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WELCOME ADDRESS 3 Dear Colleagues, It is my great pleasure to welcome you to Thessaloniki, Greece, for the State of the Art Surgical Symposium The Last Supper organized by the First Surgical Department of the Aristotle University of Thessaloniki and the Greek Chapter of the International College of Surgeons. During these two days we will hear about and discuss cutting edge topics in both General and Vascular surgery, as this meeting represents the combined efforts of both surgical specialties. This same spirit is representative of the clinical and research work conducted at the First Department of Surgery of the Aristotle University of Thessaloniki. This meeting will provide us with an opportunity to review the current state of General and Vascular Surgery in Greece, as well as identify future challenges and goals. In this effort we will have the valuable contribution of our esteemed international colleagues. Along these lines, I am extending a special welcome to the International College of Surgeons. This meeting will signify the beginning of what I believe will be an academically very productive relationship between Greek surgeons and the International College of Surgeons, as a way to exchange experience, knowledge, and most of all promote the education of the future generations of surgeons. Once again, welcome to Thessaloniki and I hope that you have the opportunity to enjoy the rich history and beautiful sights of the birthplace of Alexander the Great. Dimitrios Kiskinis Head and Professor of Surgery First Department of Surgery Aristotle University of Thessaloniki

4 WELCOME ADDRESS Dear Members of the International College of Surgeons in Greece and Members of the Greek Surgical Community As ICS World President, I welcome you to the First Department of Surgery/International College of Surgeons Meeting at Aristotle University, Thessaloniki, Greece, on May 4-5, 2012. I thank the Administrators and Surgeons of the First Surgical Department of the Aristotle University for their willingness to be a collaborative partner with the International College of Surgeons. Greece is a most important country in Europe. Because of this importance, the status of the ICS Greek Section is of critical interest to the College we are committed to giving major support to the members of the ICS Greek Section. For these reasons, I commend Dr. Georgios Tsoulfas, a Fellow of the International College of Surgeons, for his efforts in organizing this meeting with the theme State of the Art Surgical Symposium, which will address current controversies and topics of interest in general and vascular surgery. The combination of International and Greek speakers will provide an interesting and insightful program of significant educational value. The International College of Surgeons is a collaborative organization with members in over 105 countries of the world. Our vision is to improve the lives of patients through the education of our members and the development of the field of surgery. We are grateful for this opportunity to reach out to all members of the Greek surgical community and welcome all of you to this joint meeting with the First Surgical Department of the Aristotle University. I regrettably will not be able to be with you, but I look forward to receiving the report of the meeting. I send very best wishes to all of you for successful discussions. Sincerely Said Daee, MD World President International College of Surgeons

5 ORGANIZED BY 1st Surgery Department, Aristotle University of Thessaloniki, Papageorgiou Hospital International College of Surgeons ENDORSED BY Aristotle University of Thessaloniki, Medical Faculty, 1st Surgery Department CONFERENCE DIRECTOR Dimitris Kiskinis Professor of Surgery- Vascular Surgery, Aristotle University of Thessaloniki Director of 1st Surgery Department, Aristotle University of Thessaloniki, Papageorgiou Hospital, Greece GENERAL SURGERY VASCULAR SURGERY

6 SCIENTIFIC PROGRAMME FRIDAY MAY 4 2012 08:30 09:00 09:00 10:30 REGISTRATION SESSION 1: GENERAL SURGERY ROUND TABLE: Update in Rectal Cancer Chairperson: Athanasios Sakantamis 09:00 09:20 09:20 09:40 09:40 10:00 10:00 10:20 10:20 10:30 10:30 11:00 Early rectal cancer George Mpasdanis Robotic assisted rectal surgery: is it better than conventional laparoscopy? W.L. Law Selection of patients for neoadjuvant chemoradiation for cancer Andreas Kaiser Watch and wait after neoadjuvant chemoradiation and a complete response Rodrigo Perez Commentator: Constantine Spanos Discussion COFFEE BREAK 11:00 13:00 SESSION 2: VASCULAR SURGERY Carotid Artery Disease Chairmen: Thomas Gerasimidis Christos Liapis Commentator: Nikolaos Saratzis Diagnosis and Imaging Nikolaos Liasis The role of the atherosclerotic plaque Christos Liapis Patient selection for endovascular treatment Thomas Gerasimidis

SCIENTIFIC PROGRAMME FRIDAY MAY 4 2012 7 Type of stent choice of cerebral protection Christos Karkos ICA indications - techniques Dimitris Papadimitriou ICA stent angioplasty studies George Pitoulias Experience and choice of imaging modalities Spyros Basdekis Experience from the use of IVUS Themistoklis Toufektsis Experience in CAS Christos Klonaris Experience with CAS Konstantinos Katsenis Experience with the neck approach Dimitrios Christopoulos CAS Experience Dimitris Karamanos Management of patients with synchronous CAS and coronary disease John Velissaris 13:00 14:30 SESSION 3: GENERAL SURGERY ROUND TABLE: Other topics Chairman: Ioannis Makris 13:00 13:20 13:20 13:40 13:40 14:00 The role of damage control in trauma surgery Evangelos Athanasiou The role of simulation training in surgical education Richard Satava Sarcomas: state-of-the-art surgical management Eelco De Bree

148 SCIENTIFIC PROGRAMME FRIDAY MAY 4 2012 14:00 14:20 14:20 14:30 14:30 15:00 15:00 16:30 Surgical management of liver metastatic disease Konstantinos Tsalis Commentator: Spyros Miliaras Discussion LIGHT LUNCH BREAK SESSION 4: VASCULAR SURGERY Peripheral Vascular Disease Chairmen: Dimitrios Papadimitriou Ioannis Tsolakis Commentator: Kyriakos Ktenidis Anesthesiological challenges in General and Vascular Surgery Antigoni Mpakola Hybrid procedures for SFA Miltiadis Matsagkas Occlusive lesion of tibial arteries Dimitris Siamplis Popliteal artery aneurysms choice of method of treament Miltiadis Lazaridis Splanchnic artery aneurysms and occlusions Antonis Filippidis Experience from the endovascular repair of SFA lesions - complications Konstantinos Filis Experience from the endovascular repair of the iliac arteries TASC II III IV Ioannis Kakisis Angioplasty experience below the knee - cryoplasty Andreas Giannopoulos Experience from the endovascular repair of popliteal artery aneurysms Petros Chatzigakis

SCIENTIFIC PROGRAMME FRIDAY MAY 4 2012 9 Experience from splanchnic artery stenosis Ilias Dalainas 16:30 17:00 17:00 18:00 COFFEE BREAK SESSION 4: VASCULAR SURGERY STATE-OF-THE-ART LECTURE AND DISCUSSION Chairman: Dimitrios Kiskinis Dieter Raithel 18:00 21:00 18:00 18:30 18:30 19:30 OFFICIAL OPENING CEREMONY OF THE CONFERENCE Welcome Addresses Dimitrios Kiskinis LECTURES The history of the First Surgical Department Spyros Miliaras The Apostles. The history of the Last Supper in the Art Miltiadis Papanikolaou 19:30 21:00 Cocktail Reception

10 SCIENTIFIC PROGRAMME SATURDAY MAY 5 2012 09:00 11:00 SESSION 5: VASCULAR SURGERY ROUND TABLE: Aortic Aneurysms Chairmen: Dimitrios Kiskinis Miltiadis Lazaridis Commentator: Ioannis Lazaridis Indications for endovascular repair of AAA Thomas Kotsis Endovascular device choice Christos Verikokos Complications of endovascular approach Aggelos Megalopoulos Thoracoabdominal aneurysm management Hybrid technique Kyriakos Ktenidis Thoracoabdominal aneurysm management Fenestrated Theodossios Perdikidis Ruptured AAA Konstantinos Papazoglou Aortoenteric fistulas Stavros Kakkos Mutlilayer stent Ioannis Lazaridis Excluder stent graft Ioannis Tsolakis Stent-graft Endurant Chrysostomos Maltezos Stent graft Anaconda Nikolaos Saratzis Attachment methods for endovascular stents Nikolaos Melas

SCIENTIFIC PROGRAMME SATURDAY MAY 5 2012 11 Endologix stent graft Kyriakos Ktenidis Zenith stent graft Prodromos Papapavlou 11:00 11:15 11:15 11:30 11:30 12:30 COFFEE BREAK INTERNATIONAL COLLEGE OF SURGEONS PRESENTATION George Tsoulfas STATE-OF-THE-ART LECTURE AND DISCUSSION Chairmen: Dimitris Kiskinis Costantine Spanos Fistula-in-Ano: from John Arderne to 2012 Stanley Goldberg 12:30 14:00 SESSION 6: GENERAL SURGERY ROUND TABLE: Laparoscopic Surgery Chairperson: Emmanuel Leandros 12:30 12:50 12:50 13:10 13:10 13:30 13:30 13:50 13:50 14:00 14:00 15:00 Role of laparoscopy in colorectal surgery Andreas Kaiser Role of surgery in the obesity epidemic Scott Shikora Single incision colectomy: is there any advantage other than cosmesis? W.L. Law Complications in laparoscopic surgery Carol Scott- Conner Commentator: Kleanthis Giannoulis Discussion LIGHT LUNCH BREAK

12 SCIENTIFIC PROGRAMME SATURDAY MAY 5 2012 15:00 16:30 SESSION 7: VASCULAR SURGERY ROUND TABLE: Other topics Chairmen: Athanasios Giannoukas Christos Gitas Commentator: Asterios Katsamouris Endovenous therapy RF- LASER Athanasios Giannoukas Traumatic vascular lesions Chrysostomos Maltezos Vascular access in renal failure patients Vassilis Andrikopoulos Vascular surgery contribution to oncology Nikos Bessias Hemodynamic testing Asterios Katsamouris Experience from the use of endovenous treatment methods in the management of varices Dimitrios Christodoulakis Experience from popliteal artery injury in knee dislocation George Georgiadis Experience from the use of permanent endocardiac hemodialysis catheters John Angelakas Management of patients with renal cell cancer extension into the renal vein Konstantinos Dervissis Superior Vena Cava syndrome endovascular management Athanasios Lioupis Popliteal artery entratpment syndrome Konstantinos Gkouvas

SCIENTIFIC PROGRAMME SATURDAY MAY 5 2012 13 16:30 17:00 COFFEE BREAK 17:00 17:30 17:30 19:00 INTERNATIONAL COLLEGE OF SURGEONS GREEK CHAPTER MEETING SESSION 8: GENERAL SURGERY ROUND TABLE: Future challenges in Surgical Education Chairperson: Konstantinos Simopoulos 17:30 17:50 17:50 18:10 18:10 18:30 18:30 19:00 The OR of the future W.L. Law The triple threat surgeon: is that still feasible? J. F. Fung The liver surgeon in the molecular and technology age Yuman Fong Commentator: George Tsoulfas Discussion 19:30 CLOSING REMARKS Adjustment and end of the Conference

14 GENERAL INFORMATION i LOCATION OF THE CONFERENCE Thessaloniki Thessaloniki is the second major economic, industrial, commercial and political centre in Greece with a population of 1,200,000 inhabitants. It is one of the oldest cities in Europe, founded in about 315 B.C., on a site of old prehistoric settlements going back to 2300 B.C., by Cassander, King of Macedonia, and was named after his wife, Thessaloniki, sister of Alexander The Great. Since then, Thessaloniki has become the chief city of Macedonia and a major transportation hub for southeastern Europe. Thessaloniki retains several Ottoman and Roman structures as well as a large number of Byzantine architectural monuments. Among them the Rotonda of St. George, the churches of St. Demetrius, Panagia Acheiropoietus, Aghia Sophia and the well-known White Tower. In addition to the Aristotle University of Thessaloniki, there are numerous institutions that contribute to the academic and cultural life of the city. Among them are the University of Macedonia, the Archaeological and Byzantine Museums, the Folklore Museum, the State Conservatory, Theatres and Orchestras, the Society of Macedonian Studies, the Institute of Balkan Studies and other cultural and artistic institutions. Papageorgiou Hospital Thessaloniki Ring Road, 56429 N. Efkarpia Thessaloniki, GREECE Tel.: 0030 2313 323000 Papageorgiou General Hospital has a wide range of clinics, including pathology and surgery, cardiology and heart surgery, neurology and neurosurgery, and orthopaedics. It also has an outpatient clinic with 60 consulting rooms, in all the specialities, and the capacity to deal with 1,200 patients per day and 300,000 per year.

i GENERAL INFORMATION 15 SECRETARIAT THESIS Marketing- Public Relations 6, Stratigou Kallari Str., 54622 Thessaloniki, Greece Tel.: 0030 2310 265 898 / 238 296 Fax.: 0030 2310 240 669 Email: thesis@thesis-pr.com www.thesis-pr.com LANGUAGE The official language of the Conference is English and Greek. EXHIBITION The sponsor companies form the focal point of the Conference with an exhibition of pharmaceutical products, medical devices and books. The commercial exhibition takes place next to the Conference Hall where space is limited and those interested should reserve a space as soon as possible. For further information, please contact the Secretariat of the Conference. NAME BADGES Delegates and accompanying persons are obliged to wear the official Conference name badges on all occasions, at the location of the Conference. CERTIFICATES OF ATTEDANCE Certificates of Attendance will be issued to all registered delegates by the Secretariat of the Conference. TECHNICAL EQUIPMENT The Conference Hall is equipped with data projectors as well as PCs for speakers needs. Speakers are kindly requested to use English language, check and deliver their presentation to the Technical Secretariat of the Conference, at least one hour before their scheduled presentation. WEBSITE The website of the conference is updated on a regular basis and gives the latest details on the Scientific Programme and other useful information. www.thesis-pr.com REGISTRATION Registration to attend the Conference is free.