|
Affiliation |
Faculty of Medicine College Hospital The first surgery |
|
Title |
Assistant Professor |
|
Related SDGs |
|
HARA Daisuke
|
|
|
Papers 【 display / non-display 】
-
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
-
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
-
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
-
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
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.