Tokuda Hospital Sofia



EU and Japanese Standards and background:

The GTS department has been established according to the European Standards of thoracic surgery developed by the European Association forCardio-thoracic Surgery (EACTS) and the European Society of Thoracic Surgeons (ESTS). The requirements and the organization standards of thoracic surgery and has been created with the professional input of European surgeons specializing in GTS. The department has also been established according to the high Japanese requirements of the Tokushukai medical corporation and has been equipped with the latest medical technologies. 

In Bulgaria, “Thoracic surgery” is a sub-specialty of the “General surgery”. The European Association for Cardio-thoracic Surgery (EACTS) has officially accepted thoracic surgery as a separate specialty in the Registry of the European specialties, which requires that surgeons at the end of their surgical training must apply for official certification from the EATCS. 

In Europe, the challenges in the field of the thoracic surgery in Europe are that the patients requiring thoracic specialists are treated in different specialty units which do not perform enough procedures-  range from 10 to 100 each year. Therefore due a lack of centralization and experience, the GTS specialist experience levels can vary considerably, often with unsatisfactory treatment results. The same tendency exists in Bulgaria, there are attempts to perform thoracic operations without qualified thoracic surgeons often with unsatisfactory results (especially in the treatment of the lung cancer) with a lot of complications. The specialized GTS clinics typically only treat patients with postoperative complications or with diseases in very advanced stages. 

In response to the current situation, the European Association for Cardio-thoracic Surgery (EACTS) and the European Society of Thoracic Surgeons (ESTS) has determined that the most effective measures to address the issues are organizational to improve results and focus on the patients. Such organizational measures vary, but in essence, they instruct to build a dedicated team around the needs of the patients which requires an element of centralization to be cost beneficial. Centralization is feasible, as most thoracic conditions require elective management, thus a limited numberof units placed strategically in urban areas would adequately serve the great majority of the European population. Tokuda Hospital Sofia has adopted this rationale in establishing its GTS department using its technical and medical resources to effectively meet the specialized needs of GTS patients in Bulgaria. 

Quality Control

Quality control is conducted in every GTS unit within the European network, including computerized documentation of all procedures performed together with recording of all major adverse events. Results are analyzed on a regular basis, which is evaluated by a recognized and generally accepted system forriskstratification. Complications are regularly discussed and feedback evaluation of risk stratified individual results is communicated to every surgeon.Procedure specific mortality figures(i.e. pneumonectomy, lobectomy,esophageal resection, one year survival rates for lung transplantation) are followed and must comply with the official range determined by the European Registry according to the spectrum of the database.

The GTS units report to the National Cancer Registry and the European Registry for Thoracic Surgery on a regular basis. Information from this registry is analyzed and given to every surgeon and member of the GTS staff. Regular analysis of long term follow-up is continuously performed.


Thoracic Surgery

Robotic thoracic surgery …






Hospital location

51B "Nikola I. Vaptsarov" blvd. (if you drive, the entrance is from "At. Dukov" str.), "Hladilnika" distr., 1407 "Lozenets".

The hospital has a parking lot. The first 30 min. are free of charge, then a fee of 3 bgn/hours applies.

Public transport:
Buses: №88, 120
Shuttle bus: 32

Subway: Getting off at "James Bourchier" station, after that walking through "Lozenets" distr., or tram №10, taking off at "Nikola I. Vaptsarov" stop. or a bus №88, taking ff at "Tokuda Hospital" stop.


From the Central Railway Station

Bus line №305 getting off at "Romanian embassy" stop
From "Romanian embassy" stop – Bus line №120 getting off at "Tokuda Hospital" stop.
(after the traffic lights at "Atanas Dukov" str.

With a subway, from "Central Railway Station" station, getting off at "James Bourchier" station, after that walking through "Lozenets" distr., or tram №10, taking off at "Nikola I. Vaptsarov" stop. or a bus №88, taking ff at "Tokuda Hospital" stop.