医学部 呼吸器外科学

星川 康

ホシカワ ヤスシ  (Yasushi Hoshikawa)

基本情報

所属
藤田医科大学 医学部 呼吸器外科学 主任教授
学位
医学博士(東北大学)
医学博士(東北大学)

J-GLOBAL ID
200901059259319075
researchmap会員ID
1000365543

外部リンク

委員歴

 2

MISC

 116
  • 星史彦, 遠藤千顕, 桜田晃, 松村輔二, 岡田克典, 星川康, 佐渡哲, 野田雅史, 近藤丘
    肺癌 49(1) 12-16 2009年  
  • 星史彦, 遠藤千顕, 桜田晃, 松村輔二, 岡田克典, 星川康, 佐渡哲, 野田雅史, 近藤丘
    肺癌 49(1) 12-16 2009年  
  • Masayuki Chida, Shuichi Ono, Yasushi Hoshikawa, Takashi Kondo
    EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY 34(4) 878-881 2008年10月  
    Objective: Postoperative acute interstitial pneumonia is a subset of post-surgical. acute respiratory distress syndrome (ARDS) and is responsible for one third of in-hospital deaths following lung resection in patients with primary lung cancer. We evaluated the usefulness of computed tomography (CT) for detection of interstitial pneumonia (IP) as a risk factor of postoperative ARDS. Methods: Preoperative chest CT of patients who underwent thoracotomy for primary lung cancer was reviewed retrospectively and IP findings in the chest CT were detected. Results: A total of 1148 patients with primary lung cancer underwent thoracotomy. Fifteen patients (1.3%) developed postoperative ARDS. Eleven of these 15 patients died of ARDS. Three of 41 patients who received induction therapy developed postoperative ARDS. Induction therapy was a risk factor of postoperative ARDS (p < 0.01). Eleven out of the 15 patients who developed postoperative ARDS had IP findings (10: localized, 1: diffuse) in their chest CT Two of three patients who had postoperative ARDS after induction therapy also had IP findings. Chest CTs of 834 patients were retrospectively analyzed; 91 patients (10.9%) had IP-findings (diffuse 1.8%, localized 9.1%). Postoperative ARDS occurred in 8.8% of IP-positive patients, and in 0.4% of IP-negative patients (p < 0.0011. Conclusion: Detection of IP by chest CT is useful for the selection of high-risk patients who may have postoperative ARDS following thoracotomy. (C) 2008 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.
  • Masayuki Chida, Shuichi Ono, Yasushi Hoshikawa, Takashi Kondo
    EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY 34(4) 878-881 2008年10月  
    Objective: Postoperative acute interstitial pneumonia is a subset of post-surgical. acute respiratory distress syndrome (ARDS) and is responsible for one third of in-hospital deaths following lung resection in patients with primary lung cancer. We evaluated the usefulness of computed tomography (CT) for detection of interstitial pneumonia (IP) as a risk factor of postoperative ARDS. Methods: Preoperative chest CT of patients who underwent thoracotomy for primary lung cancer was reviewed retrospectively and IP findings in the chest CT were detected. Results: A total of 1148 patients with primary lung cancer underwent thoracotomy. Fifteen patients (1.3%) developed postoperative ARDS. Eleven of these 15 patients died of ARDS. Three of 41 patients who received induction therapy developed postoperative ARDS. Induction therapy was a risk factor of postoperative ARDS (p < 0.01). Eleven out of the 15 patients who developed postoperative ARDS had IP findings (10: localized, 1: diffuse) in their chest CT Two of three patients who had postoperative ARDS after induction therapy also had IP findings. Chest CTs of 834 patients were retrospectively analyzed; 91 patients (10.9%) had IP-findings (diffuse 1.8%, localized 9.1%). Postoperative ARDS occurred in 8.8% of IP-positive patients, and in 0.4% of IP-negative patients (p < 0.0011. Conclusion: Detection of IP by chest CT is useful for the selection of high-risk patients who may have postoperative ARDS following thoracotomy. (C) 2008 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.

講演・口頭発表等

 10