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Dr Panayiotis Hadjicostas

SICU Specialist
  • 5.0/5
  • 7035 view(s)

Dr. Panayiotis Hadjicostas MD, PhD, FACS

Δρ. Χατζηκώστας Τρ. Παναγιώτης MD, PhD, FACS MD, PhD, FACS


 

Consultant General and Hepatobiliary & Pancreatic Surgeon

Advanced Laparoscopic & Bariatric Surgery | SICU Specialist

Experienced in Complex Surgical Oncology & Re-Operative Abdominal Surgery

RFAblation & Nanoknife Treatment in Pancreatic Cancer (Unresectable & Locally Advanced)


 

Dr. Hadjicostas is a Consultant General - Liver / Pancreas (HPB) and Advanced Laparoscopic & Bariatric Surgeon experienced in new techniques and the use of new technology in Surgical Oncology, Liver and Pancreas Surgery, Surgical ICU and Transplantation Surgery. 

 

Dr. Hadjicostas has multi-years experience (23) in the Cyprus Ministry of Health - Nicosia General Hospital and Larnaca General Hospital - with last position being the Director/Chairman of the Department of Surgery. One of the pioneers in the development and establishment of Liver and Pancreas Surgery in Cyprus.

 

He was the first who developed the Liver Tumor Destruction Program (Radiofrequency Ablation-RFA) on a national basis (2004-2012). As an expert general surgeon Nicosia, he has teaching and training experience with Surgical Residents, Junior Doctors and Medical Students.

 

He is a National Representative of Cyprus in European Union in Organ Donation and Transplantation (2010-2017), with extensive and continuous training and learning in hospitals in the USA and UK.

 

  • Χειρουργική Ογκολογία / Χειρουργική και ΜεταμοσχεύσειςΉπατος / Χειρουργική Παγκρέατος
  • Λαπαροσκοπική & Βαριατρική (Παχυσαρκίας) Χειρουργική
  • Τέως Διευθυντής Χειρουργικής & Β.Διευθυντής στα Γ.Ν.Λάρνακας & Λευκωσίας

 

  1. Διδάκτωρ Πανεπιστημίου Αθηνών
  2. Fellow of the American College of Surgeons
  3. Fellow of the (American) Society of Surgical Oncology
  4. Μember of the European Society of Surgical Oncology

 

Από τους πρωτοπόρους στην εισαγωγή και εφαρμογή της Νέας τεχνολογίας και Νέων Χειρουργικών μεθόδων κυρίως στην Χειρουργική | Ογκολογία.

 

Με εμπειρία 24 χρόνων στα Νοσοκομεία Λευκωσίας και Λάρνακας και 3,5 χρόνων ως Χειρουργός Μεταμοσχευτής στο ΠαρασκευαЇδειο Χειρουργικό και Μεταμοσχευτικό Κέντρο. Yπεύθυνος Χειρουργός της Χειρουργικής Μονάδας Εντατικής Θεραπείας (Surgical ICU) Γεν. Νοσοκομείου Λευκωσίας (1997 – 2006). Με εντολή και οδηγίες του Υπ.Υγείας, δημιουργεί και λειτουργεί το πρώτο Ιατρείο Παρακολούθησης Μεταμοσχευμένων Ήπατος σε παγκύπρια βάση(1996-2012).

 

Υπήρξε ο πρώτος που ανέπτυξε σέ εθνικό επίπεδο (2004- 2012) πρόγραμμα Καταστροφής Όγκων΄Hπατος (Ελάχιστα Eπεμβατική Mέθοδος / 75% χωρίς εγχείρηση/RFA-Radiofrequency Ablation). Αλλά και καταστροφή όγκων Παγκρέατος (Ανεγχείρητοι/τοπικά εκτεταμένοι). Σήμερα στό Ιπποκράτειο εφαρμόζεται η θεραπεία με RFA και μέ Nanoknife.

 

Ένας εκ των δύο Χειρουργών που για πρώτη φορά στην Κύπρο(1992) πραγματοποίησαν Παγκρεατεκτομή Whipple’s, για Καρκίνο Παγκρέατος και από τους κύριους πρωτεργάτες στην ανάπτυξη και εδραίωση τής Mείζονας Χειρουργικής Ήπατος στο Νοσοκομείο Λευκωσίας και Κύπρο.

 

Εξειδικεύτηκε και συνεχίζει να επισκέπτεται μεγάλα Ιατρικά Κέντρα κυρίως των ΗΠΑ και του Ηνωμένου Βασιλείου αλλά και Γερμανίας, ενώ έχει διδάξει και εκπαιδεύσει σειρές νέων γιατρών, Eιδικευόμενων Χειρουργών, νοσηλευτές, φοιτητές Ιατρικής και συνεχίζει.

 

Πρώην πρόεδρος της Χειρουργικής Εταιρείας Κύπρου (2010-2012) και Εθνικός αντιπρόσωπος της Κύπρου/Υπ. Υγείας στην Ε.Ε για θέματα Δωρεάς Οργάνων και Μεταμοσχεύσεων( 2010-2017). Μέλος πολλών Διεθνών Επιστημονικών Χειρουργικών Εταιρειών, έχει προσκληθεί ώς Ομιλητής σε Συνέδρια,και έχει παρουσιάσει δεκάδες εργασίες και Δημοσιεύσεις σε Συνέδρια και Διεθνή Ιατρικά Περιοδικά((Medical Journals).

 

Ειδικό ενδιαφέρον και εμπειρίες (Particular Interest & Expertise) στην διαχείριση:

- Δύσκολων (complex) καρκίνων του Γαστρεντερικού ( Ήπατος, Παγκρέατος, Στομάχου, Οισοφάγου, Παχέος Εντέρου/Ορθού, Περιτοναϊκή Καρκινωμάτωση κοιλίας & HIPEC/ Ψευδομύξωμα περιτοναίου) και Οπισθοπεριτοναϊκούς Ογκους (Σαρκώματα και όγκους Επινεφριδίων). Καρκίνος Μαστού και Μελάνωμα.

 

- Προχωρημένη Λαπαροσκοπική Χειρουργική ( Παχυσαρκία/Sleeve Gastrectomy.(Δημιουργεί και διευθύνει 2013-17 το μεγαλυτερο πρόγραμμα στη Κύπρο/ Γεν. Νος. Λάρνακας), Κήλες/TEP,TAPP, Διαφραγματοκήλη, Γαστροοισοφαγική Παλινδρόμηση, Αχαλασία Οισοφάγου, Επινεφριδεκτομές, Σπληνεκτομές Κολεκτομές ( οι πρώτες -reported- Λαπαροσκοπικές Ολικές Κολεκτομές για FAP στο τόπο μας), Ήπαρ/Παγκρεας, Χολοκυστεκτομές ,Σκωληκοειδεκτομές κ.α)

 

- Όλο το εύρος της Γεν. Χειρουργικής,(συμπεριλαμβανομένων Επανεπεμβάσεων και Επιπλοκών,Βαριές Περιτονίτιδες,Παγκρεατίτιδες (Abdominal Catastrophy), , Χειρουργική παχέως εντέρου-Εκκολπωματίτις,Ελκώδης Κολίτις, Ν.Crohn, FAP- και Χειρ/κή πρωκτού/Aιμορρόιδες HAL-RAR, Δυσκολα περιεδρικά συρίγγια, Ακράτεια). 

 

- Εξειδικευμένων επεμβάσεων Χοληφόρων ( Στενώσεις, Κακώσεις, Όγκοι).

 

- Χειρουργική Ενδοκρινών Αδένων(Θυρεοειδής. Παραθυρεοειδής, επινεφρίδεια) και Τραύματος. 

 

SPECIAL SERVICES & EXPERTISE

 

General Surgery 
  • Cholocystectomy (Laparoscopic) and Biliary Procedures
  • Bile Duct Injuries Recostruction
  • Acute  Pancreatitis./Necrotizing Pancreatitis
  • Chronic Pancreatitis
  • Acute Diverticulitis and Inflammatory Bowel Diseases IBD ( Ulcerative Colitis, Crohns Disease)/ Total Colectomies and Jejuno -Anal J Poutch.
  • Small Bowell and Colon Resection.
  • Reversion of Ileostomy and Colostomy
  • Spleenectomy (Open or Laparoscopic)
  • Acute Abdomen & Peritonitis
    • (Acute Appenticitis, Perforating Gastroduodenal Ulcer, The Difficult Duodenum, Perforated small bowel and colon/ Abdominal Catastrophy)
  • Benign Liver Diseases ( Echinococcus, Liver Cyst, Adenomas, Cirrhosis,,,Liver Biopsy Open, Laparoscopic and Percutaneous)
  • Portal Hypertension Surgery / Bleeding Oesophageal Varices
  • Complex Oncology Cases & Re-Operation Abdominal Surgery
  • Abdominal wall Hernias (Open/ Laparoscopic)
  • Trauma and open abdomen management
  • Endocrine Surgery (nerve stimulator assisting thyroidectomy, Thyroid Cancer, large retrosternal thyroid goitter resection, parathyroidectomy, large Adrenal tumors resection/enblock), Laparoscopic Adrenalectomy
  • Proctology
    • Hemorroids and Rectal Prolapse (HAL&RAR procedure), Difficult and Complex fistulas in ano., Pilonidal Sinus
  • Fissure in Ano. Lateral Partial Sphinctirotomy (Notaras’ Procedure)
  • Anal Sphincter reconstruction

 

Surgical Oncology
  • Major Liver and Pancreas Resection ,(Primary and Metastatic Liver Tumor , Cholangiocarcinoma, /Rt & Left Hepatectomy, Metastasectomy
  • Laparoscopic Liver Resection/ Liver Cyst
  • Pancreatic Cancer/ Tumor/ Insulinomas. (Pancreaticoduodenectomy/ Whipples’ Procedure, Total Pancreatectomy, Distal Pancreatectomy (Open or Laparoscopic)
  • Ampulectomy of Tumor/Cancer of Ampula of Vater
  • Radiofrequency Ablation -RFA(  Percutaneous, Laparoscopic, Percutaneous)and Naniknife treatment /Destruction of Liver and Pancreas Tumors (Unresectable and locally Advanced,
  • Oesophago-gastrectomies (Ivor Lewis procedure and Transhiatal Resections, Billroth II, Total Gastrectomies), for Gastric & Oesophageal Cancer
  • GIST ( Gastrointestinal Stromal Tumor)  Management /Resections
  • Advanced Colorectal Surgery/ Colectomies and Sphincter Preserving Procedures for low Rectal Cancer and Inflamatory Bowel Diseases( Ulcerative Colitis , Crohns Disease)., Laparoscopic Colectomy
  • Sarcoma /Retro-peritoneal Tumors
  • Melanoma Resection  and Radical Lymph Nodes Groin Dissections
  • Performance of HIPEC (Hyperthermic Intra-Peritoneal Chemotherapy) Surgery-the first reported case in Cyprus with Pseudomyxoma Peritonei.Peritonectomy, Abdominal Carcinomatosis. And Ovarian Cancer( in co- operation with Gynecologist).
  • Breast Cancer Surgery. (Sentinel Node, lumpectomy, Types of Mastectomy with or without Axillary Clearance or Sampling), Breast Reconstruction (in co operation with Plastic Surgeon)
  • Surgical Intensive Care Unit (SICU) Specialist and Trauma Surgery and Open Abdomen Management

 

Advanced Laparoscopic Surgery
  • Lap. Cholecystectomies, Laparoscopic Appendicectomies
  • Foregut Surgery(Obesity, GERD, Achalasia)
  • Bariatric (Morbid Obesity ) Surgery. Laparoscopic Sleeve Gastrectomy (The Largest program in Cyprus from 2013-2017
  • Gastroisophageal Reflex (GERD)and Hiatus Hernia - Laparoscopic Nissen Fundoplication
  • Achalasia - Laparoscopy Heller Myotomy and Dorr Fundoplication,
  • Laparoscopic Inguinal Hernias,( TEP, TAPP),Sportmans/athlets Hernia, Incissional,Hernia,
  • Laparoscopic Gastrectomy
  • Laparoscopic Spleenectomy and Laparoscopic Adrenalectomies, Laparoscopic Colectomies (Right, Sigmoidectomies, Low Anterior Resection, and  the first in Cyprus reported Laparoscopic Total Colectomies with J-Pouch (3 cases with FAP Familial Adenomatous Polyposis)

 

PUBLICATIONS & PRESENTATIONS

 

  • Took part in more than 85 announces / reports/lectures/abstracts& publications  in local and overseas medical congresses and medical  journals.
  • Invited Speaker  in overseas Surgical Congresses as an expert in Thermal Destruction (Radiofrequency Ablation) in Liver Tumors and Pancreatic Cancer.
  • European Congress of Hepato-Pancreato-Biliary Association (Heidelberg, May 2005, Germany)
  • German-Japanese Liver Surgical Club  (Celle, Dec. 2005, Germany)
  • Hellenic Surgical Congress and International Forum (Athens, Nov. 2006, Athens).
  1. Participation in European Survey (2006) on the Application of Vascular Occlusion in Liver Surgery (Department of Surgery , University Medical Center Utrecht, The Netherlands).
  2. Diploma of ATLS and DSTC in Trauma Surgery.
  3. Doctor in Charge the Liver Transplant Out-Patient clinic (patients transplanted abroad) on a national basis since April 1996 till today.
  4. Development of Liver Tumor destruction(ablation) program on a national basis (2004-2012 Nicosia Gen. Hospital).
  5. Member of the First time created National Committee of Transplants in Cyprus since 2007-2009 (appointed by the Minister of Health).
  6. National Representative(Focal Point) of Cyprus in European Committee on Organ Donation & Transplantation (2010-today).
  7. Consultant General , HPB Surgeon/ Advanced Laparoscopic and Bariatric Surgery/ SICU Specialist. HIPPOCRATEON PRIVATE HOSPITAL (Aug. 2017).

 

MEMBERSHIPS

  • Greek Association of Enteral and Parenteral Nutrition
  • International Association of Hepato-Pancreato-Biliary Surgery(IHPBA)
  • Surgical Society of Cyprus
  • European Society for Organ Transplantation (ESOT)
  • The Transplantation Society
  • European Liver Transplantation Association. (ELITA)
  • International Liver Transplantation Society (ILTS)
  • Fellow of American College of Surgeons (FACS)
  • Fellow of the Society of Surgical Oncology.(SSO)
  • Foundation Member of «the Greek Friends of Methodist Hospital» (Houston Texas, USA)
  • Cyprus Society of Intensive Care

Associated Hospitals / Clinics

Specialties

  • BARIATRIC SURGEON
  • BREAST SURGEON
  • GENERAL SURGEON
  • HEPATO-PANCREATO-BILIARY
  • INTENSIVE CARE
  • LAPAROSCOPIC SURGEON
  • SURGICAL ONCOLOGY

In-Network Insurance

  • GeSy (GHS)

Experience

  • Consultant General & HPB Surgeon/Advanced Laparoscopic & Bariatric Surgery/SICU.  (Oct, 2017 - Current)

    HIPPOCRATEON PRIVATE HOSPITAL Nicosia

  • Pre-Registration Training  (Jan, 1985 - Apr, 1986)

    Larnaca and Nicosia General Hospitals, Cyprus

  • Residency in General Surgery  (Jul, 1986 - Oct, 1991)

    Surgical University Clinic – Hippocration Hospital / Univ. Of Athens, Greece

  • Registrar in Surgical Department (Hepatobiliary) and Liver Transplantation Services  (Aug, 2020 - Aug, 2020)

    Kings College Hospital of London

  • taff Surgeon  (Aug, 1992 - Aug, 1995)

    Paraskevaidion Surgical and Transplantation Center

  • Staff Surgeon  (Aug, 1996 - Aug, 2020)

    Nicosia General Hospital (From 1997- Oct 2006 - The Surgeon in Charge the Surgical Intensive Care Unit –SICU-) In charge of the Liver Transplant Out patient Clinic on a National Base

  • Promotion as an Assosiate Director of Surgery  (Oct, 2007 - Current)

    Nicosia General Hospital

  • In charge of Surgical Department  (Aug, 2020 - Current)

    Larnaca General Hospital

  • Promotion as a Director and Chairman of Surgery  (May, 2015 - Current)

    Larnaca General Hospital

  • Scientific Clinical Fellow/Lecturer  (Aug, 2020 - Current)

    Medical School of European University, Cyprus

  • Director and Chairman, Department of Surgery  (Aug, 2020 - Oct, 2017)

    Larnaca General Hospital

  • Clinical surgical teaching to 4th and 6th year medical students  (Aug, 1986 - Aug, 1991)

    Hippocration University Hospital Athens

  • Clinical surgical teaching to 4th year medical students  (Aug, 1991 - Aug, 1992)

    Kings College Hospital, London UK

  • Teaching Surgery to Nursing School  (Aug, 1997 - Aug, 2020)

    Nicosia

  • Teaching Surgery to upgrading theatre and ICU nursing groups  (Aug, 1998 - Aug, 2020)

    Nursing School, Nicosia

  • Training pre-registration and residents in surgery  (Aug, 1996 - Current)

    Undefiend

  • Clinical Surgical Teaching to Medical Students   (Aug, 2020 - Current)

    Scientific Collaborator, European University Medical School, Nicosia

  • Director and Chairman of the Surgical Department  (May, 2015 - Oct, 2017)

    Larnaca General Hospital

  • Acting Director of the Surgical Department  (Oct, 2013 - May, 2015)

    Larnaca General Hospital

  • Assistant Director of the Surgical Department  (Aug, 2020 - Aug, 2020)

    Nicosia General Hospital

  • Nomination as a member  (Mar, 2007 - Aug, 2020)

    the National Commission of Transplant Donation

  • Participation in the organisation of the Informal Meeting of the Ministries of Health of the European Union with title Organ Donation And Transplantation in the European Union focus on «Living Related Transplantation» and Cross Border Collaboration in Exchange Organs» during the Cyprus Presidency of the Council  (Jul, 2012 - Current)

    the European Union

  • Director and Coordinator of Cyprus Government (Ministry of Health) for the program ACCORD joint action- «Achieving Comprehensive Coordination in Organ Donation throughout   (May, 2012 - May, 2015)

    European Union

  • Member of the Administrative Board   (Dec, 2019 - Dec, 2019)

    Larnaca General Hospital

Education

  • University of Athens  

  • University of Patras  

  • American College of Surgeon, (American) Society of Surgical Oncology  

  • Graduated Larnaca Lyceum (Department of Sciences – Excellent)   (Aug, 1977 - Current)

  • Medical Diploma/Ptychio Iatrikis  (Aug, 1977 - Aug, 1983)

    Medical School University of Patras, Greece

  • Dr. in National Guard   (Jan, 1984 - Mar, 1986)

    Cyprus

  • Pre-Registration Training  (Jan, 1985 - Apr, 1986)

    Larnaca and Nicosia Hospitals, Cyprus

  • Residency in General Surgery  (Jul, 1986 - Oct, 1991)

    the Surgical University Clinic – Hippocration Hospital / Univ. Of Athens, Greece

  • Scholarship/Visiting Fellow in Cardiothoracic and Vascular Surgery and Trauma Surgery   (Apr, 1990 - Jun, 1990)

    Baylor College of Medicine at Houston Medical Centre – Texas, USA

  • PhD  (Aug, 1992 - Current)

    Medical School of the University of Athens, Greece– Excellent

  • Registrar in Surgical Department ( Hepatobiliary and Liver Transplantation Services  (Aug, 2020 - Aug, 2020)

    Kings College Hospital of London

  • Scholarship in Liver Surgery& Transplantation  (Aug, 1993 - Current)

    Pittsburgh Transplantation Institute-UPMC-, USA / Duration 3 months

  • Staff Surgeon  (Aug, 1992 - Aug, 1995)

    Paraskevaidion Surgical and Transplantation Center

  • Staff Surgeon at Nicosia General Hospital   (Aug, 1997 - Oct, 2006)

    The Surgeon in Charge the Surgical Intensive Care Unit –SICU

  • Scholarship for Liver Surgery & Transplantation   (Aug, 2020 - Current)

    Denver, Colorado USA / Duration 2 months (Fulbright Commission)

  • Diploma of ATLS and DSTC  (Aug, 2020 - Current)

    Trauma Surgery

  • Fellow   (Aug, 2020 - Current)

    American College of Surgeons (FACS)

  • Specialist in Surgical ICU (Intensive Care Unit)/Recognition  (Aug, 2020 - Current)

    the Cyprus Medical Council

  • Promoted at the position of Associate Director of Surgical Dept  (Oct, 2007 - Current)

    Nicosia Gen. Hospital

  • Scholarship in Surgical Oncology ( New Development In Liver Surgery)  (Aug, 2020 - Current)

    Mass. Gen. Hospital (Harvard Medical School) & in MD Anderson Cancer Center (Houston Medical Center)./ Fulbright Comission./Duration 2 months

  • Elected as Active Member and Fellow of the (American)   (Aug, 2020 - Current)

    Society of Surgical Oncology (SSO)

  • President  (Aug, 2020 - Aug, 2020)

    the Surgical Society of Cyprus

  • National Representative of Cyprus in European  (Aug, 2020 - Current)

    Union on Organ Donation & Transplantation

  • Chief Department of Surgery  (Oct, 2012 - Aug, 2017)

    Larnaca Gen. Hospital

  • Visiting Surgeon in the Hepatobiliary& Transplantation Department of the Burnes  (Aug, 2020 - Current)

    Jewish Hospital at the Washington University at St. Louis (USA)

  • Visiting Surgeon in the Surgical Oncology Department  (Aug, 2020 - Current)

    John Hopkins Hospital Baltimore(USA)

  • Visiting Surgeon in the Surgical Oncology/HPB Department  (Aug, 2020 - Current)

    the Baylor/ St. Luke’s Hospital Houston Medical Center(USA).

  • Visiting Surgeon in the Department of Surgery (HPB & Organ Transplantation)  (Aug, 2020 - Current)

    Northwestern Memorial Hospital, Chicago, USA

  • Diploma of participation in the «Strategy for Education Program, Leadership and Managerial Development of Cyprus Public Service / Leadership Pulse»  

  • Diploma of participation in the «Strategy for Education Program, Leadership and Managerial Development of Cyprus Public Service / Leadership Pulse»  (Jan, 2015 - May, 2015)

    Cyprus Institute of Management & PWC, Nicosia

Honours & Awards

  • First rank in the Final Greek National Board Examinations in Surgery,Athens   (September 1, 1991)

  • PhD with the subject «Carcinoembryonic Antigent in Gastric Fluids in Patients with Gastric Disorders – Benign and Malignancies» - Excellent, University of Athens Medical School  (August 8, 1992)

  • First prize of best presentation with the subject «Carcinoembryonic Antigent (CEA) in gastric fluids in patients with Gastric Cancer» in Hellenic Surgical Congress, Athens  (August 8, 1992)

  • Scholarship from Alexandros Onasis Foundation in the subject «Surgery and Liver Transplantation»  (August 8, 1992)

  • Scholarship (3 month duration) from the Baylor College of Medicine in Houston Medical Centre   (August 8, 1990)

  • Fulbright Commission Scholarships in Medical Centers in USA (see above)   (August 8, 2020)

  • First prize of best presentation with the subject «Radiofrequency Ablation in Colorectal Liver Metastasis. The First Cyprus Experience» in the Greek-Cyprus Surgical Congress  (November 1, 2010)

2  Review(s)

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  • Reviewer

    Maria L.

    2 years ago

    Εξαιρετικός γιατρός και επιστήμονας!

  • Reviewer

    unnamed

    3 years ago

  • WE TAKE REVIEWS VERY SERIOUSLY AND DO NOT ALLOW ANY ABUSE. PLEASE PROVIDE ONLY TRUE INFORMATION. ANY ABUSIVE REVIEWS WILL NOT BE PUBLISHED.

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