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Article ; Online: Benign Tumours and Pseudotumours Within the Porta Hepatis Masquerading as Perihilar Cholangiocarcinoma.

Vasiliadis, K / Ioannidis, O / Tsalis, K

Klinicka onkologie : casopis Ceske a Slovenske onkologicke spolecnosti

2019 Volume 32, Issue 6, Page(s) 411–425

Abstract: Background: Hilar cholangiocarcinoma (HC), also referred to as Altemeier-Klatskins tumour, is a lethal primary extrahepatic carcinoma of biliary epithelial origin, arising within 2cm of the hilar confluence. Radical surgical excision provides the best ... ...

Title translation	Nezhoubné nádory a pseudotumory v porta hepatis maskující perihilární cholangiokarcinom.
Abstract	Background: Hilar cholangiocarcinoma (HC), also referred to as Altemeier-Klatskins tumour, is a lethal primary extrahepatic carcinoma of biliary epithelial origin, arising within 2cm of the hilar confluence. Radical surgical excision provides the best chance for a cure; however, the management of patients with HC is challenging not only because of the need for a high level of skill in biliary and hepatic resections, but also because of the difficulty in reaching an accurate diagnosis preoperatively. In fact, the differential diagnosis of HC is a diagnostic dilemma which is currently persisting, as modern, sophisticated diagnostic modalities are not always able to provide a definitive preoperative diagnosis. This difficulty is compounded by the fact that alternative entities that mimic HC may be present in up to 25% of patients with hilar obstruction. This makes precise preoperative characterisation of a hilar stricture extremely important by preventing unnecessary, high-risk, major surgical procedures. Therefore, alternative benign entities masquerading as Altemeier-Klatskins tumour deserve an important place in the differential diagnosis of hilar obstruction. Purpose: Considering the important clinical implications that a precise diagnosis of the aetiological cause of a biliary obstruction at the liver hilum would have, this paper will focus on the differentiation between HC and benign hilar obstructions and will review benign tumours and pseudotumours masquerading as HC along with their specific diagnostic features.
MeSH term(s)	Bile Duct Neoplasms/diagnosis ; Diagnosis, Differential ; Humans ; Klatskin Tumor/diagnosis ; Liver/pathology
Language	English
Publishing date	2019-12-12
Publishing country	Czech Republic
Document type	Journal Article ; Review
ZDB-ID	1217739-8
ISSN	1802-5307 ; 0862-495X
ISSN (online)	1802-5307
ISSN	0862-495X
DOI	10.14735/amko2019411
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Zs.A 4181: Show issues

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Article ; Online: Microwave ablation of a solitary colorectal liver metastasis complicated by stomach perforation and gastrocutaneous fistula - a case report.

Symeonidis, S / Giankoulof, C / Christidis, P / Anestiadou, E / Loutzidou, L / Bitsianis, S / Ioannidis, O / Tsalis, K / Angelopoulos, S / Petsatodis, E

Klinicka onkologie : casopis Ceske a Slovenske onkologicke spolecnosti

2022 Volume 35, Issue 4, Page(s) 323–327

Abstract: Background: Organ perforation secondary to thermal ablation is a rare but severe complication that can occur in certain patients, in whom tissue dissection and preservation cannot be adequately achieved.: Case description: A 69-year-old man presented ...

Title translation	Mikrovlnná ablace solitární jaterní metastázy kolorektálního karcinomu komplikované perforací žaludku a gastrokutánní píštělí - kazuistika.
Abstract	Background: Organ perforation secondary to thermal ablation is a rare but severe complication that can occur in certain patients, in whom tissue dissection and preservation cannot be adequately achieved. Case description: A 69-year-old man presented with a gastrocutaneous fistula 20 days after a microwave ablation of liver metastases from colorectal cancer. Besides skin rash, local tenderness, and gastric content discharge from a wound where the probe had been placed, no other signs or symptoms were present. The patient was treated surgically, and a wedge-shaped gastric resection was performed. His postoperative course was uneventful. After 8 months, the patient underwent the same procedure for local progression of the same lesion, using a pulsed MW antenna and a dedicated hydrodissection needle, without complications. Conclusions: A gastrocutaneous fistula is a rare complication of microwave ablation. However, adequate hydrodissection can minimize the risk for the development of these complications. Proper treatment of these complications does not preclude repeated usage of microwave ablation in the future.
MeSH term(s)	Aged ; Colorectal Neoplasms/complications ; Colorectal Neoplasms/pathology ; Colorectal Neoplasms/surgery ; Gastric Fistula/etiology ; Gastric Fistula/surgery ; Humans ; Liver Neoplasms/therapy ; Male ; Microwaves/adverse effects ; Stomach/pathology ; Treatment Outcome
Language	English
Publishing date	2022-06-23
Publishing country	Czech Republic
Document type	Case Reports ; Journal Article
ZDB-ID	1217739-8
ISSN	1802-5307 ; 0862-495X
ISSN (online)	1802-5307
ISSN	0862-495X
DOI	10.48095/ccko2022323
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Article ; Online: Laparoscopic para-aortic lymphadenectomy for metastatic colon cancer in a patient with left-sided inferior vena cava: a case report.

Kotidis, Efstathios / Anestiadou, Elissavet / Karamitsou, Aikaterini / Gemousakakis, Georgios / Ioannidis, Orestis / Bitsianis, Stefanos / Symeonidis, Savvas / Ouzounidis, Nikolaos / Lomvardeas, Odysseas / Aggelopoulos, Stamatios

Folia medica

2024 Volume 65, Issue 6, Page(s) 1015–1019

Abstract: Transposition of inferior vena cava, or, left-sided inferior vena cava (LS-IVC) is a rare clinical entity, in which the inferior vena cava ascends along the left side of the abdominal aorta. Literature contains mainly clinical case reports. Although it ... ...

Abstract	Transposition of inferior vena cava, or, left-sided inferior vena cava (LS-IVC) is a rare clinical entity, in which the inferior vena cava ascends along the left side of the abdominal aorta. Literature contains mainly clinical case reports. Although it is usually not associated with clinical symptomatology, this anomaly should be detected during preoperative planning to avoid iatrogenic injuries intraoperatively. We present a case of left-sided inferior vena cava encountered during laparoscopic lymphadenectomy in a 45-year-old man with previous laparoscopic hemicolectomy due to colon adenocarcinoma. Preoperative CT abdomen revealed the left-sided location of infrarenal IVC and laparoscopic trans-peritoneal aortic lymphadenectomy was decided. Intraoperatively, transposition of inferior vena cava was confirmed in accordance with the CT findings. Resection of lymph node block was conducted with no complications and with minimal blood loss. The postoperative course was uneventful, and the patient was discharged from the hospital the day following surgery. In conclusion, transposition of the inferior vena cava, although rare, constitutes an anatomical variant that should be identified preoperatively to decrease intraoperative risks. Several anatomical variants have been associated with left-sided inferior vena cava.
MeSH term(s)	Male ; Humans ; Middle Aged ; Vena Cava, Inferior/surgery ; Vena Cava, Inferior/abnormalities ; Adenocarcinoma/surgery ; Colonic Neoplasms/surgery ; Laparoscopy ; Lymph Node Excision ; Rectal Neoplasms/surgery
Language	English
Publishing date	2024-02-14
Publishing country	Bulgaria
Document type	Case Reports ; Journal Article
ZDB-ID	300275-5
ISSN	1314-2143 ; 0430-8638 ; 0204-8043
ISSN (online)	1314-2143
ISSN	0430-8638 ; 0204-8043
DOI	10.3897/folmed.65.e96691
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Zs.A 972: Show issues

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Article ; Online: Robotic-assisted repair of perineal hernia after laparoscopic abdominoperineal excision using a bioresorbable mesh - a video vignette.

Pramateftakis, M G / Kotidis, E / Gkantsinikoudis, N / Ioannidis, O / Aggelopoulos, S / Tsalis, K

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

2020 Volume 22, Issue 8, Page(s) 972–973

MeSH term(s)	Absorbable Implants ; Hernia ; Herniorrhaphy ; Humans ; Laparoscopy ; Perineum/surgery ; Proctectomy ; Rectal Neoplasms/surgery ; Robotic Surgical Procedures ; Surgical Mesh
Language	English
Publishing date	2020-03-17
Publishing country	England
Document type	Letter ; Video-Audio Media
ZDB-ID	1440017-0
ISSN	1463-1318 ; 1462-8910
ISSN (online)	1463-1318
ISSN	1462-8910
DOI	10.1111/codi.15028
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Zs.A 5799: Show issues

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Article: The Effects of Tissue Healing Factors in Wound Repair Involving Absorbable Meshes: A Narrative Review.

Vasalou, Varvara / Kotidis, Efstathios / Tatsis, Dimitris / Boulogeorgou, Kassiani / Grivas, Ioannis / Koliakos, Georgios / Cheva, Angeliki / Ioannidis, Orestis / Tsingotjidou, Anastasia / Angelopoulos, Stamatis

Journal of clinical medicine

2023 Volume 12, Issue 17

Abstract: Wound healing is a complex and meticulously orchestrated process involving multiple phases and cellular interactions. This narrative review explores the intricate mechanisms behind wound healing, emphasizing the significance of cellular processes and ... ...

Abstract	Wound healing is a complex and meticulously orchestrated process involving multiple phases and cellular interactions. This narrative review explores the intricate mechanisms behind wound healing, emphasizing the significance of cellular processes and molecular factors. The phases of wound healing are discussed, focusing on the roles of immune cells, growth factors, and extracellular matrix components. Cellular shape alterations driven by cytoskeletal modulation and the influence of the 'Formin' protein family are highlighted for their impact on wound healing processes. This review delves into the use of absorbable meshes in wound repair, discussing their categories and applications in different surgical scenarios. Interleukins (IL-2 and IL-6), CD31, CD34, platelet rich plasma (PRP), and adipose tissue-derived mesenchymal stem cells (ADSCs) are discussed in their respective roles in wound healing. The interactions between these factors and their potential synergies with absorbable meshes are explored, shedding light on how these combinations might enhance the healing process. Recent advances and challenges in the field are also presented, including insights into mesh integration, biocompatibility, infection prevention, and postoperative complications. This review underscores the importance of patient-specific factors and surgical techniques in optimizing mesh placement and healing outcomes. As wound healing remains a dynamic field, this narrative review provides a comprehensive overview of the current understanding and potential avenues for future research and clinical applications.
Language	English
Publishing date	2023-08-31
Publishing country	Switzerland
Document type	Journal Article ; Review
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm12175683
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: An incidental intracranial lesion in a young woman with head trauma: The key role of CT bone reconstruction in the diagnosis of an osteoma of the anterior cranial fossa.

Gkasdaris, Grigorios / Birbilis, Theodossios / Ioannidis, Orestis / Tsalis, Konstantinos

Clinical case reports

2019 Volume 7, Issue 3, Page(s) 595–596

Abstract: A young female was subjected to brain CT due to head trauma after a car accident. A lesion was found in the area of the right frontal lobe raising concern. After reconstruction of the CT slices, the radiologic features indicated a skull base osteoma, ... ...

Abstract	A young female was subjected to brain CT due to head trauma after a car accident. A lesion was found in the area of the right frontal lobe raising concern. After reconstruction of the CT slices, the radiologic features indicated a skull base osteoma, without the need for further intervention.
Language	English
Publishing date	2019-02-11
Publishing country	England
Document type	Journal Article
ZDB-ID	2740234-4
ISSN	2050-0904
ISSN	2050-0904
DOI	10.1002/ccr3.2049
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Article: Biliary Anatomy Visualization and Surgeon Satisfaction Using Standard Cholangiography versus Indocyanine Green Fluorescent Cholangiography during Elective Laparoscopic Cholecystectomy: A Randomized Controlled Trial.

Symeonidis, Savvas / Mantzoros, Ioannis / Anestiadou, Elissavet / Ioannidis, Orestis / Christidis, Panagiotis / Bitsianis, Stefanos / Zapsalis, Konstantinos / Karastergiou, Trigona / Athanasiou, Dimitra / Apostolidis, Stylianos / Angelopoulos, Stamatios

Journal of clinical medicine

2024 Volume 13, Issue 3

Abstract: ... ...

Abstract	Background
Language	English
Publishing date	2024-02-01
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	2662592-1
ISSN	2077-0383
ISSN	2077-0383
DOI	10.3390/jcm13030864
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Article ; Online: Implications of the presence of the vermiform appendix inside an inguinal hernia (Amyand's hernia): a systematic review of the literature.

Papaconstantinou, D / Garoufalia, Z / Kykalos, S / Nastos, C / Tsapralis, D / Ioannidis, O / Michalinos, A / Chatzimavroudis, G / Schizas, D

Hernia : the journal of hernias and abdominal wall surgery

2020 Volume 24, Issue 5, Page(s) 951–959

Abstract: Purpose: To identify and sum all available evidence pertaining to the management of Amyand's hernia (AH).: Methods: A systematic search of the MedLine, Scopus, and Google Scholar databases was performed for studies published until January 2020.: ... ...

Abstract	Purpose: To identify and sum all available evidence pertaining to the management of Amyand's hernia (AH). Methods: A systematic search of the MedLine, Scopus, and Google Scholar databases was performed for studies published until January 2020. Results: In total, 111 studies incorporating 161 patients were identified, 96 (86.4%) being case reports, 11 (9.9%) case series, and 4 (3.7%) retrospective patient cohorts. Mean patient age was 58.5 ± 19.6 years with 136 (83.9%) being males and 25 (16.1%) females. Furthermore, 149 (92.5%) cases were right-sided hernias while 12 (7.5%) cases were left-sided. Overall, 62.3% of patients presented emergently and 77.3% of patients' cohort were eventually diagnosed with incarcerated AH. Preoperative diagnosis of AH was established in 23.1% of patients and was achieved either by ultrasound (25%) or CT scan (75%). Operative findings consisted of normal appendix in 73 (45.4%) cases, uncomplicated appendicitis in 62 (38.5%) patients, and perforated appendix in 26 (16.1%). Regarding patients with appendicitis, mesh placement was reported for 17 (21.2%), herniorrhaphy was performed for 51 (63.7%) while 12 (15.1%) patients did not undergo hernia repair during the initial operation. Mesh utilization rates were significantly higher in patients with a normal appendix. Seven cases involved AH containing appendiceal neoplasms. Thirteen cases (8.6%) of postoperative complications were documented and a single case of postoperative death. Conclusion: AH is a rare type of inguinal hernia usually complicated by appendicitis. Hernia reconstruction should be tailored to each patient individually according to the extent of inguinal canal inflammation.
MeSH term(s)	Adult ; Aged ; Appendectomy ; Appendicitis/complications ; Appendicitis/diagnosis ; Appendicitis/surgery ; Appendix/pathology ; Appendix/surgery ; Female ; Hernia, Inguinal/complications ; Hernia, Inguinal/surgery ; Herniorrhaphy ; Humans ; Male ; Middle Aged ; Tomography, X-Ray Computed
Language	English
Publishing date	2020-05-25
Publishing country	France
Document type	Journal Article ; Systematic Review
ZDB-ID	1388125-5
ISSN	1248-9204 ; 1265-4906
ISSN (online)	1248-9204
ISSN	1265-4906
DOI	10.1007/s10029-020-02215-5
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Hemobilia Caused by Arterioportal Fistula Following Percutaneous Liver Biopsy Complicated by Acute Cholecystitis and Review of the Literature.

Ioannidis, Orestis / Malliora, Anastasia / Christidis, Panagiotis / Pramateftakis, Manousos George / Kotidis, Efstathios / Mantzoros, Ioannis / Ouzounidis, Nikolaos / Foutsitzis, Vasilis / Angelopoulos, Stamatios

Current health sciences journal

2022 Volume 48, Issue 2, Page(s) 235–241

Abstract: We present a case of a 44-year-old male with chronic hepatitis B that visited the Emergency Department due to epigastric pain after a liver biopsy. The ultrasonography revealed signs of bleeding in the bile ducts. and angiography visualized an ... ...

Abstract	We present a case of a 44-year-old male with chronic hepatitis B that visited the Emergency Department due to epigastric pain after a liver biopsy. The ultrasonography revealed signs of bleeding in the bile ducts. and angiography visualized an arterioportal fistula. Selective right hepatic artery branch embolization was performed, and the bleeding was controlled. Although, the clinical picture was initially improved, the patient presented later with acute abdomen, obstructive jaundice and fever. The patient underwent cholecystectomy with bile duct exploration and placement of a Kehr's T tube in the common bile duct. The postoperative course was uneventful. We also review the relevant literature concerning arterioportal fistula manifested as hemobilia as well as acute cholecystitis occurring after hemobilia.
Language	English
Publishing date	2022-06-30
Publishing country	Romania
Document type	Case Reports
ZDB-ID	2708703-7
ISSN	2069-4032 ; 2067-0656
ISSN (online)	2069-4032
ISSN	2067-0656
DOI	10.12865/CHSJ.48.02.15
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Article: Accessory cleido-occipitalis muscle: case report and review of the literature.

Paraskevas, G K / Natsis, K / Ioannidis, O

Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie

2013 Volume 54, Issue 3 Suppl, Page(s) 893–895

Abstract: An aberrant muscular fascicle, the so-called "accessory cleido-occipital muscle", originated from the anterior border of the cleido-occipital portion of the right trapezius muscle, was detected during a routine dissection of a female cadaver. The ... ...

Abstract	An aberrant muscular fascicle, the so-called "accessory cleido-occipital muscle", originated from the anterior border of the cleido-occipital portion of the right trapezius muscle, was detected during a routine dissection of a female cadaver. The aforementioned muscular bundle coursing in the posterior cervical triangle, almost parallel to the anterior border of the trapezius muscle, inserted ultimately to the clavicle's medial third. In addition, prior to its insertion, the muscle provided a fibrous arch attached to the midportion of clavicle, overlying the main trunk of supraclavicular nerves. We noted that during abduction of the right arm, the fibrous arch entrapped the supraclavicular nerve trunk, presumably leading to sensory disturbances in nerve's area distribution. We review the relative restricted data in the available literature concerning that muscular variant and elucidate its importance during differential diagnosis of a mass and surgical exploration of the posterior cervical triangle.
MeSH term(s)	Aged ; Clavicle/abnormalities ; Dissection ; Female ; Humans ; Muscle, Skeletal/abnormalities
Language	English
Publishing date	2013
Publishing country	Romania
Document type	Case Reports ; Journal Article ; Review
ZDB-ID	1062519-7
ISSN	2066-8279 ; 1220-0522 ; 0035-4007
ISSN (online)	2066-8279
ISSN	1220-0522 ; 0035-4007
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