Curriculum
Program Features
- Training center comprised of multiple clinical departments and diverse educational departments.
- Integrated basic technology training program based on safety and universality.
- Consistent program and evaluative institution regulated by the center.
- Education program led by specialists of endoscopic surgery that are renowned in Japan and around the world.
- Educational system with an eye for the development of new devices.
- Related domestic facilities with extensive experience; collaboration with enriched overseas educational program.
Keio University has been actively involved in the development of endoscopic surgery since its introduction in Japan, and we have been leading the world in this surgical procedure until today. We have put sophisticated surgical procedures into practice by paying meticulous attention to safety until now, and leaders with extensive history in this field will take charge of education by taking advantage of our long track record in endoscopic surgery.
After acquiring the basic knowledge and skills of endoscopic surgery at the Endoscopic Training Center, trainees will aim to become world-class endoscopic surgeons through their training at related facilities where a wealth of clinical cases and veteran doctors reside and by way of collaborating with prominent overseas programs as they add on to their endoscopic surgical experiences.
Curriculum
The curriculum will be appropriately calibrated to the competency of the trainee. Therefore, the curriculum will be set up as a two-year program in principle that will be divided into the Basic Course and Advanced Course.
Basic Training Course
- Demonstrates comprehensive understanding of the basic techniques of endoscopic surgery and the ability to put them into practice.
- Capable of properly responding to any trouble that arises during endoscopic surgery.
- Shows understanding of features of endoscopic devices and present problems while they are put into practice. Acquire enough knowledge that allows exploration of any new, future expansion that includes development of new devices launched in Japan.
In the Basic Training Course, trainees will acquire basic knowledge and techniques that are interdisciplinary in nature, and we will nurture individuals that are capable of performing safe and secure surgical operations while being able to turn their eyes to future development. By taking advantage of the characteristics of a university, trainees will deepen their understanding of the features and problems associated with endoscopic surgical equipment in collaboration with the Faculty of Science and Technology. Subsequently, trainees will learn the basics of endoscopy through the hands-on educational program that utilizes large animals and cadavers training which are already operational. At the same time, trainees will train at our university and related facilities that boast a wealth of clinical cases, and they will link the content of what they learned in the Basic Training with the actual operation to further master, in phases, the knowledge and skills of endoscopic surgical procedure.
| Program details | Departments in charge |
|---|---|
| 1. Lecture
Acquisition of basic knowledge of endoscopic devices |
Department of Surgery Department of Obstetrics and Gynecology Department of Urology Faculty of Science and Technology |
| 2. Large animals surgical training | Division of Research and Development for Minimally Invasive Treatment |
| 3. Cadaver surgical training | Department of Anatomy |
| 4. Pre-operation image simulation | Department of Surgery |
| 5. Onsite training at university or related facilities | Department of Surgery Department of Obstetrics and Gynecology Department of Urology Related hospitals |
| Target number of accepted individuals and number of students | Subjects | AY 2014 | AY 2015 | AY 2016 | AY 2017 | AY 2018 |
|---|---|---|---|---|---|---|
| Surgery | 10 | 10 | 10 | 10 | ||
| 11 | 10 | 12 | 11 | |||
| Total | 0 | 11 | 10 | 12 | 11 |
Advanced Training Course
- Demonstrates understanding of applicability and pitfalls of complex endoscopic surgery that includes hepato-pancreato-biliary, esophageal, obstetrics and urological cancer, and is able to safely deliver complicated surgery.
- Capable of properly responding to troubles during a highly complex endoscopic surgery.
- With a global perspective, capable of contributing to the future development of Japan's endoscopic surgery as a leader.
- Maintains close contact with overseas endoscopic surgeons, and provides seamless collaboration in areas of clinical, educational and research fields.
In the Advanced Training Course, we provide a curriculum that encompasses training at another university that possesses a wealth of experience and clinical cases (Iwate Medical University) and internships at the leading facilities in the world (South Korea, France), as well as participation in the best educational programs in the world (IRCAD-Strasbourg, Asis-ICAD Taiwan). By training at world-class facilities, trainees will learn the global standard of endoscopic surgery and acquire techniques that will allow them to perform complex surgical cases at a safe and sophisticated level. Furthermore, by deepening the exchange with globally renowned experts, we will nurture individuals that can elevate knowledge and skills that they acquired on their own.
| Target number of accepted individuals and number of students | Subjects | AY 2014 | AY 2015 | AY 2016 | AY 2017 | AY 2018 |
|---|---|---|---|---|---|---|
| Students who have completed the basic course | 10 | 10 | ||||
| Students with abilities equivalent to the above | 8 | 8 | 4 | 4 | ||
| 8 | 8 | 14 | 14 | |||
| Total | 0 | 8 | 8 | 14 | 14 |
1. Lectures
Trainees will not only acquire knowledge of internal organs that they specialize in, but will obtain general basic knowledge of laparoscopic surgery and systematic basic knowledge of all organs (digestive system surgery, urology, gynecology). Furthermore, they will learn measures to appropriately respond to troubles during operational procedures, and aim to equip themselves with the basic knowledge in order to thoroughly yet accurately perform complex surgeries.
| Schedule | Time | Class Title | Lecturer |
|---|---|---|---|
| April 8 | 17:00 - 18:00 | Orientation | Itano |
| April 24 (Fri) | 17:00 - 18:00 | Laparoscopic surgery basics, position, port | Itano |
| May 8 (Fri) | 17:00 - 19:00 | Laparoscopic surgical procedure, machines, energy devices | Itano |
| May 22 (Fri) | 17:00 - 19:00 | Device | Ohnishi |
| June 5 (Fri) | 17:00 - 19:00 | Laparoscopic surgical procedure: General knowledge (colon), trouble shooting, pitfalls | Tsuruta |
| June 19 (Fri) | 17:00 - 19:00 | Thoracoscope, laparoscopic surgical procedure: General knowledge (upper extremity), trouble shooting, pitfalls | Takeuchi |
| July 3 (Fri) | 17:00 - 19:00 | Laparoscopic surgical procedure: General knowledge (hepato-pancreato-biliary), trouble shooting, pitfalls | Itano |
| July 17 (Fri) | 17:00 - 19:00 | Laparoscopic surgical procedure: General knowledge (gynecology), trouble shooting, pitfalls, complex surgery | Nomura Kataoka |
| September 11 (Fri) | 17:00 - 19:00 | Laparoscopic surgical procedure: General knowledge (urology), trouble shooting, complex surgery | Matsumoto Miyajijma |
| September 25 (Fri) | 17:00 - 18:00 | Laparoscopic surgical procedure: General knowledge (hernia), trouble shooting, pitfalls | Wada |
2. Large animals surgical training
By using laboratory animals (pigs), trainees will practice in a surgical training format the generalized knowledge of interdisciplinary laparoscopic surgery they learned in the lectures and the systematic basic knowledge on each internal organ.
| Schedule | Time | Class title | Lecturer |
|---|---|---|---|
| July 18 (Sat) | 9:00 - 15:00 | Large animals practice (1) | Yagi |
| December 5 (Sat) | 9:00 - 15:00 | Large animals practice (2) | Yagi |
3. Cadaver surgical training
Cadavers have always been used as an educational tool of basic anatomy, however, in recent years, surgeons have been learning anatomy as a prerequisite for surgical procedure. As a result, its importance has been increasing as a way to simulate surgery. Under the cooperation with the Department of Anatomy from our university and by using cadavers, trainees will be trained in detailed anatomic knowledge that is impossible to verify with a living body, basic techniques of surgical procedure, and complex surgical procedure.
| Schedule | Time | Class title | Lecturer |
|---|---|---|---|
| Irregular | Cadaver practice (1) | Kataoka | |
| Irregular | Cadaver practice (2) | Kataoka | |
4. Pre-operation image simulation
3D CT Angiography
The image obtained from the contrasted CT exam will be reconstructed three dimensionally. Surgical procedure will be simulated in accordance with each clinical case by clarifying the major blood vessels such as the bronchial artery, celiac artery, upper intestinal membrane, and lower intestinal membrane, as well as the positional relations of their branches, internal organs, and the tumor and the feeding vessels of the tumor.
CT Colonography
This is an image test conducted primarily in the areas of the colon and rectum. By injecting air into the intestines to conduct the CT exam and reconstructing them three dimensionally, it is possible to obtain an image with more accurate dimensions than the previous irrigoscopies. In addition, by combining these images with 3DCT Angiography, we can come to know the positional relations of the blood vessels, intestines and the tumors.
SYNAPSE VINCENT
This is an image test conducted primarily in the area of the biliary tract. By using SYNPASE VINCENT, a 3D image analysis system, the positional relations between the blood vessels, bile ducts and tumors will be clarified, shedding light on items that need attention when surgery is decided as well as during surgery.
Thoracic duct contrast MRI
In the area of the esophagus, contrasted MRI will be utilized to extract the image of the thoracic duct which is challenging to do with just a CT exam. By combining this MRI image with the CT image, we can clarify the number of thoracic ducts, branches, their running distance and their positional relations with other internal organs. By conducting this exam, post-operative chylothorax resulting from the damage given to thoracic ducts during the operation will be prevented.
| Schedule | Time | Class title | Lecturer |
|---|---|---|---|
| October 16 (Fri) | 17:00 - | Pre-operation image simulation (1) | Abe,Nakamura |
| October 23 (Fri) | 17:00 - | Pre-operation image simulation (2) | Abe,Nakamura |
| November 6 (Fri) | 17:00 - | Pre-operation image simulation (3) | Abe,Nakamura |
| November 20 (Fri) | 17:00 - | Pre-operation image simulation (4) | Abe,Nakamura |
5. Onsite training at university or related facilities
Trainees will participate in at least five cases of laparoscopic operations from the departments of surgery (general, digestive tract), urology, and gynecology. Trainees will learn the main points in the anatomy and surgical procedure of laparoscopic operation while studying the pre-op and post-op management that is unique to each department.
Required surgical procedures
[General, digestive system surgery] 5 cases
- Laparoscopic cholecystectomy (1case)
- Laparoscopic distal gastrectomy (1 case)
- Laparoscopic (rectum) colectomy (1 case)
- Laparoscopic hepatectomy or Laparoscopic distal pancreatectomy (1 case)
- Laparoscopic hernioplasty (1 case)
[Urology] 3 cases
- Laparoscopic nephreectomy (1 case)
- Laparoscopic adrenalectomy (1 case)
- Laparoscopic radical prostatectomy (1 case)
[Gynecology] 5 cases
- Laparoscopic removal of malignant tumor from uterus
- Laparoscopic enucleatic myomectomy
- Laparoscopic radical hysterectomy
- Laparoscopic ovariectomy
- Laparoscopic surgery for ectopic pregnancy