News & Scope Handai Hospital No. 75
Alleviating Pain and Distress of Patients and Families – Palliative Care Center Opens –
The Respiratory Center was opened at Osaka University Hospital in April 2012. Presently at many medical institutions, respiratory diseases that are medical conditions are treated by respiratory medicine, and those that are surgical conditions are treated by general thoracic surgery, but depending on the disease it is not uncommon that multidisciplinary diagnosis and treatment that combines radiological diagnosis and treatment with medicine and surgery is required. The Respiratory Center was established at Osaka University Hospital to perform patient-centered treatment in recognition of the need for close cooperation across clinical sections. In the past, the best course of treatment for each patient was determined by a joint review session including Respiratory Medicine, Thoracic Surgery and Radiology, but now patients can be moved quickly and properly from diagnosis to treatment by unification in one hospital ward. In addition, nurses and physical therapists with training and specialized knowledge of nursing and rehabilitation for patients with respiratory disease also contribute to treatment. The Respiratory Center provides the following treatments.
Totally endoscopic surgery by thoracoscope is used in principle for surgical treatment of pneumothorax, early lung cancer and metastatic lung tumors. The minimally invasive surgery performed is easy on the patient's body while securing complete curability. Postoperative management is conducted in the Respiratory Center's recovery room equipped with state-of-the-art equipment.
This facility is among the most experienced in the country in treating mediastinal tumors such as thymoma and thymic carcinoma. Multidisciplinary treatment, including chemotherapy and radiation therapy, can be conducted for advanced cases.
Thymectomy, the established treatment for myasthenia gravis, is in principle conducted by thoracoscopy.
The staging of lung cancer is the most important process in determining the course of treatment. Optimal treatment based on proper staging can be provided by using diagnostic imaging by high performance multi-slice CT, PET-CT or MRI scans, along with endobronchial ultrasound transbronchial needle aspiration (EBUS-TBNA) as skilled respiratory medicine, or surgical mediastinoscopy.
For lung cancer, the presence or absence of gene mutations is investigated, and individual treatment optimized for each patient is provided, considering the stage of progression and histological type. The center is also actively engaged in multicenter collaborative research, and the most advanced treatments can be offered after they have passed ethical review.
Respiratory rehabilitation is provided for perioperative patients and chronic obstructive pulmonary disease patients by a joint respiratory rehabilitation team from Respiratory Medicine, Department of Nursing and Rehabilitation.
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