This review summarizes the more than 70 papers published during the 4 years since the Fukushima Dai-ichi nuclear power plant accident that occurred on 11 March 2011, and details the radioactive cesium dispersion pattern in the North Pacific and adjacent seas. The total amount of Fukushima-derived radioactive cesium released into the North Pacific via atmospheric deposition and direct release, spatial and temporal changes in the Pacific coast around the accident site, and the concentration levels of radioactive cesium around the Japanese Islands, not only the Pacific coast but also in adjacent seas, such as Japan Sea, East China Sea are summarized. Based on observational data mostly obtained during 2 years since the accident, and simulation results, oceanic dispersion of radioactive cesium in the entire area of the North Pacific is described. The Fukushima-derived radioactive cesium dispersed eastward as surface water and extended to the eastern side of the North Pacific in 2014, and was also observed via a southward intrusion to subsurface waters as Subtropical Mode Water and Central Mode Water. The radioactive cesium movement related to mode water is important in terms of the circulation of cesium into the ocean interior. Some new technologies and techniques concerning emergency monitoring of radioactivity in the ocean environment are also reported, the effectiveness of which has been demonstrated by use in relation to the Fukushima accident.