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Affiliation |
Faculty of Medicine College Hospital The first surgery |
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Assistant Professor |
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Related SDGs |
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HARA Daisuke
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Papers 【 display / non-display 】
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非観血的整復後,待機的に腹腔鏡下手術を施行した閉鎖孔ヘルニアの2症例 Reviewed
原 大介，旭吉雅秀，櫨本孝彦，長友謙三，田代耕盛，甲斐真弘
宮崎県医師会医学会誌 49 ( 1 ) 23 - 28 2025.3
Authorship：Lead author, Corresponding author Language：Japanese Publishing type：Case report
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胃がん検診のバリウム服用を契機として発症した下部消化管穿孔の2例
原 大介，甲斐真弘，櫨本孝彦，長友謙三，和田 敬，田代耕盛，矢野公一，旭吉雅秀，浅田祐士郎
宮崎県医師会医学会誌 48 ( 2 ) 191 - 197 2024.9
Authorship：Lead author, Corresponding author Language：Japanese Publishing type：Case report
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Pulmonary torsion after resuscitative thoracotomy: a case report Reviewed
Hara Daisuke, Hamahiro Tomoka, Maeda Ryo, Ayabe Takanori, Tomita Masaki
Japanese Journal of Acute Care Surgery 13 ( 0 ) 62 - 66 2023.12
Authorship：Lead author, Corresponding author Language：Japanese Publishing type：Research paper (scientific journal) Publisher：The Japanese Society for the Acute Care Surgery
The patient was a 30-year-old woman with a history of schizophrenia. She was transferred to our department due to abdominal trauma caused by suicide. She was undergone aortic clamping and cardiac massage by resuscitative thoracotomy for hemorrhagic shock and cardiac arrest. Subsequently, damage control surgery was performed for intraabdominal hemorrhage. On the second postoperative day, reoperation was scheduled for gauze depacking and gastrointestinal reconstruction, but a preoperative chest x-ray and chest CT showed decreased permeability of the left upper lobe. Postoperative pneumonia was diagnosed and reoperation was performed as scheduled. After that, a CT scan showed the same abnormality in the left lung, and left upper lobe pulmonary torsion was diagnosed by thoracic surgeon. Emergency operation was performed and the twisted upper lobe was removed. We report a rare case of pulmonary torsion that may be caused by resuscitative thoracotomy. The pulmonary torsion is required careful treatment.
DOI： 10.50840/jjacs.13-06
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A Case of Minute Carcinoma in Situ in the Ascending Colon with Sign of Leser-Trélat
Hara Daisuke, Kai Kengo, Ikeda Takuto, Ichihara Akiko, Inomata Mayu, Kanemaru Shiho, Kiwaki Takumi, Kataoka Hiroaki, Nanashima Atsushi
The Japanese Journal of Gastroenterological Surgery 55 ( 11 ) 701 - 708 2022.11
Authorship：Lead author Language：Japanese Publishing type：Case report Publisher：The Japanese Society of Gastroenterological Surgery
A 74-year-old man presented to the dermatology department of our hospital with multiple eruptions with itching. Leser-Trélat was suspected due to a rapid increase in seborrheic keratosis. Colonoscopy revealed a 35-mm multinodular polypoid lesion with a laterally spreading tumor that was partially non-granular. The tumor was diagnosed as carcinoma in adenoma with submucosal invasion. Because of the difficulty of endoscopic en bloc resection, laparoscopic ileocecal resection was performed in our department. A pathologic examination revealed that the resected cancer was a minute carcinoma in situ, of only 500 μm in size. We confirmed that the skin lesions were related to the Leser-Trélat sign, based on improvement of the skin after resection of colon cancer and high expression of epidermal growth factor receptor in the skin lesions. The Leser-Trélat sign, a skin symptom of paraneoplastic dermadromes, is frequently associated with gastrointestinal cancers, such as gastric and colorectal cancer, and is reported to be associated with advanced stage disease. In contrast, reports of the sign in association with early colorectal cancer are rare. Our search of the Japanese literature yielded only 3 cases in which the sign was described in submucosal invasive cancer and none involving intramucosal cancer. We present this case of minute carcinoma in situ in the ascending colon with a Leser-Trélat sign and review the relevant literature to investigate the clinical differences between cases of early and advanced cancer with a Leser-Trélat sign.
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Hiyoshi, M., Nanashima, A., Sakamoto, K., Hazemoto, T., Hara, D., Shimizu, I., Nagatomo, K. and Tashiro, K.
International Journal of Surgery Open 64 ( 2 ) 90 - 94 2026.2
Language：English Publishing type：Research paper (scientific journal) Publisher：Wolters Kluwer Health
Background: – Hepatolithiasis is a life-threatening condition, and the incidence of secondary hepatolithiasis has increased in patients with a history of choledochoenterostomy who underwent pancreaticoduodenectomy (PD). In this study, we aimed to evaluate the risk factors and confirm the appropriate treatment for hepatolithiasis after PD.
Materials and methods: – Between January 2010 and December 2022, 314 patients who underwent PD were evaluated using a cross-sectional study. Eight patients who underwent PD with hepatectomy were excluded, leaving 306 patients for analysis. Patient demographics, surgical factors, and clinical and biochemical parameters were assessed to determine the predictive factors of hepatolithiasis after PD.
Results: – Among the 306 patients, 21 (6.9%) developed hepatolithiasis after PD. Of these, 17 patients (81.0%) experienced cholangitis, while 4 (19.0%) were asymptomatic. Cholangitis occurred on average 33.4±10.3months postsurgery. Fifteen patients received treatment (13 with cholangitis, two without). Fourteen underwent balloon enteroscopy-assisted endoscopic retrograde cholangioscopy (BE-ERC), with 100% scope insertion and 87.5% stone removal success rates. Univariate analysis revealed several risk factors for hepatolithiasis after PD, including heavy body weight (P =0.0096), high body mass index (P =0.0508), benign disease (P =0.0109), preoperative drainage (P =0.0680), and hepaticojejunostomy suture pitch greater than 2 mm (P =0.0222). Multivariate analysis indicated that only a suture pitch greater than 2 mm (P =0.0367) was a risk factor for hepatolithiasis after PD.
Conclusion: – BE-ERC is an effective treatment for hepatolithiasis after PD. For hepaticojejunostomy, the suture pitch should not exceed 2 mm to prevent hepatolithiasis after PD.
Presentations 【 display / non-display 】
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当院で経験した痔瘻癌の3例.
市原明子，岩本和樹，原 大介，濵田朗子，山田和之介，武野慎祐，七島篤志
第80回日本大腸肛門病学会学術集会
Event date： 2025.11.14 - 2025.11.15
Language：Japanese Presentation type：Oral presentation (general)
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右鎖骨下動脈基始部異常を伴う胸部食道癌に対して根治切除を行った一例.
西田脩通，池ノ上実，宗像 駿，樋口和宏，千代反田顕，中田恭真，河野文彰，市原明子，山田和之介，濵田朗子，原 大介，岩本和樹，内勢由佳子，武野慎祐，七島篤志
第78回日本胸部外科学会定期学術集会
Event date： 2025.10.23 - 2025.10.25
Language：Japanese Presentation type：Oral presentation (general)
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右鎖骨下動脈基始部以上を伴う胸部食道癌に対して根治切除を行った一例
西田脩通，池ノ上実，宗像 駿，樋口和宏，千代反田顕，中田恭真，河野文彰，市原明子，山田和之介，濵田朗子，原 大介，岩本和樹，内勢由佳子，武野慎祐
第53回九州食道癌合併療法談話会
Event date： 2025.8.2
Language：Japanese Presentation type：Oral presentation (general)
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直腸癌手術における神経血管束損傷と術後尿閉の関連に関する検討．
原 大介，山田和之介，市原明子，濵田朗子，中田恭真，武野慎祐，七島篤志
令和7年度宮崎県外科医会夏期講習会(日本臨床外科学会地方会)
Event date： 2025.8.1
Language：Japanese Presentation type：Oral presentation (general)
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切除不能進行食道癌に対してＣｏｎｖｅｒｓｉｏｎ Ｓｕｒｇｅｒｙを行い、根治切除し得た一例.
西田脩通，池ノ上実，宗像 駿，樋口和宏，千代反田顕，中田恭真，河野文彰，市原明子，山田和之介，濵田朗子，原 大介，岩本和樹，内勢由佳子，武野慎祐，七島篤志
第58回日本胸部外科学会九州地方会
Event date： 2025.7.24 - 2025.7.25
Language：Japanese Presentation type：Oral presentation (general)