Publications by authors named "Higashiguchi T"

In Japan, the hinotori™ surgical robot system (Medicaroid Corporation, Kobe, Japan) was approved for gastrointestinal surgeries in October 2022. This report details our initial experience performing liver resection using the hinotori™ system. Ten patients, who were assessed as cases that would benefit from the robot-assisted procedure, underwent liver resections using the hinotori™ system at Fujita Health University, Okazaki Medical Center, between August 2023 and October 2024.

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The bimolecular photochemical quenching of the tris(2,2'-bipyridyl)ruthenium (II) complex by ferricyanide ions in water-ethylene glycol binary media was investigated using a spectrophotometric approach, as previously reported by our research group. Time-resolved spectroscopy revealed that dynamic photochemical quenching occurred via a diffusion-dominated pathway. The static quenching process was found to occur significantly when the concentration of ethylene glycol was greater than 40 wt%.

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  • - The study presents a continuous water-window (WW) x-ray source operated for 120 minutes using a regenerative liquid bismuth jet with a diameter of 35-40 µm, injected into a vacuum.
  • - Photon emissions were recorded at various peak wavelengths, with significant outputs at 4.1 nm and 4.3 nm from n=4-n=4 transitions, and at 2.8 nm from n=4-n=5 transitions, yielding a total photon emission rate in the range of 2.3-4.4 nm.
  • - The findings indicate that the continuous operation of the liquid bismuth jet could enhance future extreme ultraviolet (EUV) lithography and x-ray microscopy technologies
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Skyrmion structures play critical roles in solid-state systems involving electric, magnetic and optical fields. Previous approaches to the study of skyrmions have involved specific structures in magnetic materials, liquid crystals and polymers in addition to two-dimensional arrays used for electrical control. These methods have encountered limitations and constraints on both the microscopic and macroscopic scales related to the physical properties of materials.

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Background: The da Vinci™ Surgical System, recognized as the leading surgical robotic platform globally, now faces competition from a growing number of new robotic surgical systems. With the expiration of key patents, innovative entrants have emerged, each offering unique features to address limitations and challenges in minimally invasive surgery. The hinotori™ Surgical Robot System (hinotori), developed in Japan and approved for clinical use in November 2022, represents one such entrant.

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  • Adenosquamous carcinoma of the pancreas (ASCP) is a rare and serious type of cancer, making up only 1-4% of pancreatic cancers, and it doesn't respond well to treatment.
  • A 76-year-old woman with stomach pain was found to have a tumor in her pancreas that was originally deemed inoperable due to its involvement with important blood vessels.
  • After receiving chemotherapy for several months, the tumor shrank enough to allow for surgery, which was successful, and the patient had a good recovery without major issues.
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  • - The study aimed to assess the effectiveness of duodenum-preserving pancreatic head resection (DPPHR) as a treatment for pancreatic neuroendocrine tumors (PNETs) in relation to curability and patient quality of life post-surgery.
  • - Seven patients underwent DPPHR between January 2011 and December 2021, with the procedure showing manageable postoperative complications and achieving complete curative resections without positive tumor margins.
  • - The findings suggest that DPPHR is a viable alternative to more invasive surgeries like pancreaticoduodenectomy for treating PNETs, allowing for thorough pathological assessment while minimizing patient recovery concerns.
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We demonstrate a calibration method for endoscopic three-dimensional shape measurement with cone beam projection. In this method, changes in the shape of the optical sectioning profiles are quantified and fitted while scanning a calibration board in the depth direction, using a cubic function. In accuracy tests using a flat plate and a ring reference gauge, the proposed method obtains an accuracy of 0.

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Kinetic studies on the photochemical quenching reaction of the tris(2,2'-bipyridyl) ruthenium(II) complex ([Ru(bpy)]) in water-glycerol binary media were conducted based on the Einstein-Smoluchowski (E-S) theory. Dynamic and static quenching behaviors were analyzed by comparing results from time-resolved spectroscopy and emission spectroscopy. While the dynamic quenching reaction aligns well with the E-S theory, static quenching was observed, leading to a notable increase in the overall photoquenching reaction rate constant.

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  • Hydrocele of the canal of Nuck (HCN) is a rare condition, and there's limited understanding of when laparoscopic surgery is needed for it.
  • A case study of a 53-year-old woman showed successful laparoscopic treatment for a hydrocele that extended from her abdominal cavity down to the inguinal area, with the surgery involving dissection and mesh reinforcement.
  • The laparoscopic approach was deemed effective and safe, reducing risks of injury to surrounding blood vessels compared to traditional methods, highlighting its potential benefits for similar cases.
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We have demonstrated simultaneous detection of the polarization states and wavefront of light using a 7 × 7 array of angular variant micro-retarder-lenses. Manipulating the angular variant polarization with our optical element allows us to determine the two-dimensional distribution of polarization states. We have also proposed a calibration method for polarization measurements using our micro-retarder-lens array, allowing accurate detection of polarization states with an ellipticity of ± 0.

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We demonstrated a 40-MHz detection of spectroscopic polarization by a supercontinuum vector beam with a wavelength-dependent polarization state. To achieve the high-repetition-rate measurement, we detected the rotation angle of polarization and the spectrum by measuring the temporal waveform using a photodetector after expanding the pulse duration of the supercontinuum vector beam. The spectrum of the supercontinuum vector beam was measured using a spectrometer.

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We demonstrate lensless single-fiber ghost imaging, which allows illumination and collection using a single optical fiber without a transmission-type system. Speckle patterns with relative coincidence degrees of 0.14 were formed by image reconstruction using improved differential ghost imaging.

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We studied Extreme Ultra-Violet (EUV) emission characteristics of the 13.5 nm wavelength from CO laser-irradiated pre-formed tin plasmas using 2D radiation hydrodynamic simulations. Our results indicate that when a CO laser irradiates pre-formed tin plasma, the heated plasma expands towards the surrounding plasma, steepening the density at the ablation front and lowering the density near the laser axis due to the transverse motion of the plasma.

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Damage thresholds and structures on a metal aluminum and an aluminum oxide crystal induced by the soft x-ray free electron laser irradiations were evaluated. Distinctive differences in damage thresholds and structures were observed for these materials. On the aluminum oxide crystal surface, in particular, a novel, to the best of our knowledge, surface processing, which we suggest defining as "peeling," was recognized.

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  • - A patient with sigmoid colon cancer and multiple liver metastases achieved complete remission after chemotherapy and a hepatectomy, but later experienced local recurrence and underwent a second surgery.
  • - Following laparoscopic sigmoidectomy for a new adenocarcinoma diagnosed via colonoscopy, the patient received further chemotherapy which resulted in the liver metastases shrinking, allowing for a successful right hepatectomy.
  • - Despite the initial success, a follow-up revealed local recurrence of liver metastasis, leading to a partial hepatectomy; the patient is currently recurrence-free and continuing treatment with modified FOLFOX.
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  • - A woman in her 70s with locally advanced unresectable pancreatic cancer received 5 courses of modified FOLFIRINOX chemotherapy followed by radiation therapy after being diagnosed with an irregular mass invading nearby arteries, classified as cStage Ⅲ cancer.
  • - Her treatment resulted in a significant drop in CA19-9 levels, indicating a partial response to treatment, and led to the decision that her tumor was potentially curable.
  • - Eight months after starting treatment, she underwent successful surgery (subtotal stomach-preserving pancreaticoduodenectomy) and was found to be cancer-free with no recurrence at 5 months post-operation.
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Optimal laser irradiation conditions for water-window (WW) x-ray emission (2.3-4.4 nm) from an Au plasma are investigated to develop a laboratory-scale WW x-ray source.

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The outcomes of 88 patients with lower rectal T2 cancer who underwent radical A surgery(T2)were compared with those of 340 patients with T3 or T4a cancer(T3/T4a)and 51 patients with T1 cancer(T1). The rates of all lymph node(LN) metastasis, paraintestinal LN metastasis, intermediate and main LN metastasis, and lateral LN metastasis in T2 were all significantly lower than in T3/T4a and not different from those in T1. The recurrence rate of T2 was 15.

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A 49-year-old female was underwent laparoscopic right hemicolectomy for ascending colon cancer and liver metastasis. Then, she was underwent laparoscopic hepatectomy. She received BEV plus mFOLFOX6 therapy as postoperative adjuvant chemotherapy, but she had liver recurrence.

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  • * Imaging revealed a sizable tumor with rapid growth and thrombosis, leading to an urgent surgery involving right hepatectomy and tumor removal.
  • * Following the surgery, the patient was treated with lenvatinib, resulting in a positive outcome with no recurrence after 2 years, highlighting the effectiveness of combined surgical and adjuvant therapies.
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  • A 50-year-old woman fainted because her blood sugar was really low, and doctors found a small tumor in her pancreas that was causing the problem.
  • They planned to remove the tumor using a special device called an artificial pancreas to help keep her blood sugar levels steady during surgery.
  • During the operation, her blood sugar dropped a lot, but the doctors adjusted the artificial pancreas to keep it from getting too low, and they successfully managed her levels throughout the procedure.
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  • The article discusses a rare case of intracholecystic papillary neoplasm (ICPN), highlighting its growth from a small benign lesion to a malignant one over two years, monitored through abdominal ultrasounds.
  • A 44-year-old man initially presented with a small gallbladder polyp that gradually enlarged, leading to laparoscopic cholecystectomy when it reached 10 mm in size.
  • Histological and immunohistochemical analyses confirmed the diagnosis of ICPN with high-grade intraepithelial neoplasia, suggesting that rapidly growing sessile polyps could be significant early indicators of this condition.
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The Global Leadership Initiative on Malnutrition (GLIM) provides consensus criteria for the diagnosis of malnutrition that can be widely applied. The GLIM approach is based on the assessment of three phenotypic (weight loss, low body mass index, and low skeletal muscle mass) and two etiologic (low food intake and presence of disease with systemic inflammation) criteria, with diagnosis confirmed by any combination of one phenotypic and one etiologic criterion fulfilled. Assessment of muscle mass is less commonly performed than other phenotypic malnutrition criteria, and its interpretation may be less straightforward, particularly in settings that lack access to skilled clinical nutrition practitioners and/or to body composition methodologies.

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