Chida Masayuki, Umeda Shota, Aruga Kenji, Yazaki Yuki, Imamura Tomomi, Magara Kazushi, Tamura Motohiko, Inoue Nao, Araki Osamu, Nakajima Takahiro, Kobayashi Satoru, Maeda Sumiko
Department of General Thoracic Surgery, Dokkyo Medical University, Tochigi, Japan.
Kyobu Geka. 2022 Apr;75(4):302-305.
The number of lung transplantation performed in Japan is extremely low compared to other countries, whereas we have 10 facilities certified as cadaveric lung transplantation in Japan, meaning that there are low volume centers. By August 2021, we performed lung transplantation in 21 cases for 12 years, therefore, our facility should be considered as low volume center. Surgical outcomes at low volume centers are generally considered poor. However, the overall five-year survival rate of total cases was 84.8%, and that of cadaveric cases was 94.4% in our hospital. It was better than the average of about 73% of all facilities in Japan. These data suggested that the accreditation system in Japan is functioning well. On the other hand, there may be a disparity between facilities. At our facility, we are actively performing inverted lung transplantation so as not to lose the opportunity for transplantation, and we have performed it in three cases so far and have achieved good results.
与其他国家相比，日本进行的肺移植数量极少，尽管日本有10家机构被认证可进行尸体肺移植，这意味着存在低容量中心。截至2021年8月，我们在12年里进行了21例肺移植手术，因此，我们的机构应被视为低容量中心。一般认为低容量中心的手术结果较差。然而，我院所有病例的总体五年生存率为84.8%，尸体供肺病例的五年生存率为94.4%。这优于日本所有机构约73%的平均水平。这些数据表明日本的认证系统运行良好。另一方面，各机构之间可能存在差异。在我们机构，我们积极开展翻转肺移植手术，以免错失移植机会，到目前为止我们已经进行了3例，取得了良好的效果。
