liver and metabolic diseases◆

Immunology/allergy/rheumatology: asthma, atopic
dermatitis, food allergy, connective tissue diseases◆

Developmental: developmental disorders, child andadolescent psychiatric diseases

In collaboration with the Department of
Cardiovascular Surgery, treating congenital heartdiseases, providing catheter treatments, andtreatments for arrhythmia (catheter ablation), andcoronary artery lesions of Kawasaki disease◆

Striving for intact survival focusing on nutritional
management of preterm infants, combining enteraland intravenous nutrition from the early postnatal
period◆Specialist medical care for endocrine and metabolic
diseases including diabetes mellitus, short-forgestational age (SGA) and more◆Among limited number of developmental clinics inJapan to offer continuous developmental follow-up

Pediatrics and Adolescent Medicine (2)14. Neurological diseases andmuscular diseases; 39

15. Psychiatric and psychosomatic diseases; 0
16. Bone and joint diseases; 2
17. Dermatologic diseases; 1
18. Eye diseases; 0
19. Otorhinolaryngology (ENT) diseases; 0
20. Other; 0

13. Metabolic diseases
and congenital
metabolic disorders; 9
01. Prenatal disorders; 6
12. Endocrine
diseases; 39
11. Renal urinary tact
02. Premature/infant; 115
diseases; 17
10. Neoplastic andrelated diseases; 84

30000
25000
20000
15000
10000
5000
0
2018

2019

First-visit outpatients(patients/year)

03. Immune diseases, allergies
and other related diseases; 56

2020

Total outpatients(patients/year)

1600

09. Hematologic
diseases; 11

04. Infectious diseases; 30
05. Malnutrition, fluid andelectrolyte disorders; 8

1400
1200
1000
800

08. Cardiovasculardiseases; 216

06. Gastrointestinal diseases;
129

600
400
200

07. Respiratory diseases; 19

Analysis of Treated Patients by Diseases (inpatients)

0
2018

2019

Premature infant inpatients(patients/year)

2020

Total inpatients(patients/year)

Pediatric General and Urogenital Surgery
Features

Target Disorders/Diseases◆

Robotic surgery◆

Specialist pediatric and urogenital surgeons
strive for excellence through teamwork andinnovation based on solid education andtraining◆

Expertise and compassion ensures the best
outcome for every patient◆- 1,000 operations annually

Choledochal cyst, ureteropelvic junction
obstruction, mediastinal tumors◆

Thoracoscopic surgery
Esophageal atresia, cystic lung disease(CPAM, sequestration)◆

Laparoscopic surgery
Biliary atresia, Hirschsprung’s disease,“Operate on sick children as if they were my own”

anorectal malformation, inguinal hernia◆

General pediatric surgery
Inguinal hernia, umbilical hernia,
undescended testis◆

Neonatal surgery (including prenatallydiagnosed)◆

Pediatric urogenital surgery
Duplex kidneys, hydronephrosis,
neurogenic bladder, hypospadias, buried penis◆

Robotic assisted pyeloplasty (da Vinci)

WebsiteSurgical oncology

More information about robotic surgery (da Vinci) at
Juntendo:

Neuroblastoma, Wilms' tumor, sarcoma

https://www.juntendo.ac.jp/hospital/clinic/shonigeka/about/operation/
https://www.youtube.com/watch?v=Oq0vPixYBJs

Gastroenterology and Minimally Invasive Surgery
Target Disorders/Diseases◆

Gastric cancers◆

Gastric submucosal tumors◆

Esophageal hiatal hernia/esophageal achalasia◆

Inguinal hernia/abdominal wall hernia andmore

Features
◆

◆

◆

◆

Emphasizing “cure” and “safety” with minimallyinvasive laparoscopic treatments for early andadvanced gastric cancer patients
Introduced the first endoscopic full thickness
resection (EFTR) + laparoscopic simple closurefor treating gastrointestinal tumors in Japan
Leading gastric cancer treatment in Japan, withmore than 1,700 laparoscopic gastrectomies
Contributing to the development of new surgicalmethods to treat gastric cancer, such as
laparoscopic left thoracoabdominal approachand suprapancreatic lymph node dissection

Surgeries Performed （2019)
Esophagectomy

4 cases（all thoracoscopic/
mediastinoscopic
surgeries）

Gastrectomy

89（robot-assisted, 11 cases;
laparotomy, 1 case）

Colorectomy(colon/rectum)

15（laparotomy: 1case）

Cholecystectomy(Gallstone/
Cholecystitis)

43（all laparoscopic）

Inguinal hernia
surgery

40（incisional: 3 cases）

Appendectomy

63（all laparoscopic）

Other surgeries

32Esophageal and Gastroenterological Surgery
Target Disorders/Diseases◆

Esophageal cancers◆

Gastric cancer, gastric malignant lymphoma◆

Esophageal submucosal tumors, hiatal hernia

Features
◆

◆

◆

◆

◆

Among Japan’s top esophageal cancer surgery
performing facilities, achieving a high-level
survival rate by performing high-quality lymph
node dissection
Minimizing surgical burdens on patients using
thoracoscopic and laparoscopic techniques foresophageal cancer

Procedures Performed (2019)
Surgical cases: 174
Endoscopic treatment: 131
Esophageal
cancerEndoscopic
submucosal dissection
Gastric
cancer

Minimal invasiveness for benign esophageal andgastric diseases (including submucosal tumors)by combining endoscopic and surgical treatments

65 cases（laparoscopic 48）
56

Distal gastrectomy

37（laparoscopic 10）

Total gastrectomy

8

Proximal gastrectomy

2

Endoscopic
submucosal dissection

50

Pharyngeal
cancerEndoscopic
submucosal dissection

25

Other

Intestinal
obstruction etc.

37

Providing high-quality treatments ranging fromendoscopic treatments, preoperative
chemotherapy, surgery, postoperative adjuvant
therapy, to surveillance follow-up exams
Performing a large volume of laparoscopic andlaparotomy procedures for gastric cancer

Esophagostomy

Colorectal and Proctological Surgery
Target Disorders/Diseases◆

Colorectal cancer◆

Colorectal adenoma◆

Inflammatory bowel diseases◆

Anal diseases◆

Hernias and more

Features◆◆

Providing functional preservation procedures
such as intersphincteric resection (ISR) andultra-low anterior resection for colorectal cancer
Actively performing complex and technicallychallenging endoscopic submucosal dissections（ESD） with no major complications (perforations
or other accidents) requiring emergency surgery
to date(surgeries)300

246 243 251
250

42
48 30
200

71
150

0

78

53

◆

Actively performing reduced-port surgeries
including uniportal (TANKO) surgeries fordiseases such as appendicitis

Constantly growing the number of robot-assisted
colorectal surgeries, first introduced in 2015245 255

40
35
41
0

41

36

31
1

280

253 260 257

37
39
11

40
19
18

4

0

51
29

21

35
28
26

126 134

Endoscopic
TransanalOpen
Robot-assisted0

Laparoscopic

100

◆

263

155

182

163

185 193 174

159 167

50

0(year)

Colorectal Cancer Treatment Procedures

Hepatobiliary-Pancreatic Surgery
Target Disorders/Diseases◆

Liver cancer, bile duct cancer, gallbladder cancer,
pancreatic cancer, metastatic liver cancer◆

Portal hypertension◆

Cholecystitis, cholelithiasis, common bile ductstones◆

Pancreatic endocrine tumors◆

Splenomegaly, splenic cyst and more

Features◆◆◆(surgeries)

1- to 2-year survival rates of 98% for recipientsof living donor liver transplantation

450

Treating unresectable advanced cancer withmultidisciplinary treatments and vascularresection

350

Introduction of robot-assisted pancreaticresection

408

400

335
313

309

330

347

354

321

300

268

250
200
150

◆

◆

Strengthening interdisciplinary cooperation with
Department of Colorectal and Proctological
Surgery and Department of Gastroenterology
through weekly conferences
Performing hepatopancreatoduodenectomy(HPD) for extensive cholangiocarcinoma

100
50
0
2011

2012

2013

2014

2015

2016

2017

2018

2019

(year)

Surgical Procedures

Breast Oncology
Target Disorders/Diseases◆

Malignant breast tumors （breast cancer, lobular
carcinoma, hemangiosarcoma, etc.）◆

Benign breast tumors （fibroadenoma, lobular
carcinoma, etc.）◆

Hereditary breast and ovarian cancer syndrome,
mastitis and more

Features(cases)◆◆◆Providing local (surgery/radiation therapy) andsystemic (pharmacotherapy) guideline-based
treatment considering the individualized needsof patients
Practicing team-based care from diagnosis totreatment through collaboration with diagnostic
radiologists, pathologists, plastic surgeons,
nurses, radiologists, ultrasound technicians, andpharmacists
Offering a full range of care: genetic
counseling, gestational breast cancer,
reproductive medicine, breast reconstruction,
recurrence treatment, home care, family care,and supportive/palliative care

600

(rate %)

80.0
72.0
67.8
493493 506
60.260.4
70.0
55.6
62.9
500
51.2
444
439
436
50.0
60.0
412
402
397
397
393
48.6
389
379390400
44.9
44.9 45.8
50.0
42.2
40.8 42.2
40.4
302
72.0

300

200

40.0
30.0
148
122

20.0

100

10.0

0

0.0

(year)
Cases

Conservative treatment rate

Annual Breast Cancer Surgeries（mastectomy/ partial mastectomy）

Cardiovascular Surgery
Target Disorders/Diseases◆

Coronary artery bypass grafting (CABG)◆

Reliable mitral valvuloplasty even for complex
regurgitation◆

Aortic arch replacement and stent grafting to facilitate
early recovery◆

Congenital heart diseases, peripheral vasculardiseases, venous diseases◆

A variety of minimally invasive cardiac surgeries

Features◆“No refusal” policy even for severe cases, with top
surgical results in Japan◆

Fast-track cardiac recovery protocols; walking andeating starting the next day◆

Achieving pioneering results in coronary artery
bypass surgeries using arterial graft off-pumpsurgery for diffuse lesions and low left ventricularfunction; trusted with the cardiovascular surgicalcare of Japan’s imperial family◆◆

Pioneered TAVI and sutureless aortic valve replacement for high-risk cases of aortic valve stenosis
Introduced the latest surgical techniques for
obstructive hypertrophic cardiomyopathy

Ischemic
Valvular
Total (right axis)

Macrovascular

Pediatric

Annual Number of Surgeries (5 years)
Total of 831 surgeries performed in 2019(126 pediatric cases, 705 adult cases)

General Thoracic Surgery
Target Disorders/Diseases◆

Primary lung cancer, metastatic lung cancer◆

Benign lung tumor （pulmonary hamartoma）◆

Mediastinal tumor （thymoma, neurogenic
tumor, etc.)◆

Mesothelioma and more

Total
surgeries

Features◆

Promising results with over 700 thoracic
surgeries per year in Japan◆

Performing da Vinci robotic surgery for lungcancer and mediastinal tumors◆

Performing extended surgery for advanced
cancers (bronchoplasty, etc.)◆

Providing treatments for high-risk patients withcomorbidities such as emphysema, angina
pectoris, and diabetes mellitus

LungcancerLung cancer

Metastatic lung tumor

Mediastinal tumor

Emphysema

Mesothelioma

Surgeries in total

Surgical Procedures

Neurosurgery
Target Disorders/Diseases◆

Brain tumor （meningioma, glioma, etc.）◆

Cerebrovascular diseases （aneurysm, arteriovenous
malformation, etc.）◆

Functional neurosurgery （epilepsy, involuntary movement,
normal-pressure hydrocephalus, etc.）◆

Vertebrae/spinal cord surgery （spinal cord tumor, spinal
disc herniation, etc.）◆

Pediatric neurosurgery （pediatric brain tumor, congenital
brain malformation, etc.）

ClinicalProcedure

2017
(FY)

2018
(FY)

2019
(FY)

Features

Total

940

975

981

Brain tumor

231

242

236

Cerebrovascular disease（direct surgery）

33

44

44

Accidents/trauma

37

37

45

Congenital
malformations

25

41

32

Hydrocephalus

89

71

78

Epilepsy

85

91

81

Vertebrae
spinal cord

44

39

75

Brain Stimulation

73

103

91

Microvasculardecompression

18

17

13

Endovascular

278

260

266

Other

27

30

20

◆

◆

◆

◆

◆

One of the most well-established neurosurgery
departments in the history of Japanese neurosurgery
Having the highest number of brain tumor, functional
neurosurgery, and endovascular treatment cases in Japan
Emergency 24/365 response for stroke in collaboration
with the Department of Emergency Medicine and theDepartment of Neurology; providing highly advanced
medical technologies such as intraoperative MRI (iMRI)
Pediatric neurosurgery covers a broad range from tumors toepilepsy and congenital malformations, and has one of thehighest volume of cases in Japan
Provides deep brain stimulation therapy for Parkinson’s
disease in collaboration with the Department of Neurology

Operating room with intraoperative
magnetic resonance imaging (iMRI)Orthopedic Surgery and Sports Medicine
Target Disorders/Diseases◆

Osteoarthritis (knee, hip, shoulder, ankle, hand,
etc.)

◆

Spinal disorders （spinal canal stenosis,
intervertebral disc hernia, spinal deformity, etc.）◆

Sports-related injuries and disorders （shoulder,knee, ankle, etc.）◆

Musculoskeletal tumors◆

Hand trauma and deformities◆

Metabolic bone diseases （osteoporosis, etc.）◆

Rheumatoid arthritis

Surgical Procedures of 2019

Features◆◆◆

Surgical procedure

Cases

Physicians in our department are specialists inspecific areas of orthopedic surgery and sports
medicine

Hand・elbow

347

Spinal338

All treatment methods are offered with profoundknowledge of the advantages, disadvantages, andlimitations

Knee

296

Musculoskeletal

287

Offering the most optimal options for all patientswith locomotive organ diseases, providing safe,
reliable, and advanced medical care

Hip

202

Shoulder200

Plastic and Reconstructive Surgery
Target Disorders/Diseases◆

Congenital anomalies （cleft lip and palate,polysyndactyly, craniosynostosis, etc.）◆

Reconstruction after malignant tumor resection (headand neck, limb, breast, etc.）◆

Intractable ulcers （whole body, mainly in lower limbs）◆

Maxillofacial disorders （facial paralysis, etc.）◆

Traumatic injuries （facial bone fractures, limb
laceration, etc.）◆

Anti-aging surgery （blepharoptosis, etc.)

Features
◆

◆

◆

◆

Performing breast reconstruction that meets patientneeds (autologous tissue or fat grafting/implants) incollaboration with the Department of Breast Oncology,
which has one of the largest case volumes in Japan

Performing surgical treatment for patients withcongenital anomalies, including cranioplasty for
craniosynostosis, in collaboration with the Departmentof Pediatrics and Neurosurgery
Performing reconstruction after malignant tumor
resection in collaboration with other departments, suchas otorhinolaryngology, dermatology, and orthopedics
Developing regenerative medicine options for treatmentof leg ulcers(surgeries)
1000

Outpatient
surgeries

900
800

Inpatient
surgeries

700
600
500
400
300
200

100
0
2013

2014

2015

2016

2017

2018

2019

(year)

Outpatient and Inpatient Surgeries AnnuallyDermatology
Target Disorders/Diseases◆

Alopecia areata

Outpatient Clinic Services (2019)◆

Psoriasis

Average patients per day

280 patients◆Allergic atopic dermatitis

First-visit patients

2,785 patients◆

Malignant skin tumors◆

Autoimmune bullous disease and moreFirst visits with referral letter

1,524 patients

Features◆◆

Inpatient treatment includes: semi-pulsed
steroid therapy for alopecia areata; combination
therapy of plasma exchange and intravenous
gamma-globulin for pemphigus and severe drug
eruption; UV therapy for atopic dermatitis; skintransplantation for congenital epidermolysis
bullosa and intractable ulcer
Providing combination treatments with regional
immunotherapy, laser irradiation, low-dose oral
steroids, PUVA・NB-UVB, and excimer therapy foralopecia areata

Inpatient Services (2019)
Discharged patients

309 patients

Surgery/hospitalization (2019)
Benign skin tumor

84 cases

Malignant skin tumor

65 cases

Other（pyoderma, skin transplantation, etc.）

22 casesTotal

171 cases

Urology
Target Disorders/Diseases◆

Kidney cancer, bladder cancer, prostate cancer◆

Prostatic hypertrophy/dysuria◆

Urinary incontinence/pelvic organ prolapse◆

Polycystic kidney diseases, tuberous sclerosis◆

Kidney transplantation

Features◆

Performing robotic-assisted surgery for prostate,kidney, and bladder cancers, with the largest
surgical volume in Japan◆

Providing treatments for difficult-to-treat
advanced cancers◆

Providing the latest treatments for dysuria andpelvic organ prolapse◆

Pharmacotherapy for intractable diseases suchas polycystic kidney diseases and tuberous
sclerosis◆

Safely performing ABO-incompatible kidneytransplantation

Ophthalmology
Target Disorders/Diseases◆

Myopia/astigmatism◆

Strabismus/blepharoptosis◆

Cataract, glaucoma◆

Corneal transplantation◆

Retinal detachment, pigmentary retinal degeneration◆

Vitrectomy for retina and vitreous◆

Infectious eye diseases and more

Numbers of Clinical Procedures (2019)
Inpatient
surgery（age≧12 years）

Cataract

1,318
cases

Glaucoma

192

Corneal transplantation(femtosecond laser cases)

40(4)Retinal detachment

220

Vitrectomy（other than detachments）

297

Other

65

Outpatient
surgery（age≧12 years）

Strabismus/blepharoptosis etc.

144

Cataract (day surgery)

140

Pediatric
Ophthalmology
surgery（age<12 years）

Strabismus/blepharoptosis etc.

187

Cataract, glaucoma, retina andvitreous diseases, etc.

84

Excimer laser
surgeryLASIK/PRK

0

PTK

56

Features◆◆

Large volume of corneal transplantation surgeries
with Juntendo Eye Bank, first established in Japan(1963)
Being first to introduce contact lenses in Japan andactively providing specialized contact lenses care via
the Contact Lens Clinic◆

The only university hospital in Japan to have an
outpatient clinic specializing in sports ophthalmology◆

Treatments via Pediatric Ophthalmology Clinic forcongenital strabismus in children, and Strabismus
Outpatient Clinic for strabismus in adults◆

Performing refractive surgeries such as PRK andLASIK for myopia and astigmatism patients

Total surgery cases

2,743

Otorhinolaryngology, Head and Neck Surgery
Target Disorders/Diseases(Groups)◆

Ear diseases (chronic otitis media, cholesteatoma,
otosclerosis, etc.）◆

Nose diseases （chronic sinusitis, eosinophilic
sinusitis, allergic rhinitis, etc.）◆

Head and neck diseases （oral cavity/larynx/pharynx
cancer, salivary gland cancer, thyroid cancer,
paranasal sinus cancer, surgical treatments for
Grave’s disease, benign head and neck tumors, etc.)◆

Others （sleep apnea syndrome, facial palsy,dizziness/vertigo, outpatient speech and language
therapy）

Features◆

Facilitating multidisciplinary treatment for head andneck cancer including surgery/functionalpreservation surgery, radiation, and chemotherapy(anti-PD-1 antibody and intra-arterial injection)◆

Performing endoscopic resection and skull base
surgery for paranasal sinus tumors◆

Performing minimally invasive surgery such astransoral robotic surgery (TORS) for oropharyngeal
cancers◆

Providing advanced medical treatments: carbon
dioxide laser stapedectomy for otosclerosis;
genomic sequencing and cochlear/bone-anchoredhearing aid implantation for hearing loss◆

Inferior turbinate argon plasma coagulation (APC)
day-surgery for patients with mild allergic rhinitis

Surgical Procedures in 2019
Surgical procedure

Cases

Tympanoplasty

50

Mastoidectomy

40

Endoscopic sinus surgery

135

Submucous resection of nasal septum64

Lobectomy and subtotal/partial/total
thyroidectomy

42

Parotidectomy

52

Transoral (for oropharyngeal/hypopharyngeal
cancer)47

Neck dissection

140

Lymph node biopsy

39

Radiology (Diagnostic Division)◆

Performing diagnostic imaging tests requested by all
departments using a variety of imaging technologies
such as CT and MRI◆

Providing imaging tests and radiologic interpretations
to outpatients referred to us through medical
network; having an outpatient clinic for interventional
radiology

Diagnostic testing◆

Consistent efforts from planning tests to transmitting
high-quality reports to all departments internally◆

Examinations in 2019 included 83,472 CTs, ４7,050
MRIs, 4,796 ultrasounds, 6,129 nuclear medicine
tests, 3,102 PET-CTs, and 394 angiographies◆

MethodCases

Central venous port placement

117

Mammotome biopsy

111Interventional Radiology (IVR)

CT guided biopsy

50

Performing IVR procedures: prophylactic renal arterial
embolization for renal angiomyolipoma; uterine artery
embolization for uterine fibroids; and hepatic arterial

Adrenal venous sampling (AVS)

41

Transcatheter (hepatic) arterial
Chemoembolization

35

Uterine artery embolization (UAE)（for myoma/hemostasis）

31

Intra-arterial injection(anti-cancer drug, etc.)30

chemoembolization for hepatocellular carcinoma andmetastatic liver cancer◆

IVR Procedures in 2019 (FY)
（Total: ５８８ cases）

Performing central venous port placement andmammotome breast biopsy; as well as cryotherapy forrenal tumors since 2017

Radiology (Radiation Oncology Division)
Target Disorders/Diseases◆◆

Radiotherapy proceduresby system (2019FY)

Malignant tumors including breast, prostate,esophageal, lung, head and neck, and brain
tumors; malignant lymphoma; and benign
intracranial tumors
Benign diseases such as keloids and thyroid
eye disease

Features◆

Providing treatments to cure cancer andimprove cancer-related symptoms while
preserving form and function◆

Providing treatment plans for patients on an
outpatient basis◆

Providing advanced high-precision
radiotherapy (intensity-modulated radiation
therapy: IMRT), stereotactic radiotherapy(SRT), and image-guided radiotherapy (IGRT)◆

Providing brachytherapy for prostate cancer
and high-dose-rate intracavitarybrachytherapy (HDR-ICBT) for uterine
cancerSpecialized treatments(2019FY)

System/body part

Cases

Breast250

Urinary155

Lung/mediastinal

108

Gastrointestinal

106

Head and neck71

Hematopoietic

41

Treatment

Cases

Gynecological

36

IMRT

２３３

Central nervous
System

31

SRT

47

Musculoskeletal

5

Prostatebrachytherapy

28

Other malignant
tumors

10

RALS

26

Benign diseases

15

Total body
irradiation

8

Total
first-visit patients

828

Obstetrics
Target Disorders/Diseases(cases)◆Normal pregnancy

1400

◆

Pregnancy and delivery with maternal
complications

1200

Diagnosis and management of fetal
anomalies

800

◆

◆

Painless delivery and more

DD twin pregnancy
MD twin pregnancy
Single pregnancy

Year 2019
1,206 cases

1000

600
400
200

Features◆◆

Designated as a regional perinatal medical carecenter by the Tokyo Metropolitan Government;
actively accepting high-risk
In cooperation with the Department ofAnesthesiology for 24-h support of painless delivery02010 2011 2012 2013 2014 2015 2016 2017 2018 2019

(year)

Deliveries(cases)
900
800
700

◆

Conducting researches
regarding painless delivery
safety, interventions forpostpartum depression,
markers of preterm birth,and analysis of the humangenome for congenital
diseases

600
843

500
400

779

826
666

655

300
200
100
0
2015

2016

2017

2018

Painless deliveries

2019(year)

Gynecology
Features

Target Disorders/Diseases◆

Uterine fibroids, uterine adenomyosis◆

Endometrial cancer, cervical cancer◆

Ovarian tumors （benign and malignant）◆

Menopause, women’s sports medicine clinic◆

Infertility treatment◆

Largest number of laparoscopic surgeries in
Japan

◆

Providing minimally invasive treatments for 85%
of benign gynecological diseases◆

Performing robotic-assisted surgeries forbenign and malignant cancers (endometrial
cancer, etc.)◆

Providing multidisciplinary treatments
combining surgery, chemotherapy, and radiation
therapy

Year 2020
642 surgeries

240

Year 2020
231 surgeries

Cervical cancer
Endometrial cancer
Ovarian cancer

200

80

160

84
88

74

76

75

85
76

54

66

120
Ovulation disorder / infertility / other
Oviduct disorders (including ectopic pregnancy)
Ovarian diseases (including endometriosis)
Uterine diseases ( including endometrial and cervicalcancer) ※Including Robot-assisted surgeries

80

50

62

63

54

47

47

52

52

2011

2012

2013

2014

41

40

2011 2012 2013 2014 2015 2016 2017 2018 2019 2020

Laparoscopic surgery cases by diagnosis

62

73

76

59

62

56

51

53

62

65

75

2015

2016

2017

2018

2019

2020

0

Malignant tumors (new cases)

Anesthesiology (Surgical Division)
Target Disorders/Diseases◆

Preoperative evaluation◆

Surgical and anesthetic
management◆

Postoperative management◆

Intensive care management◆

Obstetric anesthesia （painlessdelivery）

Features◆◆◆

Ensuring patient safety in all ２3 operating rooms
from planning and performing anesthesia togeneral postoperative care
Providing anesthesiologists-led care incooperation with other departments, nurses,
clinical engineers, and other medical staff forpatients requiring comprehensive postoperative
care after major surgeries such as cardiac
surgeries and for hospitalized inpatients incritical condition
The obstetric anesthesia team is available ２４h/day to ensure painless delivery and support
cesarean sections(cases)
12,00010,444 10,460

10,805

9,705

10,000

8,684

8,870

8,710

8,714

9,900

8,979

8,000

6,000

4,000

2,000

0
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020(year)

Surgical Division- Anesthetic management cases -Anesthesiology (Pain Medicine Division)
Target Disorders/Diseases◆

Headaches, trigeminal neuralgias, and various
types of postoperative pain◆

Herpes zoster pain/post-herpetic neuralgia,
diabetic neuropathy, and pain due toobstruction of blood circulation◆

Spinal diseases◆

Complex regional pain syndrome (RSD)◆

Cancer pain, etc.

Features(cases)Pain treatment (first-time visits) by year

(year)◆

Providing minimally invasive treatments (nerve
block, radiofrequency thermocoagulation, spinal
cord stimulation, epidural endoscopy), that canbe combined with pharmacotherapy andinpatient care◆Aiming to accurately and quickly relieve pain for
diseases by providing minimally invasive
treatments, such as trigeminal neuralgia, spinal
disorders, herpes zoster pain, and cancer pain,using X-rays and ultrasonography◆

Inpatient treatments include Gassel’s ganglion
thermocoagulation for trigeminal neuralgia;
spinal cord stimulation therapy for intractable
pain; and epidural endoscopy for lower backpain in patients who have undergone lumbar
spine surgeryRehabilitation Medicine
Target Disorders/Diseases◆

Motor paralysis/spasticity(paralysis of limbs)◆

Gait disorders◆

Dysphagia/brain dysfunction

Features◆

Rehabilitation therapy including exercise therapy andphysical medicine-based treatment such as electricalstimulation and transcranial magnetic stimulation◆

Botulinum therapy for spastic movement disorders◆

Aiming to achieve highest-possible quality of life byusing a variety of medical rehabilitation devices
utilizing the most advanced robotics and latest
findings in neuroscience, as compensation for lost
functions◆◆

Developing HANDS therapy to improve upper limb
function in hemiplegic stroke patients; disseminating
the therapy worldwide
Developing the advanced FAST walk to non-invasively
stimulate gait neural circuits in the spinal cord inorder to restore function

Rehabilitation Prescription Cases (2019)
By therapy

By disease

Physical therapy

5,934

Occupational therapy

1,211

Speech therapy

954

Cerebrovascular diseases

3,829

Musculoskeletal

1,845

Respiratory

495

Cardiovascular

1,086

Cancer849

Disuse syndrome30

Emergency Medicine
Total patients2018 FY: 4,159
2019 FY: 4,601

Target Disorders/Diseases(ER patients)◆◆

Emergency illnesses （cardiac arrest, injuries,
poisoning, shock, sepsis, burns, heat stroke,anaphylaxis, etc.)
Acute care （coma/impaired consciousness,dizziness, headache, fever, palpitations, chest
pain, abdominal pain, nausea, diarrhea, etc.）

Features

455

440

437

430

421
411
410

390

399

393

389
373

366

340

377

365

380

373

362

379
367
359

355

341
328

344

340

330

337

310

327
318

313

290

370

323

314

2018

273

2019

240

230

2020

206

190

◆

◆

◆

◆

Designated as a secondary emergency medicalcare institution by the Tokyo Metropolitan
Government, actively accepting patients per
assigned roles in cooperation with local clinics
and hospitals
The department comprises members of the
Department of Emergency and Disaster Medicine,and physicians from various other departments
Responding to in-hospital emergencies per the
rapid response system, with medical emergency
team also functioning as consultants to otherdepartments when patients become critically ill
unexpectedly
Coordinating high-care unit (HCU) admissions
and discharges

4

5

6

7

8

9

10

11

12

1

2

3

(month)Number of Emergency Patients(ER patients)

820

2018

770

771

2019

720
670

682
672

663

2020
653
650

620
570

Total patients2018 FY: 7,474
2019 FY: 6,923

584

596
577

635
591

589

632
615
598

564

565

564
517

520

499

470

518
489

470

623
589
569

557

509

494
467

443

420
370

511
488

410

393

4

5

6

7

8

9

10

11

12

1

2

3

(month)Number of Ambulance Acceptances

Oral and Maxillofacial Surgery
Target Disorders/Diseases◆

General dentistry and dental surgery for inpatients◆

Tooth extraction, cysts, tumors◆

Temporomandibular joint disorder, jawbone
fractures◆

Oral mucosal diseases, salivary gland diseases,
inflammation◆

Perioperative oral care◆

Oral implants◆

Sleep apnea

Oral device for sleep
apnea made by ourdepartment(patients)

◆

◆

◆

Features5000

Performing oral surgery for difficult tooth
extractions, cysts, and implants in addition to
general dentistry for inpatients

4000

Having established specialized outpatient clinics
for dental implants, temporomandibular joint
disorder, and sleep apnea
Implant treatment achieving a high success rate
（98.8％）; providing tailored sleep splints forsleep apnea syndrome

4545

4500
3535

3500
3000

3159
2526

2631

2015

2016

2500
2000
1500
1000
500
0
2017

2018

First-visit Patients2019 (year)

順天堂大学医学部附属順天堂医院
Juntendo University Hospital

顺天堂大学医学部附属顺天堂医院

国際診療部
Department of International Healthcare2021