J.Jpn. Surg. Soc.. 87(11): 1375-1379, 1986
Report on the annual meeting
PRESENT STATUS AND FUTURE VIEW OF THE CARDIAC SURGERY IN JAPAN
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National Cardiovascular Center, Suita, Japan Hisao Manabe |
1) The institutes for cardiac surgery, amounting to 300 are spread throughout Japan. Consequently, the number of operation for the acquired heart disease, congenital heart disease and thoracic aortic aneurysm, has been counted 8088, 7837, and 839 respectively and in total, 16774 cases were operated in 1984.
2) The increase in number of surgery for new born baby and infant recently proves the remarkable advance of cardiac surgery in Japan.
3) The gradual increase in number of surgery for the aged reflects the Japanese social conditions today. The increase in number of aorto coronary bypass surgery should be paid attention, from the view of the disease structure in Japan.
4) The problems, existing under today's condition are as follows;the establishment of the other department concerned with that of cardiac surgery, training condition to become specialists, practical use of medical resources and economical efficacy of medical care.
(2) Future view
1) It should be noted that the severe patients exist in Japan as well as in other countries and their Iives cannot be saved without the heart or the heart-lung transplantation.
2) We should immediately consider the organ transplantation as one of the medical treatments for the above-mentioned patients out of love for mankind.
3) Heart transplantation is very much different from the general cardiac surgery in technical, ethical aspects and so on. Therefore, as the procedure for the success to establish heart transplantation as one of the medical treatments, careful consideration is indispensable in the nationwide.
4) On the other hand, the effort to develop the artificial heart must be undertaken because if is inseparable from heart transplantation to make up the weak-points.
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