小児外科の新規立ち上げにおける手術の変遷:東京慈恵会医科大学附属柏病院において

摘要

千葉県北西部の柏市にある東京慈恵会医科大学附属柏病院（以下柏病院）は，柏巿のみならず千葉県東葛北部二次医療圏（柏巿•野田巿•流山市•我孫子市•松戸市）の中心的役割を担う病院である.都心からの交通の便もよく，また緑が多く子供を育てるには良い環境であり首都圏のべッドタゥンとなっている。2015年における柏市の人口は約41万人•15歳以下の小児の人口は約5万人であり、人口が増加している地域である.%Purpose: To evaluate the impact of launch of pediatric surgery at The Jikei University Kashiwa hospital.rnMethods: We reviewed the medical records of patients aged 15 years or younger who underwent an operation under general anesthesia at The Jikei University Kashiwa Hospital from July 2003 through June 2015.rnResults: Operations performed without a pediatric surgeon numbered only 2.4 per year.rnHowever, with a pediatric surgeon in part-time service, the number of operations performed increased to 18.5 per year. After the pediatric surgery division was launched with a full-time pediatric surgeon, the number of operations increased to 94.0 per year. When the hospital did not have a pediatric surgeon, only minor operations, such as appendectomy and inguinal hernia, were performed.rnConclusion: An increase in the number of operations for children was possible with even a single pediatric surgeon, provided support was available from other physicians, such as those of the departments of surgery and pediatrics and the emergency room. After a pediatric surgery division was launched, the number of pediatric operations greatly increased.