Toru Hirata

ORCID: 0000-0001-9642-3208
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Research Areas
  • Gastric Cancer Management and Outcomes
  • Sarcoma Diagnosis and Treatment
  • Metastasis and carcinoma case studies
  • Gastrointestinal Tumor Research and Treatment
  • Endometrial and Cervical Cancer Treatments
  • Esophageal and GI Pathology
  • Hernia repair and management
  • Microfluidic and Capillary Electrophoresis Applications
  • Fluid Dynamics and Turbulent Flows
  • Ovarian cancer diagnosis and treatment
  • Abdominal Surgery and Complications
  • Pediatric Hepatobiliary Diseases and Treatments
  • Gastrointestinal disorders and treatments
  • Antiplatelet Therapy and Cardiovascular Diseases
  • Lung Cancer Treatments and Mutations
  • Hydraulic and Pneumatic Systems
  • Helicobacter pylori-related gastroenterology studies
  • Maternal and fetal healthcare
  • Appendicitis Diagnosis and Management
  • Urinary and Genital Oncology Studies
  • Rocket and propulsion systems research
  • Meteorological Phenomena and Simulations
  • Renal cell carcinoma treatment
  • Diverticular Disease and Complications
  • Mechanical Engineering and Vibrations Research

University of Miyazaki
2024

Sunagawa City Medical Center
2021-2023

Mie University
2018-2022

Mitsui Memorial Hospital
1993-2021

Nagoya University
2021

Mie University Hospital
2020

Ise Red Cross Hospital
2018

Memorial Hospital of South Bend
2015

Kumamoto University
2014

Miyazaki Prefectural Hospital
2010

The relationship between family history of gastric carcinoma and in Japanese under 40 years age was analyzed. subjects were 108 patients (86% diffuse type) at 9 hospitals the Kanto area Japan. Firstly, incidence among parents compared with that general population. Observed/expected (O/E) ratios (P‐value) 1.8 (0.06) for all subjects, 1.3 (0.62) male 2.1 (0.04) female 0.5 (0.41) early carcinoma, 2.6 (P<0.01) advanced 2.3 (0.22) intestinal‐type 1.7 (0.13) diffuse‐type carcinoma. Association...

10.1111/j.1349-7006.1996.tb00226.x article EN other-oa Japanese Journal of Cancer Research 1996-04-01

A 76-year-old Japanese man was referred to our hospital with chief complaint of right hypochondoralgia. Abdominal ultrasound showed a retroperitoneal tumor in the suprarenal region kidney. Computed tomography revealed an enhanced lobular irregular, circumscribed, and indistinct border. Ultrasound-guided biopsy performed. The consisted spindle-shaped cells giant nucleus multinuclear cells. diagnosis leiomyosarcoma by immunohistochemical staining. patient underwent surgery accessed eighth...

10.1155/2015/342148 article EN cc-by Case Reports in Medicine 2015-01-01

Bevacizumab maintenance therapy following platinum-based combination chemotherapy for metastatic, recurrent, or persistent cervical cancer is not recommended as standard therapy. This pilot study aimed to evaluate the efficacy and safety of bevacizumab contribution platinum-free interval subsequent advanced cancer.We retrospectively identified 115 patients with treated platinum-paclitaxel plus at 7 institutions between 2015 2020. The primary endpoints were overall survival (OS)...

10.3802/jgo.2023.34.e60 article EN cc-by-nc Journal of Gynecologic Oncology 2023-01-01

This paper proposes a path planning method considering attitude constraints at given geometric points by utilizing the relation between acceleration and attitude. By characterizing reference with parameter vector, optimization technique is introduced to refine generated path. Numerical simulation physical model also invoked in order consider transient response of following controller, updated obtain feasible Results numerical simulations are shown this paper, which validates proposed approach.

10.1109/icamechs.2014.6911574 article EN 2014-08-01

This paper presents a one-dimensional pneumatic actuator fabricated by combining several micromachining technologies such as microelectro-discharge machining (micro-EDM) well isotropic and anisotropic wet-etching. Unlike the existing actuators, which usually convey object means of friction, this device employs dynamic pressure inclined driving jets in order to enhance horizontal transportation performance. Typical slider speeds 4 5 cm/s can be obtained. Comparisons are presented between...

10.1109/memsys.1998.659747 article EN 2002-11-27

To investigate the recurrence rate, live-birth and treatment outcomes of levonorgestrel-releasing intrauterine device (LNG-IUD) for management atypical endometrial hyperplasia (AEH) or Grade-1 cancer (EC) in patients who desire fertility-sparing those seeking conservative without fertility preservation.We prospectively enrolled nine from a single institution between April 2009 September 2013 were followed up 60 months after LNG-IUD insertion.The median patient age was 35 (range: 29-39)...

10.1111/jog.15408 article EN Journal of Obstetrics and Gynaecology Research 2022-08-29

We studied the platelet sensitivity to adenosine diphosphate (ADP) and prostacyclin (PGI2) in order clarify mechanism of onset or development diabetic retinopathy. The ADP diabetics with simple proliferative retinopathy was significantly increased as compared that without controls. PGI2 decreased normal value. There a significant negative correlation between all diabetics. Since effect on platelets is inhibit its aggregation, implies tendency accelerate aggregation. aggregation due...

10.1620/tjem.137.423 article EN The Tohoku Journal of Experimental Medicine 1982-01-01

Three species of Pareas are currently recognized from East Asian Islands-P. formosensis and P. komaii Taiwan, iwasakii the Yaeyama Group, southern Ryukyus. In order to re- assess definitions applicabilities their diagnostic characters revise taxonomy these poorly known snakes, we compared external osteological as well distribution patterns among species. The relative position second supralabial subocular, which had been use'd previously distinguish formosensis, is actually not a valid basis...

10.2307/1565332 article EN Journal of Herpetology 1997-03-01

This paper presents a one-dimensional (1-D) pneumatic actuator fabricated by combining several micromachining technologies such as microelectrodischarge machining (micro-EDM) well isotropic and anisotropic wet etching. Unlike the existing actuators, which usually convey object means of friction, this device employs dynamic pressure inclined driving jets in order to enhance horizontal transportation performance. Typical slider speeds up 5 cm/s can be obtained. Comparisons between different...

10.1109/84.735345 article EN Journal of Microelectromechanical Systems 1998-01-01

A MEMS-based optical surge suppressor is proposed. The device consists of MEMS-shutter and photovoltaic detector that triggers the shutter through in-line monitoring light around power level 10dBm with insertion loss 1.5dB.

10.1109/ofc.2005.192912 article EN OFC/NFOEC Technical Digest. Optical Fiber Communication Conference, 2005. 2005-01-01

Adult-onset type II citurullinemia is an autosomal recessive disorder characterized by recurrent encephalopathy with hyperammonemia resulting from high plasma citrulline and ammonium levels. This report describes a rare case of adult-onset that occurred in patient who only had the heterozygote mutation, never presented any symptoms before surgery. A 56-year-old man underwent total gastrectomy for stomach cancer. On postoperative Day 13, he suddenly developed presyncope, blood tests showed...

10.1186/s40792-018-0420-9 article EN cc-by Surgical Case Reports 2018-01-24

症例は70歳,男性.下腿浮腫,下痢を主訴に当院受診した.貧血・低アルブミン血症を認め,精査の結果,上行結腸肝彎曲部に全周性2型腫瘍と十二指腸下行部への瘻孔形成を認めた.CT・MRIで,膵浸潤も認めた.結腸十二指腸瘻を伴う上行結腸癌と診断し,結腸右半切除術・膵頭十二指腸切除術(以下PD)を施行した.病理診断はpT4b(膵,十二指腸),muc>tub1,pN0,pStage IIであった.術後補助化学療法としてFOLFOX4を6カ月間行った.術後16カ月間再発なく経過している.大腸癌は他臓器浸潤を認めても完全切除が望ましい.結腸十二指腸浸潤症例では,侵襲が大きくなるが,膵頭十二指腸切除を行うことで予後の改善が期待できると考えられた.

10.3919/jjsa.76.318 article JA Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 2015-01-01

Introduction . Annular pancreas is a rare congenital abnormality characterized by ring of pancreatic tissue surrounding the descending portion duodenum. coexisting with replaced common hepatic artery which also anatomical variation has not been reported previously. Case Presentation A 53-year-old man visited our hospital complaining epigastric pain. Based on radiological examinations, he was diagnosed as having pancreatitis, annular pancreas, and hepatomesenteric trunk. One month later,...

10.1155/2018/3258141 article EN cc-by Case Reports in Medicine 2018-01-01

Obturator nerve injury is an uncommon complication frequently associated with pelvic gynecologic or urologic cancer surgery. It can lead to disability adversely affect quality of life. Large segmental defects are particularly difficult manage as the limited mobility prevents tension-free direct end-to-end anastomosis. A 36-year-old woman cervical underwent sentinel lymph node biopsy, laparoscopic radical hysterectomy, and bilateral adnexectomy. During procedure, (right obturator node)...

10.1111/jog.14920 article EN Journal of Obstetrics and Gynaecology Research 2021-07-14

The detection of air in the peritoneal cavity is an important radiological sign as most patients have perforation bowel. In this era sophisticated imaging techniques, it easy to underestimate diagnostic value relatively simple investigations such radiographs abdomen and chest. A chest radiograph taken with patient upright position still excellent way demonstrate under right hemidiaphragm. Even small volumes (1–2 ml) can be detected, particularly if placed left lateral decubitus for 15 20...

10.1111/j.1440-1746.2009.05835.x article EN Journal of Gastroenterology and Hepatology 2009-03-01

未分化多形肉腫は,組織学的に特定の分化傾向を示さず,多形性を呈する腫瘍として悪性線維性組織球腫が再分類されたものである.成人軟部肉腫の中で最も頻度が高いが,消化管原発例は極めてまれで,十二指腸原発のものはこれまでに6例が報告されているのみである.今回,我々は十二指腸原発未分化多形肉腫の1例を経験したので報告する.症例は69歳の男性で,心窩部痛精査の腹部造影CT・超音波内視鏡検査で十二指腸筋層外から膵頭部実質に浸潤する25 mm大の腫瘤を指摘された.超音波内視鏡下針生検(endoscopic ultrasonography fine needle aspiration biopsy;EUS-FNA)にて類円形・紡錐形異型細胞の充実性増殖を認め,肉腫や分化度の低い癌が疑われた.遠隔転移を認めず,膵頭十二指腸切除術を施行した.病理診断は十二指腸未分化多形肉腫であった.術後6か月で頸部と坐骨近傍の軟部組織,左副腎に転移を来したため,術後再発に対する化学療法としてdoxorubicin投与を開始し,現在術後10か月経過している.

10.5833/jjgs.2015.0190 article JA The Japanese Journal of Gastroenterological Surgery 2016-01-01

The diurnal change of gallbladder size was clearly measured with a real time ultrasonography. To visualize the gallbladder, 21 diabetic patients and 11 healthy subjects were scanned right subcostally in supine position nine times between 8:00 a.m. p.m. Photographs images produced on Polaroid film, area calculated. changes expressed as percentage at after an overnight fast. normal control started contracting immediately breakfast reached 57.2 +/- 7.6% 9:00 In without autonomic neuropathy...

10.1620/tjem.139.179 article EN The Tohoku Journal of Experimental Medicine 1983-01-01
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