医学部 呼吸器低侵襲外科学

suda takashi

  (須田 隆)

Profile Information

Affiliation
professor, Department of Minimally invasive Thoracic Surgery, School of Medicine, Fujita Health University Okazaki Medical Center
Degree
博士(医学)

J-GLOBAL ID
200901055419428598
researchmap Member ID
5000024891

Papers

 90
  • Hisato Ishizawa, Yasushi Matsuda, Yoshiharu Ohno, Eiko Sakurai, Atsuhiko Ota, Hidekazu Hattori, Tetsuya Tsukamoto, Masaaki Matsunaga, Hiroshi Kawai, Yamato Suzuki, Hiromitsu Nagano, Takahiro Negi, Daisuke Tochii, Sachiko Tochii, Takashi Suda, Yasushi Hoshikawa
    Journal of thoracic disease, 15(2) 516-528, Feb 28, 2023  
    BACKGROUND: Lung cancer frequently occurs in lungs with background idiopathic interstitial pneumonias (IIPs). Limited resection is often selected to treat lung cancer in patients with IIPs in whom respiratory function is already compromised. However, accurate surgical margins are essential for curative resection; underestimating these margins is a risk for residual lung cancer after surgery. We aimed to investigate the findings of lung fields adjacent to cancer segments affect the estimation of tumor size on computed tomography compared with the pathological specimen. METHODS: This analytical observational study retrospectively investigated 896 patients with lung cancer operated on at Fujita Health University from January 2015 to June 2020. The definition of underestimation was a ≥10 mm difference between the radiological and pathological maximum sizes of the tumor. RESULTS: The lung tumors were in 15 honeycomb, 30 reticulated, 207 emphysematous, and 628 normal lungs. The ratio of underestimation in honeycomb lungs was 33.3% compared to 7.4% without honeycombing (P=0.004). Multivariate analysis showed that honeycombing was a significant risk factor for tumor size underestimation. A Bland-Altman plot represented wide 95% limits of agreement, -40.8 to 70.2 mm, between the pathological and radiological maximum tumor sizes in honeycomb lungs.
  • Takashi Suda, Hiromitsu Nagano, Takahiro Negi, Daisuke Tochii, Sachiko Tochii
    General thoracic and cardiovascular surgery, Sep 20, 2021  
    We report a lateral approach using the grasping technique for uniportal major lung resection. Grasping dissected tissue with grasping forceps enables the dissected surface to be three-dimensionally dissected from important organs, such as blood vessels, which, therefore, makes the procedure safe. Furthermore, there is an incision wound on the middle axillary line at the 6th intercostal space, and therefore, either the anterior or posterior side of the hilum can be easily observed, and a stapler can pass through all structures of the hilum easily.
  • 栃井 祥子, 長野 裕充, 根木 隆浩, 栃井 大輔, 須田 隆
    日本呼吸器外科学会雑誌, 35(3) RO8-2, May, 2021  
  • 根木 隆浩, 長野 裕充, 栃井 大輔, 栃井 祥子, 須田 隆
    日本呼吸器外科学会雑誌, 35(3) RV6-3, May, 2021  
  • 栃井 大輔, 須田 隆, 長野 裕充, 根木 隆浩, 栃井 祥子
    日本呼吸器外科学会雑誌, 35(3) RV9-4, May, 2021  

Misc.

 90
  • 金田 真吏, 栃井 祥子, 河合 宏, 栃井 大輔, 須田 隆, 星川 康
    日本呼吸器外科学会雑誌, 35(4) 315-319, May, 2021  
    横隔膜交通症は持続腹膜透析(CAPD)の併発症として重要である.横隔膜交通症に対して胸腔鏡下横隔膜部分切除術を施行し横隔膜上の瘻孔に異所性子宮内膜組織を認めた症例を報告する.症例は42歳の女性.CAPD開始後に,右胸水貯留を認めた.精査の結果,横隔膜交通症と診断し胸腔鏡下手術を行った.インジゴカルミン液を混注した腹膜透析液を腹腔内に注入し瘻孔を同定後に同部を自動縫合器で切除し,切除断端を結紮とポリグリコール酸シートで補強した.病理組織学的に,横隔膜の瘻孔部に異所性子宮内膜組織を認めた.術後7日目に腹膜透析を再開し異所性子宮内膜症に対しホルモン療法を開始した.横隔膜交通症の原因として異所性子宮内膜症が関与している可能性があり,再発予防のためにも病理組織学的診断が有用と考える.横隔膜交通症に対して横隔膜部分切除術を施行し異所性子宮内膜組織が瘻孔形成に関与する可能性を示唆する症例を経験した.(著者抄録)
  • 長野裕充, 根木隆浩, 栃井大輔, 栃井祥子, 須田隆
    日本呼吸器外科学会総会(Web), 38th, 2021  
  • 栃井祥子, 長野裕充, 根木隆浩, 栃井大輔, 須田隆
    日本呼吸器外科学会総会(Web), 38th, 2021  
  • 根木隆浩, 長野裕充, 栃井大輔, 栃井祥子, 須田隆
    日本呼吸器外科学会総会(Web), 38th, 2021  
  • 栃井大輔, 栃井大輔, 須田隆, 須田隆, 長野裕充, 長野裕充, 根木隆浩, 根木隆浩, 栃井祥子, 栃井祥子
    日本呼吸器外科学会総会(Web), 38th, 2021  

Presentations

 82

Research Projects

 2