医学部 呼吸器低侵襲外科学

tochii sachiko

  (栃井 祥子)

Profile Information

Affiliation
School of Medicine Faculty of Medicine, Fujita Health University
Degree
博士(医学)

J-GLOBAL ID
201501017810889108
researchmap Member ID
7000012899

Misc.

 9
  • Takashi Suda, Shuhei Ashikari, Sachiko Tochii, Hiroshi Sugimura, Yoshinobu Hattori
    ANNALS OF THORACIC SURGERY, 97(2) 718-719, Feb, 2014  
    We report a case of single-incision bilateral partial lung resection using the subxiphoid approach. This approach requires a 3-cm incision in the abdomen, making it aesthetically favorable. In addition, it does not cause postoperative intercostal neuropathy, and postoperative pain is minimal because the intercostal space is bypassed. Moreover, this technique enables exposure to both lungs through a single incision and has potential for widespread use if maneuverability can be increased by improving the instruments used. (C) 2014 by The Society of Thoracic Surgeons
  • 中川 満, 浦野 誠, 芦刈周平, 櫻井映子, 岡部麻子, 熊澤文久, 桐山諭和, 塚本徹哉, 栃井祥子, 須田 隆, 溝口良順, 黒田 誠
    診断病理, 31(1) 67-71, 2014  
  • 栃井大輔, 須田 隆, 芦刈周平, 栃井祥子, 杉岡 篤, 高木 靖
    藤田学園医学会誌, 37(1) 51-53, 2013  
  • SUGIMURA Hiroshi, TOCHII Daisuke, ASHIKARI Shuhei, KIHARA Mariko, KITAMURA Yuka, TOCHII Sachiko, SUDA Takashi, HATTORI Yoshinobu
    The Journal of the Japanese Association for Chest Surgery, 26(4) 373-379, 2012  
    We retrospectively assessed the utility of continuous paravertebral block in patients undergoing thoracoscopic lung resection. Among 92 consecutive patients, 32 received additional paravertebral block (PVB group) with 0.2% Ropivacaine hydrochloride hydrate, continuous at a rate of 3 ml/h for 3 days starting immediately after surgery. All patients received oral NSAIDS for baseline pain relief and either a rescue dose of Diclofenac sodium at 50 mg enterally or Pentazocine at 15 mg intravenously when necessary. Pain was assessed using a visual analogue scale, with 0 representing no pain and 100 for the worst pain possible. Intraoperative thoracoscopic catheterization was straightforward, and there were no complications associated with paravertebral block. The mean pain score within the first 2 days following surgery was significantly lower in the PVB group (28±16 vs. 43±18, p<0.01). The total doses of the abovementioned rescue analgesics were both lower in the PVB group. Continuous paravertebral block is a simple, safe, and effective method of postoperative analgesia in patients undergoing thoracoscopic lung resection.
  • Takashi Suda, Hiroshi Sugimura, Daisuke Tochii, Mariko Kihara, Yoshinobu Hattori
    ANNALS OF THORACIC SURGERY, 93(1) 334-336, Jan, 2012  
    We report a surgical procedure in which a port and devices designed for single-incision endoscopic surgery are employed for thymectomy through an infrasternal approach. As this single-port thymectomy procedure can be performed through a single 3.5-cm incision in the abdominal region usually concealed under clothes, it is esthetically excellent and is among the least invasive thymectomy procedures because no sternal incision is applied and no intercostal nerve is injured. Investigation of the safety of this procedure and long-term therapeutic outcomes for myasthenia gravis and anterior mediastinal tumors is necessary. (Ann Thorac Surg 2012;93:334-6) (C) 2012 by The Society of Thoracic Surgeons

Presentations

 44