1. Project title
Perioperative management, including technical cooperation in surgery for 4 major hospitals in
Vietnamese big cities, with a view to hospital cooperation
2. Country nameSocialist Republic of Vietnam
3. BackgroundThe country of Vietnam is currently undergoing rapid economic development with rapid momentum.
As Japan once did, it has progressed from the control of infectious diseases to cancer treatment.
Medical International Development Country Report 2018 of the Ministry of Economy, Trade andIndustry also roprted that the the disease structure / mortality factor of Vietname is approaching
the developed countries, among which malignant neoplasms (1st: lung cancer, 2nd: liver cancer,
3rd: colon cancer, 4th: gastric cancer) is said to be prominent. The number of lung cancer patients isincreasing more and more due to high smoking rate, serious air pollution. the number ofhepatocellular carcinoma patients due to hepatitis B and hepatitis C, stomach cancer due toH.Pylori infection and esophageal cancer and colorectal cancer due to westernization of food culture
in Vietnam. Although surgery is done for these malignant tumors, there is a problem in the quality,
there is no basis on surgery especially oncology. Therefore, taking out the tumor is all, recurrence at
an early period even after surgery, systematic lymph node dissection can not be performed and thestage diagnosis is not sufficient. Therefore, various major problems such as not receiving
postoperative adjuvant therapy, being incompatible follow up regime, etc. are accumulated. It is also
the position that the supervising hospital inherits knowledge and technic to subordinate hospitals,
so NCGM helps the biggest supervising hospital in the capital city of Hanoi, ① Bach Mai hospital,② 108 military hospital, in Ho Chi Minh city, ③ Cho Ray hospital, ④ 175 militaryHospital firstly todevelop the surgery on oncology.
In addition, wereceives theVIP patients and the wealthy classes who hopes to go to NCGM or very difficult cases
to perfom surgery, and further strengthen inbound and medical tourism in NCGM.
4. Objective
Based on a strategic partnership agreement between Japan and Vietnam, it is intended to raise a Vietnamese surgery
medical care standard by exporting Japanese surgical technologies to Vietnam.
In addition to it, the endoscope surgery technique utilizes a local corporation of Olympus of the Japanese company
and considers business by the export with the hardware aspect of a Japanese company supporting a request, anadvanced medical technology by Hitachi medical support again in the field of vision. In addition, I look up at thecooperation of a Japanese company handling Japanese endoscope-related appliances such as eight light Co., Ltd.,
medical leaders and spread a product and push foreign countries advance from behind.
I have already gone in the respiratory surgery, but a very important person and the well off or the difficult operationthat an operation in Japan is hoped for has NCGM introduce and plans reinforcement of an in bound, the medicalcare tourism in further NCGN because the tip in our House operates. In addition, with cooperation with the surgery,I accept the introduction for all courses and contribute to the profit of the hospital.
5. Program outline

6. Implementation structure

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6-1. Japanese side
Gen thoracic surg: NCGM: : Satoshi Nagasaka, Satsuki Kina, Keigo Sekihara,
Hiroshima city hospital: Toshiya Fujiwara
Upper gastrointestinal surg: Kazuhiko Yamada:
Hepatobiliary pancreatic surgery: Norihiko Kokudo. Nobuyuki Takemura.
Cororectal surgery: Tomomichi Kiyomatu
6-2. Counterpart country side
Hanoi: Back Mai Hospital.108 military hospital
HoChiMinh: Cho Ray Hospital. 175 military hospital

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7. Indicator

7-1. Output

7-2. Outcome

7-3. Impact

1) To make a basis for surgical data at each hospital. (Operating record, clinicalsurgical -pathological staging, Comlications, Prognosis ,etc.)2)To investigate the satisfaction to use questionnaire for training participants inJapan3) To check the understanding of surgical techniques on oncology, intensive careincluding perioperative management and ICU management to use the pre/post test.
1)To increase in the number of operations using surgical techniques on oncology
learned by training participants in Japan
2) To decrease in complication rate of surgeons who have been instructed by inJapan with the postoperative complication rate and so on.
3) To sell the medical products of made in Japan especially related to endoscopic
surgery

1) Becoming the leading hospital in Vietnam by introducing a technique of thistraining and being introduced into the guidelines on Vietnamese surgery society.
2) Surgeryindication and preoperative and postoperative management of this projectwill be generalized and spread widely in Vietnam
3) Exchange in each academic society4) Joint research will be conducted by this training,

8. Main activities
8-1. Training in 20191)

Training in the each hospital Japanese six experts doctors for 1 week on June andseptember

2)

Training in Japan (Reveive eight trainees on November)

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