TOTTORI UNIVERSITY HOSPITAL

• Head of division
  Hiroshige Nakamura

We provide the best individualized treatment using the latest medical techniques mainly for respiratory diseases.

The philosophy of our division is "patient first" and "transparent standard medicine." To provide treatment following the guidelines, we apply 20 kinds of critical pass for about 80% of patients. We are encouraging the latest high-quality treatment and have the richest experience in Japan in throacoscopic surgery using hi-vision camera and robotic surgery using the Si da Vinci Surgical System. Regarding clinical studies, we conduct collaborative studies with other clinics and institutes mainly for the treatment of lung cancer.

• Robot-assisted surgery

Fields of expertise

• Thoracoscopic surgery for all respiratory diseases including lung cancer (including robot-assisted surgery)
• Limited surgery for early lung cancer
• Extended surgery for advanced lung cancer
• Thoracoscopic surgery for pneumothorax and empyema
• Thymectomy for thymoma and myasthenia gravis

Diseases of interests

Primary lung cancer, metastatic lung tumor, benign inflammatory lung disease, pneumothorax (idiopathic and secondary), empyema, pleural tumor, malignant pleural mesothelioma, mediastinal tumor, mediastinitis, mediastinal disease, diaphragm disease, chest wall tumor, funnel chest, palmar hyperhidrosis, thoracic trauma

• Robot-assisted surgery

Principal treatment

• Thoracotomy for all respiratory diseases including lung cancer
• Thoracoscopic surgery for all respiratory diseases including lung cancer
• Robot-assisted surgery for lung cancer, thymus disease, and mediastinal tumor
• Treatment for thoracic trauma (chest wall injury, lung injury, etc.)
• Extrapleural pneumonectomy or pleurectomy/decortications for malignant pleural mesothelioma
• Sternum-lifting method by video-assisted thoracoscopic surgery (Nuss procedure) for funnel chest
• Video-assisted thoracoscopic sympathectomy for palmar hyperhidrosis
• Thoracic drainage for pneumothorax, empyema, and pleural effusion
• Medical treatment for lung cancer and malignant mediastinal tumor

Principal tests

Bronchoscopy, mediastinoscopy, thoracoscopy, chest echography, lymph node biopsy, percutaneous needle lung biopsy, pathological examination (cytology and tissue diagnosis)

Consultation day: New patients: Everyday
Revisiting patients: Tuesdays, Thursdays