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[Present status and future view of cardiac surgery in Japan]
Insights
Cardiac surgery in Japan has advanced significantly, with increasing operations for congenital and acquired heart diseases, especially in infants and the elderly. Organ transplantation is a critical future consideration for severe cases.
Area of Science:
- Cardiovascular Surgery
- Medical Technology Advancement
- Public Health Policy
Background:
- Japan has 300 cardiac surgery institutes performing 16,774 operations in 1984.
- Increasing surgeries for newborns and the elderly reflect advancements and social changes.
- Rising aorto-coronary bypass surgeries indicate shifts in disease prevalence.
Purpose of the Study:
- To analyze the current status of cardiac surgery in Japan.
- To identify challenges in cardiac surgery practice.
- To explore future directions, including organ transplantation.
Main Methods:
- Statistical analysis of cardiac surgery case numbers in 1984.
- Review of current challenges in the field.
- Discussion of ethical and technical considerations for heart transplantation.
Main Results:
- Significant volume of operations for acquired heart disease (8088), congenital heart disease (7837), and thoracic aortic aneurysm (839).
- Notable increase in surgeries for infants and the elderly.
- Identification of issues including departmental integration, specialist training, resource utilization, and cost-effectiveness.
Conclusions:
- Cardiac surgery in Japan shows remarkable progress, particularly in pediatric and geriatric cases.
- Urgent consideration of heart and heart-lung transplantation is necessary for critically ill patients.
- Establishing heart transplantation requires careful nationwide planning regarding technical and ethical aspects.
Abstract:
Analysis of present status: 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. The increase in number of surgery for new born baby and infant recently proves the remarkable advance of cardiac surgery in Japan. 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. 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. Future view: It should be noted that the severe patients exist in Japan as well as in other countries and their lives cannot be saved without the heart or the heart-lung transplantation. We should immediately consider the organ transplantation as one of the medical treatments for the above-mentioned patients out of love for mankind. 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.(ABSTRACT TRUNCATED AT 250 WORDS)
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