Ioannis Halikias

Summary

Publications

  1. ncbi request reprint Optimal management of ductal carcinoma in situ of the breast
    George H Sakorafas
    Department of Surgery, 251 Hellenic Air Force Hospital, Athens, Greece
    Surg Oncol 12:221-40. 2003
  2. ncbi request reprint External branch of the superior laryngeal nerve: applied surgical anatomy and implications in thyroid surgery
    George H Sakorafas
    4th Department of Surgery, Athens University, Medical School, Attikon University Hospital, Athens, Greece
    Am Surg 78:986-91. 2012
  3. doi request reprint Primary pancreatic cystic neoplasms of the pancreas revisited. Part IV: rare cystic neoplasms
    George H Sakorafas
    4th Department of Surgery, Medical School, University of Athens, Attikon University Hospital, Athens, 12462, Greece
    Surg Oncol 21:153-63. 2012
  4. doi request reprint Molecular biology of pancreatic cancer: how useful is it in clinical practice?
    George H Sakorafas
    Fourth Department of Surgery, Athens University, Medical School, Attikon University Hospital, Athens, Greece
    JOP 13:332-7. 2012
  5. ncbi request reprint Necrotizing acute pancreatitis current status - emerging new strategies in surgical management
    George H Sakorafas
    4th Department of Surgery, Athens University, Medical School, Attikon University Hospital, Athens, Greece
    Infect Disord Drug Targets 12:138-43. 2012
  6. doi request reprint Breast cancer surgery: an historical narrative. Part II. 18th and 19th centuries
    G H Sakorafas
    4th Department of Surgery, Athens University, Medical School, Attikon University Hospital, Athens, Greece
    Eur J Cancer Care (Engl) 19:6-29. 2010
  7. ncbi request reprint Applied vascular anatomy of the colon and rectum: clinical implications for the surgical oncologist
    George H Sakorafas
    4th Department of Surgery, Athens University, Medical School, Attikon University Hospital, Athens, Greece
    Surg Oncol 15:243-55. 2006
  8. ncbi request reprint Sentinel lymph node biopsy in breast cancer: what a physician should know, a decade after its introduction in clinical practice
    G H Sakorafas
    4th Department of Surgery, Attikon University Hospital, Athens University, Medical School, Athens, Greece
    Eur J Cancer Care (Engl) 16:318-21. 2007
  9. ncbi request reprint Mechanisms and natural history of pain in chronic pancreatitis: a surgical perspective
    George H Sakorafas
    Fourth Department of Surgery, Athens University, Medical School, Attikon University Hospital, Athens, Greece
    J Clin Gastroenterol 41:689-99. 2007
  10. ncbi request reprint Abdominal desmoid tumors
    George H Sakorafas
    4th Department of Surgery, Athens University, Medical School, Attikon University Hospital, Arkadias 19 21, GR 115 26, Athens, Greece
    Surg Oncol 16:131-42. 2007

Collaborators

Detail Information

Publications92

  1. ncbi request reprint Optimal management of ductal carcinoma in situ of the breast
    George H Sakorafas
    Department of Surgery, 251 Hellenic Air Force Hospital, Athens, Greece
    Surg Oncol 12:221-40. 2003
    ..The use of systemic therapy in patients with invasive recurrence should be based on standard criteria for invasive breast cancer...
  2. ncbi request reprint External branch of the superior laryngeal nerve: applied surgical anatomy and implications in thyroid surgery
    George H Sakorafas
    4th Department of Surgery, Athens University, Medical School, Attikon University Hospital, Athens, Greece
    Am Surg 78:986-91. 2012
    ..An in-depth knowledge of the surgical anatomy of the EBSLN is therefore required from the part of the operating surgeon to protect this nerve during thyroid surgery...
  3. doi request reprint Primary pancreatic cystic neoplasms of the pancreas revisited. Part IV: rare cystic neoplasms
    George H Sakorafas
    4th Department of Surgery, Medical School, University of Athens, Attikon University Hospital, Athens, 12462, Greece
    Surg Oncol 21:153-63. 2012
    ..Moreover, each of these unusual neoplasms has their own natural history/tumor biology and may require a different level of operative aggressiveness to obtain the optimal outcome...
  4. doi request reprint Molecular biology of pancreatic cancer: how useful is it in clinical practice?
    George H Sakorafas
    Fourth Department of Surgery, Athens University, Medical School, Attikon University Hospital, Athens, Greece
    JOP 13:332-7. 2012
    ..It is currently accepted that pancreatic cancer has a genetic component. The real challenge is now how these impressive advances could be used in clinical practice...
  5. ncbi request reprint Necrotizing acute pancreatitis current status - emerging new strategies in surgical management
    George H Sakorafas
    4th Department of Surgery, Athens University, Medical School, Attikon University Hospital, Athens, Greece
    Infect Disord Drug Targets 12:138-43. 2012
    ..Results have been impressive, but experience currently is limited to only a few centers around the world...
  6. doi request reprint Breast cancer surgery: an historical narrative. Part II. 18th and 19th centuries
    G H Sakorafas
    4th Department of Surgery, Athens University, Medical School, Attikon University Hospital, Athens, Greece
    Eur J Cancer Care (Engl) 19:6-29. 2010
    ..Halsted was able to report a very low local recurrence rates (approximately 6%), a very important achievement given the advanced stages of the breast cancer when diagnosed in women at that time...
  7. ncbi request reprint Applied vascular anatomy of the colon and rectum: clinical implications for the surgical oncologist
    George H Sakorafas
    4th Department of Surgery, Athens University, Medical School, Attikon University Hospital, Athens, Greece
    Surg Oncol 15:243-55. 2006
    ..This review summarizes currently available data regarding vascular anatomy of the colon and rectum, from a surgical perspective...
  8. ncbi request reprint Sentinel lymph node biopsy in breast cancer: what a physician should know, a decade after its introduction in clinical practice
    G H Sakorafas
    4th Department of Surgery, Attikon University Hospital, Athens University, Medical School, Athens, Greece
    Eur J Cancer Care (Engl) 16:318-21. 2007
    ..The physician should be familiar with this new technique. This will allow him or her to be more actively involved in the management of breast cancer patients and to understand the available management options for these patients...
  9. ncbi request reprint Mechanisms and natural history of pain in chronic pancreatitis: a surgical perspective
    George H Sakorafas
    Fourth Department of Surgery, Athens University, Medical School, Attikon University Hospital, Athens, Greece
    J Clin Gastroenterol 41:689-99. 2007
    ..The knowledge of the pathophysiologic basis and of natural course of pain in CP is of paramount importance for the surgeon to select appropriate therapy for the individual patient with CP...
  10. ncbi request reprint Abdominal desmoid tumors
    George H Sakorafas
    4th Department of Surgery, Athens University, Medical School, Attikon University Hospital, Arkadias 19 21, GR 115 26, Athens, Greece
    Surg Oncol 16:131-42. 2007
    ..Adjuvant therapy should be considered in selected cases; the role of other management options (including gene transfer therapy) is currently under intensive investigation...
  11. doi request reprint Obstructing sigmoid cancer in a patient with a large, tender, non-reducible inguinal hernia: the obvious diagnosis is not always the correct one
    G H Sakorafas
    4th Department of Surgery, Attikon University Hospital, Athens University, Medical School, Athens, Greece
    Eur J Cancer Care (Engl) 17:72-3. 2008
    ..He was operated with the presumed diagnosis of strangulated inguinal hernia. At surgery, a perforated obstructing sigmoid colon was diagnosed. A sigmoidectomy (Hartman procedure) and hernia repair (Bassini technique) was performed...
  12. doi request reprint Celiac artery stenosis: an underappreciated and unpleasant surprise in patients undergoing pancreaticoduodenectomy
    George H Sakorafas
    4th Department of Surgery, Athens University, Medical School, Attikon University Hospital, Athens, Greece
    J Am Coll Surg 206:349-56. 2008
  13. ncbi request reprint Asymptomatic cholelithiasis: is cholecystectomy really needed? A critical reappraisal 15 years after the introduction of laparoscopic cholecystectomy
    George H Sakorafas
    4th Department of Surgery, Athens University, Medical School, Attikon University Hospital, Arkadias 19 21, GR 115 26, Athens, Greece
    Dig Dis Sci 52:1313-25. 2007
    ..Management options should be extensively discussed with the patient; he or she should be actively involved in the process of therapeutic decision making...
  14. ncbi request reprint Microscopic papillary thyroid cancer as an incidental finding in patients treated surgically for presumably benign thyroid disease
    G H Sakorafas
    Department of Surgery, 251 Hellenic Air Force Hospital, Athens, Greece
    J Postgrad Med 53:23-6. 2007
    ..Papillary thyroid microcarcinoma (PTMC) is a relatively common entity in the general population...
  15. ncbi request reprint Lymphedema following axillary lymph node dissection for breast cancer
    George H Sakorafas
    4th Department of Surgery, Attikon University Hospital, Athens University, Medical School, Arkadias 19 21, GR 115 26 Athens, Greece
    Surg Oncol 15:153-65. 2006
    ..Prevention is of key importance to avoid lymphedema formation. The application of the sentinel lymph node biopsy in the management of breast cancer has been associated with a reduced incidence of lymphedema formation...
  16. ncbi request reprint Sequelae following axillary lymph node dissection for breast cancer
    George H Sakorafas
    Attikon University Hospital, 4th Department of Surgery, Athens University, Medical School, Arkadias 19 21, GR 11526, Athens, Greece
    Expert Rev Anticancer Ther 6:1629-38. 2006
    ..The introduction of the technique of sentinel lymph node biopsy in clinical practice has resulted in a significant reduction in the incidence of post-ALND complications...
  17. ncbi request reprint Isolated metachronous contralateral adrenal metastasis from renal cell carcinoma
    George H Sakorafas
    Fourth Department of Surgery, Athens University, Medical School, Attikon University Hospital, 251 Hellenic Air Force Hospital, Athens, Greece
    Mt Sinai J Med 73:822-4. 2006
    ..Surgery is the only effective management option and should be offered to these patients...
  18. doi request reprint Thyroid nodules; interpretation and importance of fine-needle aspiration (FNA) for the clinician - practical considerations
    George H Sakorafas
    4th Department of Surgery, Athens University, Medical School, Attikon University Hospital, Athens, Greece
    Surg Oncol 19:e130-9. 2010
    ..This is due to the fact that during the last decade there is a clear trend toward radical surgical management of thyroid nodular disease (both benign and malignant) by total/near-total thyroidectomy...
  19. ncbi request reprint Spontaneous cyst-cutaneous fistula: an extremely rare presentation of hydatid liver cyst
    George H Sakorafas
    Department of Surgery, 251 Hellenic Air Force Hospital, Athens, Greece
    Am J Surg 192:205-6. 2006
  20. ncbi request reprint Thyroid nodule: a potentially malignant lesion; optimal management from a surgical perspective
    George H Sakorafas
    4th Department of Surgery, Athens University, Medical School ATTIKON University Hospital, Greece
    Cancer Treat Rev 32:191-202. 2006
    ..Careful evaluation is required in order to avoid both overtreatment (mainly unnecessary surgery) as well as undertreatment of these potentially malignant, but highly curable lesions...
  21. ncbi request reprint Intraductal papillary mucinous neoplasms of the pancreas: a surgical perspective
    George H Sakorafas
    Department of Surgery, 251 Hellenic Air Force Hospital, Arkadias 19 21, GR 115 26 Athens, Greece
    Surg Oncol 14:155-78. 2005
    ..However, invasive IPMNs behave quite similar to ductal adenocarcinoma of the pancreas when analyzed stage-by-stage, with a slightly better prognosis; however, even after an R0 resection, recurrence is common...
  22. doi request reprint Principles of war surgery: current concepts and future perspectives
    George H Sakorafas
    4th Department of Surgery, Athens University, Medical School, Attikon University Hospital, GR 115 26, Athens, Greece
    Am J Emerg Med 26:480-9. 2008
    ..Military surgeons are now facing new challenges; appropriate education is required to achieve success in their mission...
  23. doi request reprint Recent advances and current controversies in the management of DCIS of the breast
    George H Sakorafas
    4th Department of Surgery, Attikon Hospital, Athens University, Medical School, Arkadias 19 21, GR 115 26 Athens, Greece
    Cancer Treat Rev 34:483-97. 2008
    ..Additionally, and controversial, there is evidence that aromatase inhibitors may be better than tamoxifen in the management of DCIS...
  24. ncbi request reprint Large somatostatin-producing endocrine carcinoma of the ampulla of vater in association with GIST in a patient with von Recklinghausen's disease. Case report and review of the literature
    George H Sakorafas
    Fourth Department of Surgery, Athens University Medical School, Attikon University Hospital, Athens, Greece
    JOP 9:633-9. 2008
    ..Somatostatin-producing endocrine tumors of the duodenum are very rare neoplasms of the gastrointestinal tract. These tumors may be associated with von Recklinghausen's disease...
  25. doi request reprint Potential pitfalls in the management of primary pancreatic cystic neoplasms
    George H Sakorafas
    4th Department of Surgery, Athens University Medical School, Attikon University Hospital, Athens, Greece
    Onkologie 34:332-6. 2011
    ..Clinical judgment is also required on the part of the surgeon to select the optimal procedure and to avoid severe pitfalls in the surgical management of these neoplasms...
  26. doi request reprint Primary pancreatic cystic neoplasms revisited. Part III. Intraductal papillary mucinous neoplasms
    George H Sakorafas
    4th Department of Surgery, Medical School, University of Athens, Attikon University Hospital, Arkadias 19 21, Athens 12462, Greece
    Surg Oncol 20:e109-18. 2011
    ..Recurrences following surgical resection can be observed, especially in patients with multifocal disease or in the presence of underlying malignancy...
  27. doi request reprint Primary pancreatic cystic neoplasms revisited. Part I: serous cystic neoplasms
    George H Sakorafas
    4th Department of Surgery, Medical School, University of Athens, Attikon University Hospital, Arkadias 19 21, Athens 12462, Greece
    Surg Oncol 20:e84-92. 2011
    ..Conservative treatment is a reasonable option in selected patients (for example in the presence of small, asymptomatic lesions in the pancreatic head, especially in the frail or elderly patient)...
  28. doi request reprint Carcinoid tumors of the duodenum and the ampulla of Vater: current diagnostic and therapeutic approach in a series of 8 patients. Case series
    George C Nikou
    Section of Gastrointestinal Neuroendocrinology, First Department of Propaedeutic Internal Medicine of Athens University Medical School, Laiko Hospital, Athens, Greece
    Int J Surg 9:248-53. 2011
    ..To describe the specific characteristics of duodenal/perivaterian carcinoids and to analyze the diagnostic/therapeutic approach...
  29. doi request reprint Conservative treatment of acute appendicitis: heresy or an effective and acceptable alternative to surgery?
    George H Sakorafas
    Fourth Department of Surgery, Athens University, Medical School, Attikon University Hospital, Athens, Greece
    Eur J Gastroenterol Hepatol 23:121-7. 2011
    ....
  30. doi request reprint Retained surgical sponges: what the practicing clinician should know
    George H Sakorafas
    4th Department of Surgery, Athens University, Medical School, ATTIKON U Hospital, Arkadias 19 21, 115 26, Athens, Greece
    Langenbecks Arch Surg 395:1001-7. 2010
    ....
  31. doi request reprint Primary thyroid lymphoma (correction of lympoma): diagnostic and therapeutic dilemmas
    George H Sakorafas
    4th Department of Surgery, Athens University, Medical School, Attikon University Hospital, Athens, Greece
    Surg Oncol 19:e124-9. 2010
    ..A high index of suspicion from the part of the clinician is required to achieve early diagnosis and prompt treatment of this potentially curable thyroid malignancy...
  32. doi request reprint Historical evolution of thyroid surgery: from the ancient times to the dawn of the 21st century
    George H Sakorafas
    Department of Surgery, 251 Hellenic Air Force Hospital, Arkadias 19 21, 115 26, Athens, Greece
    World J Surg 34:1793-804. 2010
    ....
  33. ncbi request reprint Current trends in the management of infected necrotizing pancreatitis
    George H Sakorafas
    4th Department of Surgery, Athens University, Medical School, Attikon University Hospital, Greece
    Infect Disord Drug Targets 10:9-14. 2010
    ....
  34. doi request reprint Small (<10 mm) thyroid nodules; how aggressively should they be managed?
    George H Sakorafas
    4th Department of Surgery, Athens University, Medical School, Attikon Hospital, Athens, Greece
    Onkologie 33:61-4. 2010
    ..US-guided FNA should be performed when malignancy is a concern, regardless of nodule size, to avoid missing or undertreating a curable cancer...
  35. doi request reprint Preoperative detection of cervical lymph node metastases in papillary thyroid cancer: a surgical perspective
    George H Sakorafas
    4th Department of Surgery, Athens University, Medical School, Attikon University Hospital, Athens, Greece
    Onkologie 32:762-6. 2009
    ..A compartment-oriented cervical lymph node dissection should be performed at the time of thyroidectomy if preoperative evaluation reveals cervical lymphadenopathy...
  36. doi request reprint Breast cancer surgery: an historical narrative. Part I. From prehistoric times to Renaissance
    George H Sakorafas
    4th Department of Surgery, Athens University, Medical School, Attikon University Hospital, Athens, Greece
    Eur J Cancer Care (Engl) 18:530-44. 2009
    ..Surgery was often 'heroic' but primitive and even inhumane by current standards. Therapeutic nihilism was the prevailing altitude regarding breast cancer, at least among the vast majority of surgeons...
  37. doi request reprint Breast cancer surgery: an historical narrative. Part III. From the sunset of the 19th to the dawn of the 21st century
    G H Sakorafas
    4th Department of Surgery, Athens University, Medical School, Attikon University Hospital, Athens, Greece
    Eur J Cancer Care (Engl) 19:145-66. 2010
    ..Despite these advances, breast cancer remains a significant problem and represents a field of active and intense research...
  38. doi request reprint Peritoneal tuberculosis in pregnancy mimicking advanced ovarian cancer: a plea to avoid hasty, radical and irreversible surgical decisions
    George H Sakorafas
    4th Department of Surgery, Attikon University Hospital, Athens University, Medical School Athens, Athens, Greece
    Int J Infect Dis 13:e270-2. 2009
    ..The patient was successfully treated conservatively. Hasty decisions to undertake radical and irreversible surgery should be avoided; this type of surgery should be performed only after histological confirmation...
  39. doi request reprint The genetic basis of hereditary medullary thyroid cancer: clinical implications for the surgeon, with a particular emphasis on the role of prophylactic thyroidectomy
    George H Sakorafas
    From the 4th Department of Surgery, Athens University Medical School, Attikon University Hospital, Arkadias 19 21, 115 26 Athens, Greece
    Endocr Relat Cancer 15:871-84. 2008
    ..Hereditary MTC is a model of genetically determined cancer in which both diagnostic and therapeutic strategies rely on the identification of specific mutations...
  40. ncbi request reprint Incidental parathyroidectomy during thyroid surgery: an underappreciated complication of thyroidectomy
    George H Sakorafas
    Department of Surgery, 251 Hellenic Air Force Hospital, 19 21 Arkadias Street, Athens, GR 115 26, Greece
    World J Surg 29:1539-43. 2005
    ..Incidental parathyroidectomy may be considered as a potentially preventable but clinically minor complication of thyroid surgery...
  41. ncbi request reprint Cystic neoplasms of the pancreas; what a clinician should know
    George H Sakorafas
    Department of Surgery, 251 Hellenic Air Force HAF Hospital, Messogion and Katehaki Avenue, 115 25 Athens, Greece, and Department of Surgery, Mayo Clinic College of Medicine, Rochester, MN 55905, USA
    Cancer Treat Rev 31:507-35. 2005
    ..In the absence of invasive disease, prognosis is excellent after appropriate surgery. The presence of invasive malignancy signifies a poor prognosis...
  42. ncbi request reprint Open preperitoneal mesh repair of recurrent inguinal and femoral hernias
    George H Sakorafas
    Department of Surgery, 251 Hellenic Air Force Hospital, Athens, Greece
    Mt Sinai J Med 72:342-5. 2005
    ..Mean follow-up was 45 months. The procedure was safe (no significant early and late morbidity) and achieved a safe repair (no recurrence during the follow-up period)...
  43. ncbi request reprint Axillary lymph node dissection in breast cancer--current status and controversies, alternative strategies and future perspectives
    G H Sakorafas
    Department of Surgery, Hellenic Air Forces, General Hospital, Athens, Greece
    Acta Oncol 39:455-66. 2000
    ..However, this method is still investigational. Partial (levels I and II) ALND remains the gold standard in the surgical management of patients with breast cancer...
  44. ncbi request reprint Follow-up after primary treatment for breast cancer
    G H Sakorafas
    Department of Surgery, Hellenic Air Force Hospital, Athens, Greece
    Acta Oncol 39:935-40. 2000
    ..Non-specialist or non-physician models of follow-up care have been proposed as interesting and cost-effective alternatives in the follow-up of breast cancer patients...
  45. ncbi request reprint Ectopic gastric submucosal pancreatic tissue
    George H Sakorafas
    Department of Surgery, 251 Hellenic Air Force Hospital, Athens, Greece
    JOP 4:214-5. 2003
  46. ncbi request reprint Risk estimation for breast cancer development; a clinical perspective
    George H Sakorafas
    Department of Surgery, 251 Hellenic Air Force Hospital, Athens, Greece
    Surg Oncol 10:183-92. 2002
    ....
  47. ncbi request reprint Small bowel perforation secondary to metastatic lung cancer: a case report and review of the literature
    George H Sakorafas
    Department of Surery, Air Force Hospital, Athens, Greece
    Mt Sinai J Med 70:130-2. 2003
    ..Aggressive investigation and early surgery is the only method for providing palliation to these patients. However, morbidity and mortality remain high and the prognosis is dire...
  48. ncbi request reprint Paget's disease of the breast
    G H Sakorafas
    Department of Surgery, 251 Hellenic Air Force General Hospital, GR 115 25 Athens, Greece
    Cancer Treat Rev 27:9-18. 2001
    ....
  49. ncbi request reprint Breast cancer surgery--historical evolution, current status and future perspectives
    G H Sakorafas
    Department of Surgery, 251 Hellenic Air Force General Hospital, Athens, Greece
    Acta Oncol 40:5-18. 2001
    ..Recently there has been intense interest in selective axillary lymph node dissection, focused mainly on the identification of patients who are likely to benefit from axillary lymph node dissection, using sentinel lymph node biopsy...
  50. ncbi request reprint Lateral pancreatojejunostomy in the surgical management of chronic pancreatitis. Current concepts and future perspectives
    G H Sakorafas
    Department of Surgery, 251 Hellenic Air Forces General Hospital, Athens, Greece
    Dig Liver Dis 33:187-91. 2001
    ..of the lateral pancreatojejunostomy over the resectional procedures is the preservation of the pancreatic parenchyma and endocrine and exocrine pancreatic function and the significantly lower early and late morbidity and mortality..
  51. ncbi request reprint Nipple discharge: current diagnostic and therapeutic approaches
    G H Sakorafas
    Department of Surgery, 251 Hellenic Air Force Hospital, Athens, Greece
    Cancer Treat Rev 27:275-82. 2001
    ..e. duct-lobular segmentectomy with adequate, free margins [ideally>1cm], levels I and II axillary lymph node dissection, followed by breast irradiation)...
  52. ncbi request reprint Proximal pancreatectomy in the surgical management of chronic pancreatitis
    George H Sakorafas
    Department of Surgery, 251 Hellenic Air Forces HAF, General Hospital, Athens, Greece
    J Clin Gastroenterol 34:72-6. 2002
    ..However, when there is strong suspicion of an underlying malignancy, a pancreatoduodenectomy should be considered in surgically fit patients, as this is an adequate procedure for both CP and pancreatic cancer...
  53. ncbi request reprint Pancreatic cancer in patients with chronic pancreatitis: a challenge from a surgical perspective
    G H Sakorafas
    The Department of Surgery, 251 Hellenic Air Forces HAF General Hospital, Athens, Greece
    Cancer Treat Rev 25:207-17. 1999
    ....
  54. ncbi request reprint The management of women at high risk for the development of breast cancer: risk estimation and preventative strategies
    George H Sakorafas
    Department of Surgery, 251 Hellenic Air Force Hospital, Athens, Greece
    Cancer Treat Rev 29:79-89. 2003
    ..It is hoped that other preventative methods, such as gene therapy based on an accurate identification of specific genetic changes, will be developed in the future...
  55. ncbi request reprint Molecular biology of pancreatic cancer: potential clinical implications
    G H Sakorafas
    Department of Surgery, Hellenic Air Force Hospital, Athens, Greece
    BioDrugs 15:439-52. 2001
    ..This review summarises recent data relating to the molecular biology of pancreatic cancer, with emphasis on features that may be of clinical significance for diagnosis and/or therapy...
  56. ncbi request reprint Use of remifentanil in an infant with surgically repaired Shone's syndrome
    A G Tsiotou
    Department of Anesthesiology, Children s Hospital P and A Kyriakou, Athens, Greece
    Paediatr Anaesth 14:261-4. 2004
    ..Remifentanil has unique properties, making it a potentially useful and predictable agent for infants with significant comorbidity...
  57. pmc Open tension free repair of inguinal hernias; the Lichtenstein technique
    G H Sakorafas
    Department of Surgery, 251 Hellenic Air Force Hospital, Athens, Greece
    BMC Surg 1:3. 2001
    ..Prosthetic materials have been increasingly used in hernia repair to prevent recurrences. Their use has been associated with several advantages, such as less postoperative pain, rapid recovery, low recurrence rates...
  58. ncbi request reprint Papillary thyroid microcarcinoma: a surgical perspective
    George H Sakorafas
    Department of Surgery, 251 Hellenic Air Force Hospital, Arkadias 19 21, GR 11526 Athens, Greece
    Cancer Treat Rev 31:423-38. 2005
    ..Suppression therapy is needed after surgical management. Despite the potential for neck lymph node and even distant metastases, the biological behavior of PTMC is in general benign and the prognosis is very good...
  59. ncbi request reprint Biliary peritonitis due to fistulous tract rupture following a T-tube removal
    George H Sakorafas
    Department of Surgery, Hellenic Air Force Hospital, Athens, Greece
    N Z Med J 118:U1522. 2005
    ..A Nelaton catheter was inserted through this opening and advanced toward the biliary tree and secured in place by a suture ligature. Postoperative course was uneventful...
  60. ncbi request reprint Prophylactic mastectomy; evolving perspectives
    G H Sakorafas
    Department of Surgery, 251 Hellenic Air Force HAF General Hospital, Athens, Greece
    Eur J Cancer 36:567-78. 2000
    ..Furthermore, she should be well informed about the alternative strategies...
  61. ncbi request reprint Thyroid nodules: does the suspicion for malignancy really justify the increased thyroidectomy rates?
    George H Sakorafas
    Fourth Department of Surgery, Athens University, Medical School, Attikon University Hospital, Athens, Greece
    Surg Oncol 15:43-55. 2006
    ..However, accurate preoperative diagnosis of thyroid cancer within a thyroid nodule is not always possible and, although the problem of unnecessary surgery can further be diminished, it cannot be completely eliminated...
  62. ncbi request reprint Malignant fibrous histiocytoma of the liver: a case report and review of the literature
    George Anagnostopoulos
    Department of Gastroenterology, 251 Hellenic Air Force HAF Hospital, Athens, Greece
    Mt Sinai J Med 72:50-2. 2005
    ..Most of the tumor cells and giant cells were vimentin and a 1-antichymotrypsin positive. Histopathological findings were consistent with an MFH of the storiform / pleomorphic subtype. The literature is briefly reviewed...
  63. ncbi request reprint New legislative regulations, problems, and future perspectives, with a particular emphasis on surgical education
    G H Sakorafas
    Department of Surgery, 251 Hellenic Air Force Hospital, Metropolitan Hospital, Athens, Greece
    J Postgrad Med 50:274-7. 2004
    ..This communication describes the new situation that has developed (especially in general surgery) with the recent regulations and intends to suggest possible solution to the important problems that are likely to arise...
  64. ncbi request reprint The clinical significance of axillary lymph node micrometastases in breast cancer
    G H Sakorafas
    Department of Surgery, 251 Hellenic Air Force Hospital, Arkadias 19 21, GR 115 26 Athens, Greece
    Eur J Surg Oncol 30:807-16. 2004
    ..To evaluate the clinical significancer of axillary lymph-node micrometastases, in the era of sentinel lymph node (SLN) biopsy...
  65. ncbi request reprint Occult breast cancer: a challenge from a surgical perspective
    G H Sakorafas
    Department of Surgery, 251 Hellenic Air Force HAF Hospital, Missogion and Katchaki, Athens, Greece
    Surg Oncol 8:27-33. 1999
    ..Treatment options include surgery, radiotherapy and watchful waiting (followed by mastectomy when a breast tumor is detected). Systemic therapy is usually required in the management of these patients...
  66. ncbi request reprint Etiology and pathogenesis of acute pancreatitis: current concepts
    G H Sakorafas
    Department of Surgery, 251 Helleni Air Force, General Hospital, Athens, Greece
    J Clin Gastroenterol 30:343-56. 2000
    ..g., interleukin [IL]-1, IL-6, IL-8, tumor necrosis factor-alpha, platelet activating factor) are considered to be principal mediators in the transformation of acute pancreatitis from a local inflammatory process into a multiorgan illness...
  67. ncbi request reprint Ductal carcinoma in situ (DCIS) of the breast: evolving perspectives
    G H Sakorafas
    The Department of Surgery, 251 Hellenic Air Force HAF Hospital, Messogion and Katehaki Str, Athens, 115 25, Greece
    Cancer Treat Rev 26:103-25. 2000
    ..Most patients with recurrent disease can be treated effectively, usually by salvage mastectomy, but also in selected cases by breast-conservation therapy...
  68. doi request reprint Primary pancreatic cystic neoplasms revisited: part II. Mucinous cystic neoplasms
    George H Sakorafas
    4th Department of Surgery, Medical School, University of Athens, Attikon University Hospital, Arkadias 19 21, Athens 12462, Greece
    Surg Oncol 20:e93-101. 2011
    ..Since MCNs have malignant potential, surgical resection is the treatment of choice...
  69. doi request reprint The origins of radical mastectomy
    George H Sakorafas
    Attikon University Hospital, Athens University Medical School, Athens, Greece
    AORN J 88:605-8. 2008
    ....
  70. doi request reprint Small intestinal nonmeckelian diverticulosis
    Konstantinos Makris
    Department of Surgery, Metropolitan Hospital, Athens, Greece
    J Clin Gastroenterol 43:201-7. 2009
    ..The extent of resection may be a problem, especially in patients with extensive disease involving large parts of the bowel. In these cases, clinical judgment is required from the part of surgeon to avoid short bowel syndrome...
  71. ncbi request reprint Successful pancreaticoduodenectomy with immediate vascular reconstruction in a patient with cancer of the pancreatic head and celiac artery stenosis. A case report
    George Peros
    Fourth Department of Surgery, Athens University Medical School, Attikon University Hospital Athens, Greece
    JOP 10:667-70. 2009
    ..Therefore, revascularization may be indicated in selected patients with celiac artery stenosis undergoing a PD...
  72. ncbi request reprint Intestinal metastases from renal cell carcinoma: a rare cause of intestinal obstruction and bleeding
    George M Pavlakis
    Department of Oncology, 251 Hellenic Force Hospital, Athens, Greece
    Mt Sinai J Med 71:127-30. 2004
    ..We present a patient with intestinal obstruction and bleeding caused by intestinal metastases from renal cell carcinoma and summarize the surgical procedures employed. The relevant literature is briefly reviewed...
  73. ncbi request reprint Pancreatic cancer after surgery for chronic pancreatitis
    G H Sakorafas
    Department of Surgery, Mayo Clinic and Mayo Foundation, Rochester, MN, USA
    Dig Liver Dis 35:482-5. 2003
    ..Chronic pancreatitis is known to be a risk factor for pancreatic cancer...
  74. ncbi request reprint Women at high risk for breast cancer: preventive strategies
    George H Sakorafas
    Department of Surgery, 251 Hellenic Air Force Hospital, Athens, Greece
    Mt Sinai J Med 69:264-6. 2002
    ..However, at the present time, close surveillance, which include breast self-examination, annual or semiannual physical examinations, and annual mammography starting at age 30, remains the most widely accepted method...
  75. ncbi request reprint Postobstructive chronic pancreatitis: results with distal resection
    G H Sakorafas
    Department of Surgery, Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA
    Arch Surg 136:643-8. 2001
    ..However, some of these patients with chronic pancreatitis involving the entire gland have disease masquerading as postobstructive chronic pancreatitis secondary to an ostensibly isolated dominant pancreatic ductal stricture...
  76. ncbi request reprint Bilateral, primary, low-grade, diffuse B-cell lymphoma of mucosa-associated lymphoid tissue (MALT) of the breast
    Basil Zobolas
    Department of Surgery, 251 Hellenic Air Force Hospital, Athens, Greece
    Breast J 8:382. 2002
  77. doi request reprint Good results after major pancreatic resections in a middle-volume center
    George Peros
    4th Department of Surgery, University Hospital Attikon, Medical School, Athens University, Athens, Greece
    Pancreas 39:411-4. 2010
    ..Recently, hospital and surgeon volume is widely discussed as a prognostic factor after major pancreatic surgery. We present our experience regarding major pancreatectomy in a middle-volume center...
  78. doi request reprint Duodeno-pancreatic neuroendocrine tumours
    G Peros
    The 4th Department of Surgery, Athens University, Medical School, Attikon University Hospital, Athens, Greece
    Eur J Cancer Care (Engl) 19:393-402. 2010
    ..The second patient died 6.5 years following surgery due to disseminated disease...
  79. ncbi request reprint Surgical management of chronic pancreatitis at the Mayo Clinic
    G H Sakorafas
    Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA
    Surg Clin North Am 81:457-65. 2001
    ....
  80. doi request reprint Ultrasound-guided catheterization of the internal jugular vein in oncologic patients; comparison with the classical anatomic landmark technique: a prospective study
    Konstantinos Serafimidis
    4th Department of Surgery, Athens University, Medical School, Attikon University Hospital, Athens, Greece
    Int J Surg 7:526-8. 2009
    ..To compare the traditional anatomic landmark technique with the ultrasound-guided method for central venous catheterization...
  81. ncbi request reprint Myoid hamartoma of the breast: a case report and review of the literature
    Vania Stafyla
    Department of Surgery, 251 Hellenic Air Force Hospital, Athens, Greece
    Breast J 13:85-7. 2007
    ..The patient is well 4 years later without tumor recurrence. Breast myoid hamartomas are exceptionally rare benign lesions; complete surgical excision achieves cure...
  82. ncbi request reprint Surgical management of chronic pancreatitis: current concepts and future perspectives
    George H Sakorafas
    Department of Surgery, 251 Hellenic Air Force Hospital, Athens, Greece
    Int Surg 88:211-8. 2003
    ..In recent years, a clear trend in favor of resectional procedures (including the newer nonanatomic pancreatic resections) has been observed...
  83. doi request reprint Transanal circular stapler technique: a simple and highly effective method for the management of high-grade stenosis of low colorectal anastomoses
    Christos Nissotakis
    Department of Surgery, 251 Hellenic Air Force Hospital, Athens, Greece
    Surg Laparosc Endosc Percutan Tech 18:375-8. 2008
    ..We present 2 patients successfully treated by this technique [in one, the combined (transanal plus transabdominal) approach was used] and the relevant literature is briefly reviewed...
  84. ncbi request reprint Paget's disease of the breast: a clinical perspective
    G H Sakorafas
    Department of Surgery, 251 Hellenic Air Force Hospital, Athens, Greece
    Langenbecks Arch Surg 386:444-50. 2001
    ..We propose a treatment algorithm for patients presenting with Paget's disease of the breast...
  85. ncbi request reprint Squamous cell carcinoma of the rectum: a case report and review of the literature
    G Anagnostopoulos
    Department of Gastroenterology, 251 Hellenic Air Force Hospital, Athens, Greece
    Eur J Cancer Care (Engl) 14:70-4. 2005
    ..We present a patient with squamous cell carcinoma of the middle rectum who underwent abdominoperineal resection and postoperative adjuvant chemotherapy. The pertinent literature is reviewed...
  86. ncbi request reprint Alkaline reflux gastritis: early and late results of surgery
    Basile Zobolas
    Department of Surgery, Metaxa Hospital, Botasi 51 Str, 18537, Peireas, Greece
    World J Surg 30:1043-9. 2006
    ..The symptoms may be intractable and surgery may be required in a selected subgroup of patients. The goal of this study was to present our experience regarding surgical management of alkaline reflux gastritis...
  87. ncbi request reprint Disseminated colon cancer with severe peripheral blood eosinophilia and elevated serum levels of interleukine-2, interleukine-3, interleukine-5, and GM-CSF
    George K Anagnostopoulos
    J Surg Oncol 89:273-5. 2005
  88. ncbi request reprint Contrast-enhanced magnetic resonance imaging has a high sensitivity for detection of breast lesions
    George H Sakorafas
    Breast J 8:121. 2002
  89. ncbi request reprint Ectopic intrathoracic thyroid: case report
    George H Sakorafas
    Department of Oncology, 251 Hellenic Force Hospital, Athens, Greece
    Mt Sinai J Med 71:131-3. 2004
    ..Ectopic intrathoracic thyroid is a rare presentation of thyroid disease and comprises about 1% of all mediastinal tumors. Its removal usually necessitates thoracotomy or sternotomy. The relevant literature is briefly reviewed...
  90. ncbi request reprint Lobular carcinoma in situ of the breast within a fibroadenoma. A case report
    Vania Stafyla
    Department of Surgery, 251 Hellenic Air Force HAF Hospital, Arkadias 19 21, Athens 115 26, Greece
    Gynecol Oncol 94:572-4. 2004
    ..Fibroadenoma is a benign breast tumor that is effectively treated by local excision. Although uncommon, breast fibroadenoma may harbor breast carcinoma, either in situ or invasive...
  91. ncbi request reprint Re: the challenge of military surgical education
    George H Sakorafas
    World J Surg 30:2083; author reply 2084. 2006
  92. ncbi request reprint Triple malignancy: sequential development of second and third primary tumors in a patient with Hodgkin's lymphoma
    George A Giannopoulos
    Acta Oncol 46:1187-9. 2007