02.08.2013 Views

pharmanews - μ. πιτσιλιδης α.ε.

pharmanews - μ. πιτσιλιδης α.ε.

pharmanews - μ. πιτσιλιδης α.ε.

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

ΣΥΝΕΝΤΕΥΞΗ<br />

Τ<strong>α</strong> τ<strong>ε</strong>λ<strong>ε</strong>υτ<strong>α</strong>ί<strong>α</strong> τέσσ<strong>ε</strong>ρ<strong>α</strong> χρόνι<strong>α</strong> έχ<strong>ε</strong>ι πρ<strong>α</strong>γ<strong>μ</strong><strong>α</strong>τοποιήσ<strong>ε</strong>ι π<strong>ε</strong>ρισσότ<strong>ε</strong>ρ<strong>ε</strong>ς <strong>α</strong>πό 5.000 <strong>ε</strong>π<strong>ε</strong><strong>μ</strong>βάσ<strong>ε</strong>ις<br />

<strong>α</strong>φ<strong>α</strong>ίρ<strong>ε</strong>σης θυρ<strong>ε</strong>ο<strong>ε</strong>ιδούς <strong>ε</strong>φ<strong>α</strong>ρ<strong>μ</strong>όζοντ<strong>α</strong>ς <strong>μ</strong>ι<strong>α</strong> δική του <strong>μ</strong>έθοδο <strong>ε</strong>λάχιστ<strong>α</strong> <strong>ε</strong>π<strong>ε</strong><strong>μ</strong>β<strong>α</strong>τικής<br />

θυρ<strong>ε</strong>ο<strong>ε</strong>ιδ<strong>ε</strong>κτο<strong>μ</strong>ής. Ανήσυχος, χωρίς ν<strong>α</strong> <strong>ε</strong>π<strong>α</strong>ν<strong>α</strong>π<strong>α</strong>ύ<strong>ε</strong>τ<strong>α</strong>ι στιγ<strong>μ</strong>ή, δ<strong>ε</strong>ν π<strong>α</strong>ύ<strong>ε</strong>ι ν<strong>α</strong> πρωτοπορ<strong>ε</strong>ί<br />

στον το<strong>μ</strong>έ<strong>α</strong> της λ<strong>α</strong>π<strong>α</strong>ροσκοπικής χ<strong>ε</strong>ιρουργικής. Ειδικός στην <strong>ε</strong>νδοκρινολογική κ<strong>α</strong>ι λ<strong>α</strong>π<strong>α</strong>ροσκοπική<br />

χ<strong>ε</strong>ιρουργική, τη χ<strong>ε</strong>ιρουργική ογκολογί<strong>α</strong>, τη χ<strong>ε</strong>ιρουργική του <strong>μ</strong><strong>α</strong>στού κ<strong>α</strong>ι τη<br />

χ<strong>ε</strong>ιρουργική π<strong>α</strong>χυσ<strong>α</strong>ρκί<strong>α</strong>ς, ο Επ. Κ<strong>α</strong>θηγητής Χ<strong>ε</strong>ιρουργικής του Π<strong>α</strong>ν<strong>ε</strong>πιστη<strong>μ</strong>ίου Αθηνών<br />

κ. Δη<strong>μ</strong>ήτρης Λινός πρ<strong>α</strong>γ<strong>μ</strong><strong>α</strong>τοποίησ<strong>ε</strong> πρόσφ<strong>α</strong>τ<strong>α</strong> τις πρώτ<strong>ε</strong>ς στην Ελλάδ<strong>α</strong> ρο<strong>μ</strong>ποτικά υποβοηθού<strong>μ</strong><strong>ε</strong>ν<strong>ε</strong>ς<br />

θυρ<strong>ε</strong>ο<strong>ε</strong>ιδ<strong>ε</strong>κτο<strong>μ</strong>ές χωρίς το<strong>μ</strong>ή στο λ<strong>α</strong>ι<strong>μ</strong>ό, <strong>α</strong>φ<strong>α</strong>ιρώντ<strong>α</strong>ς τους όζους όγκους<br />

ή κ<strong>α</strong>ι ολόκληρο τον <strong>α</strong>δέν<strong>α</strong>, <strong>α</strong>πό τη <strong>μ</strong><strong>α</strong>σχάλη.<br />

Συνέντ<strong>ε</strong>υξη<br />

στη Ν<strong>ε</strong>κτ<strong>α</strong>ρί<strong>α</strong> Κ<strong>α</strong>ρ<strong>α</strong>κώστ<strong>α</strong><br />

Κύρι<strong>ε</strong> Λινέ, ποι<strong>α</strong> <strong>ε</strong>ίν<strong>α</strong>ι η θέση της λ<strong>α</strong>π<strong>α</strong>ροσκοπικής<br />

χ<strong>ε</strong>ιρουργικής στην θυρ<strong>ε</strong>ο<strong>ε</strong>ιδ<strong>ε</strong>κτο<strong>μ</strong>ή;<br />

Η κλ<strong>α</strong>σική το<strong>μ</strong>ή της θυρ<strong>ε</strong>ο<strong>ε</strong>ιδ<strong>ε</strong>κτο<strong>μ</strong>ής,<br />

την οποί<strong>α</strong> πρ<strong>α</strong>γ<strong>μ</strong><strong>α</strong>τοποιού<strong>μ</strong><strong>ε</strong> <strong>ε</strong>δώ κ<strong>α</strong>ι<br />

π<strong>ε</strong>ρίπου 100 χρόνι<strong>α</strong> (το<strong>μ</strong>ή Kocher),<br />

προϋποθέτ<strong>ε</strong>ι <strong>μ</strong>ι<strong>α</strong> το<strong>μ</strong>ή 8-10 <strong>ε</strong>κ<strong>α</strong>τοστών,<br />

δύο πόντους πάνω <strong>α</strong>πό την στ<strong>ε</strong>ρνική<br />

λ<strong>α</strong>κκούβ<strong>α</strong>. Εύλογο ήτ<strong>α</strong>ν λοιπόν, ότ<strong>α</strong>ν<br />

το 1990 ξ<strong>ε</strong>κίνησ<strong>ε</strong> η λ<strong>α</strong>π<strong>α</strong>ροσκοπική χ<strong>ε</strong>ιρουργική,<br />

ν<strong>α</strong> γίν<strong>ε</strong>ι προσπάθ<strong>ε</strong>ι<strong>α</strong> ώστ<strong>ε</strong><br />

ν<strong>α</strong> κ<strong>α</strong>λυφθ<strong>ε</strong>ί <strong>ε</strong>νδοσκοπικά κ<strong>α</strong>ι η <strong>α</strong>φ<strong>α</strong>ίρ<strong>ε</strong>ση<br />

του θυρ<strong>ε</strong>ο<strong>ε</strong>ιδούς.<br />

Έγιν<strong>ε</strong>, λοιπόν, προσπάθ<strong>ε</strong>ι<strong>α</strong> ν<strong>α</strong> <strong>α</strong>φ<strong>α</strong>ιρ<strong>ε</strong>θ<strong>ε</strong>ί<br />

ο θυρ<strong>ε</strong>ο<strong>ε</strong>ιδής <strong>ε</strong>νδοσκοπικά, <strong>μ</strong><strong>ε</strong> πολλ<strong>α</strong>πλές<br />

το<strong>μ</strong>ές στο λ<strong>α</strong>ι<strong>μ</strong>ό, δηλ<strong>α</strong>δή <strong>μ</strong><strong>ε</strong> 3-<br />

4 ση<strong>μ</strong><strong>ε</strong>ί<strong>α</strong> <strong>ε</strong>ισόδου των τροκάρ. Το<br />

συνολικό <strong>α</strong>ισθητικό <strong>α</strong>ποτέλ<strong>ε</strong>σ<strong>μ</strong><strong>α</strong> ό<strong>μ</strong>ως<br />

ήτ<strong>α</strong>ν <strong>α</strong>πογοητ<strong>ε</strong>υτικό. Η κάκωση ήτ<strong>α</strong>ν<br />

πολύ <strong>μ</strong><strong>ε</strong>γ<strong>α</strong>λύτ<strong>ε</strong>ρη <strong>α</strong>πό ό,τι <strong>μ</strong><strong>ε</strong> τη <strong>μ</strong>ί<strong>α</strong><br />

–<strong>μ</strong><strong>ε</strong>γάλη- το<strong>μ</strong>ή. Έτσι, η λ<strong>α</strong>π<strong>α</strong>ροσκοπική<br />

προσέγγιση στη θυρ<strong>ε</strong>ο<strong>ε</strong>ιδ<strong>ε</strong>κτο<strong>μ</strong>ή,<br />

γρήγορ<strong>α</strong> <strong>ε</strong>γκ<strong>α</strong>τ<strong>α</strong>λ<strong>ε</strong>ίφθηκ<strong>ε</strong>.<br />

Δέκ<strong>α</strong> χρόνι<strong>α</strong> <strong>α</strong>ργότ<strong>ε</strong>ρ<strong>α</strong> (στ<strong>α</strong> τέλη της<br />

δ<strong>ε</strong>κ<strong>α</strong><strong>ε</strong>τί<strong>α</strong>ς του 1990), έν<strong>α</strong>ς Ιτ<strong>α</strong>λός χ<strong>ε</strong>ιρουργός<br />

ήλθ<strong>ε</strong> ν<strong>α</strong> <strong>ε</strong>γκ<strong>α</strong>ινιάσ<strong>ε</strong>ι <strong>μ</strong>ί<strong>α</strong> προσπέλ<strong>α</strong>ση<br />

που ονο<strong>μ</strong>άστηκ<strong>ε</strong> video assisted<br />

minimally invasive thyroidectomy (MIVAT<br />

= <strong>ε</strong>λάχιστ<strong>α</strong> <strong>ε</strong>π<strong>ε</strong><strong>μ</strong>β<strong>α</strong>τική θυρ<strong>ε</strong>ο<strong>ε</strong>ιδ<strong>ε</strong>κτο<strong>μ</strong>ή<br />

υποβοηθού<strong>μ</strong><strong>ε</strong>νη <strong>α</strong>πό βίντ<strong>ε</strong>ο). Αυτός<br />

ξ<strong>ε</strong>κινούσ<strong>ε</strong> <strong>μ</strong><strong>ε</strong> <strong>μ</strong>ι<strong>α</strong> <strong>μ</strong>ικρότ<strong>ε</strong>ρη το<strong>μ</strong>ή 2,5<br />

<strong>ε</strong>κ<strong>α</strong>τοστών χ<strong>α</strong><strong>μ</strong>ηλά στο λ<strong>α</strong>ι<strong>μ</strong>ό, δη<strong>μ</strong>ιουργούσ<strong>ε</strong><br />

χώρο <strong>μ</strong><strong>ε</strong> τη βοήθ<strong>ε</strong>ι<strong>α</strong> του <strong>ε</strong>νδοσκοπίου<br />

κι έφτ<strong>α</strong>ν<strong>ε</strong> ψηλά στο θυρ<strong>ε</strong>ο<strong>ε</strong>ιδή<br />

όπου κάνοντ<strong>α</strong>ς χρήση δι<strong>α</strong>θ<strong>ε</strong>ρ<strong>μ</strong>ί<strong>α</strong>ς<br />

έκοβ<strong>ε</strong> κι <strong>ε</strong>λ<strong>ε</strong>υθέρων<strong>ε</strong> τον άνω πόλο κ<strong>α</strong>ι<br />

συνέχιζ<strong>ε</strong> <strong>α</strong>νοιχτά.<br />

Η συγκ<strong>ε</strong>κρι<strong>μ</strong>ένη προσέγγιση, <strong>μ</strong><strong>α</strong>ς έκ<strong>α</strong>ν<strong>ε</strong><br />

ν<strong>α</strong> <strong>ε</strong><strong>μ</strong>πν<strong>ε</strong>υστού<strong>μ</strong><strong>ε</strong>, πριν <strong>α</strong>πό 4 χρόνι<strong>α</strong>,<br />

<strong>α</strong>ντί ν<strong>α</strong> κάνου<strong>μ</strong><strong>ε</strong> την το<strong>μ</strong>ή χ<strong>α</strong><strong>μ</strong>ηλά,<br />

ν<strong>α</strong> την κάνου<strong>μ</strong><strong>ε</strong> πιο ψηλά στο λ<strong>α</strong>ι<strong>μ</strong>ό,<br />

ώστ<strong>ε</strong> ν<strong>α</strong> προστ<strong>α</strong>τ<strong>ε</strong>ύσου<strong>μ</strong><strong>ε</strong> τ<strong>α</strong> άνω θυρ<strong>ε</strong>ο<strong>ε</strong>ιδικά<br />

στοιχ<strong>ε</strong>ί<strong>α</strong>, δηλ<strong>α</strong>δή τ<strong>α</strong> ν<strong>ε</strong>ύρ<strong>α</strong> κ<strong>α</strong>ι<br />

τους π<strong>α</strong>ρ<strong>α</strong>θυρ<strong>ε</strong>ο<strong>ε</strong>ιδικούς <strong>α</strong>δέν<strong>ε</strong>ς, <strong>α</strong>πό<br />

«Kάνοντ<strong>α</strong>ς την<br />

το<strong>μ</strong>ή ψηλά στο<br />

λ<strong>α</strong>ι<strong>μ</strong>ό, όπου υπάρχουν<br />

ρυτίδ<strong>ε</strong>ς, <strong>α</strong>υτή<br />

γίν<strong>ε</strong>τ<strong>α</strong>ι δύσκολ<strong>α</strong><br />

ορ<strong>α</strong>τή»<br />

τις δι<strong>α</strong>θ<strong>ε</strong>ρ<strong>μ</strong>ί<strong>ε</strong>ς. Κ<strong>α</strong>θώς χρησι<strong>μ</strong>οποιού<strong>μ</strong><strong>ε</strong><br />

ά<strong>μ</strong><strong>ε</strong>ση όρ<strong>α</strong>ση κ<strong>α</strong>ι πρόσβ<strong>α</strong>ση, δ<strong>ε</strong>ν<br />

χρησι<strong>μ</strong>οποιού<strong>μ</strong><strong>ε</strong> <strong>μ</strong>ηχ<strong>α</strong>νή<strong>μ</strong><strong>α</strong>τ<strong>α</strong> που <strong>μ</strong><strong>ε</strong>τ<strong>α</strong>δίδουν<br />

θ<strong>ε</strong>ρ<strong>μ</strong>ότητ<strong>α</strong>, στ<strong>α</strong> <strong>ε</strong>πικίνδυν<strong>α</strong><br />

ση<strong>μ</strong><strong>ε</strong>ί<strong>α</strong>, άρ<strong>α</strong> ο κίνδυνος ν<strong>α</strong> κ<strong>α</strong><strong>ε</strong>ί προσωρινά<br />

ή <strong>μ</strong>όνι<strong>μ</strong><strong>α</strong> το π<strong>α</strong>λίνδρο<strong>μ</strong>ο λ<strong>α</strong>ρυγγικό<br />

ν<strong>ε</strong>ύρο κ<strong>α</strong>ι τ<strong>α</strong> π<strong>α</strong>ρ<strong>α</strong>θυρ<strong>ε</strong>ο<strong>ε</strong>ιδή π<strong>ε</strong>ριορίζ<strong>ε</strong>τ<strong>α</strong>ι<br />

ση<strong>μ</strong><strong>α</strong>ντικά. Έτσι, κ<strong>α</strong>τ<strong>α</strong>γράφου<strong>μ</strong><strong>ε</strong><br />

<strong>ε</strong>λάχιστ<strong>ε</strong>ς <strong>ε</strong>πιπλοκές, σχ<strong>ε</strong>δόν <strong>μ</strong>ηδ<strong>α</strong><strong>μ</strong>ινές.<br />

Τ<strong>α</strong> ποσοστά των <strong>ε</strong>πιπλοκών <strong>ε</strong>ίν<strong>α</strong>ι<br />

<strong>μ</strong>ικρότ<strong>ε</strong>ρ<strong>α</strong> του 0,8% γι<strong>α</strong> την κάκωση<br />

των π<strong>α</strong>λίνδρο<strong>μ</strong>ων λ<strong>α</strong>ρυγγικών ν<strong>ε</strong>ύρων<br />

κ<strong>α</strong>ι 0% γι<strong>α</strong> <strong>μ</strong>όνι<strong>μ</strong>η υπο<strong>α</strong>σβ<strong>α</strong>ιστί<strong>α</strong>. Αυτήν<br />

την <strong>μ</strong>έθοδο την ονο<strong>μ</strong>άσ<strong>α</strong><strong>μ</strong><strong>ε</strong> <strong>ε</strong>λάχιστ<strong>α</strong><br />

<strong>ε</strong>π<strong>ε</strong><strong>μ</strong>β<strong>α</strong>τική θυρ<strong>ε</strong>ο<strong>ε</strong>ιδ<strong>ε</strong>κτο<strong>μ</strong>ή.<br />

Έν<strong>α</strong> <strong>α</strong>κό<strong>μ</strong>η πλ<strong>ε</strong>ονέκτη<strong>μ</strong><strong>α</strong> της <strong>μ</strong><strong>ε</strong>θόδου<br />

<strong>ε</strong>ίν<strong>α</strong>ι πως, κάνοντ<strong>α</strong>ς την το<strong>μ</strong>ή ψηλά στο<br />

λ<strong>α</strong>ι<strong>μ</strong>ό, όπου υπάρχουν ρυτίδ<strong>ε</strong>ς, <strong>α</strong>υτή<br />

γίν<strong>ε</strong>τ<strong>α</strong>ι δύσκολ<strong>α</strong> ορ<strong>α</strong>τή.<br />

Δ<strong>ε</strong>δο<strong>μ</strong>ένων των πολύ κ<strong>α</strong>λών <strong>α</strong>ποτ<strong>ε</strong>λ<strong>ε</strong>σ<strong>μ</strong>άτων<br />

<strong>α</strong>υτής της <strong>μ</strong><strong>ε</strong>θόδου, τι ν<strong>ε</strong>ότ<strong>ε</strong>ρο<br />

έρχ<strong>ε</strong>τ<strong>α</strong>ι ν<strong>α</strong> προσφέρ<strong>ε</strong>ι η ρο<strong>μ</strong>ποτικά<br />

υποβοηθού<strong>μ</strong><strong>ε</strong>νη θυρ<strong>ε</strong>ο<strong>ε</strong>ιδ<strong>ε</strong>κτο<strong>μ</strong>ή,<br />

που πρόσφ<strong>α</strong>τ<strong>α</strong> δοκι<strong>μ</strong>άσ<strong>α</strong>τ<strong>ε</strong>;<br />

Η νέ<strong>α</strong> ρο<strong>μ</strong>ποτική <strong>μ</strong>έθοδος, στην οποί<strong>α</strong><br />

η πρόσβ<strong>α</strong>ση κ<strong>α</strong>ι η <strong>α</strong>φ<strong>α</strong>ίρ<strong>ε</strong>ση του θυρ<strong>ε</strong>ο<strong>ε</strong>ιδούς<br />

γίν<strong>ε</strong>τ<strong>α</strong>ι <strong>α</strong>πό τη <strong>μ</strong><strong>α</strong>σχάλη, <strong>α</strong>π<strong>ε</strong>υθύν<strong>ε</strong>τ<strong>α</strong>ι<br />

σ<strong>ε</strong> έν<strong>α</strong> ποσοστό γυν<strong>α</strong>ικών κ<strong>α</strong>ι<br />

<strong>α</strong>νδρών στους οποίους, οποι<strong>α</strong>δήποτ<strong>ε</strong><br />

το<strong>μ</strong>ή, <strong>μ</strong>πορ<strong>ε</strong>ί ν<strong>α</strong> δη<strong>μ</strong>ιουργήσ<strong>ε</strong>ι <strong>α</strong>υτό<br />

που λέ<strong>μ</strong><strong>ε</strong> χηλο<strong>ε</strong>ιδής ουλή.<br />

Πρόκ<strong>ε</strong>ιτ<strong>α</strong>ι γι<strong>α</strong> π<strong>ε</strong>ριπτώσ<strong>ε</strong>ις <strong>α</strong>σθ<strong>ε</strong>νών,<br />

στους οποίους η το<strong>μ</strong>ή δ<strong>ε</strong>ν κλ<strong>ε</strong>ίν<strong>ε</strong>ι ο<strong>μ</strong><strong>α</strong>λά,<br />

<strong>α</strong>λλά η κ<strong>ε</strong>ρ<strong>α</strong>τίνη συν<strong>ε</strong>χίζ<strong>ε</strong>ι την π<strong>α</strong>ρ<strong>α</strong>γωγή<br />

της, φτιάχνοντ<strong>α</strong>ς έν<strong>α</strong>ν λόφο, <strong>μ</strong>ι<strong>α</strong><br />

άσχη<strong>μ</strong>η κόκκινη το<strong>μ</strong>ή.<br />

Αν σκ<strong>ε</strong>φθ<strong>ε</strong>ί το ση<strong>μ</strong><strong>ε</strong>ίο στο οποίο γίν<strong>ε</strong>τ<strong>α</strong>ι<br />

η το<strong>μ</strong>ή γι<strong>α</strong> τη θυρ<strong>ε</strong>ο<strong>ε</strong>ιδ<strong>ε</strong>κτο<strong>μ</strong>ή, το<br />

ν<strong>α</strong> έχ<strong>ε</strong>ι ο <strong>α</strong>σθ<strong>ε</strong>νής, <strong>ε</strong>φ’ όρου ζωής <strong>μ</strong>προστά<br />

του <strong>μ</strong>ι<strong>α</strong> άσχη<strong>μ</strong>η ουλή, κ<strong>α</strong>ι <strong>μ</strong>άλιστ<strong>α</strong><br />

γι<strong>α</strong> ν<strong>α</strong> <strong>α</strong>ντι<strong>μ</strong><strong>ε</strong>τωπίσ<strong>ε</strong>ι <strong>μ</strong>ι<strong>α</strong> κ<strong>α</strong>λοήθη νόσο,<br />

<strong>ε</strong>ίν<strong>α</strong>ι έν<strong>α</strong> σοβ<strong>α</strong>ρό πρόβλη<strong>μ</strong><strong>α</strong>, τόσο<br />

<strong>α</strong>ισθητικό όσο κ<strong>α</strong>ι ψυχολογικό.<br />

Έτσι, <strong>ε</strong>δώ κ<strong>α</strong>ι 6 <strong>μ</strong>ήν<strong>ε</strong>ς, <strong>α</strong>ποφ<strong>α</strong>σίσ<strong>α</strong><strong>μ</strong><strong>ε</strong><br />

ν<strong>α</strong> <strong>ε</strong>φ<strong>α</strong>ρ<strong>μ</strong>όσου<strong>μ</strong><strong>ε</strong> <strong>α</strong>υτό που κάνουν δύο<br />

χ<strong>ε</strong>ιρουργοί στην Σ<strong>ε</strong>ούλ, <strong>α</strong>φ<strong>α</strong>ίρ<strong>ε</strong>ση του<br />

θυρ<strong>ε</strong>ο<strong>ε</strong>ιδούς, χωρίς κ<strong>α</strong>θόλου το<strong>μ</strong>ή στο<br />

λ<strong>α</strong>ι<strong>μ</strong>ό (scarless in the neck thyroidectomy),<br />

<strong>μ</strong><strong>ε</strong> το<strong>μ</strong>ές στη <strong>μ</strong><strong>α</strong>σχάλη. Βέβ<strong>α</strong>ι<strong>α</strong>, θ<strong>α</strong> πρέπ<strong>ε</strong>ι<br />

ν<strong>α</strong> ξ<strong>ε</strong>κ<strong>α</strong>θ<strong>α</strong>ρίσου<strong>μ</strong><strong>ε</strong> ότι <strong>α</strong>υτό δ<strong>ε</strong>ν συνιστά<br />

<strong>ε</strong>λάχιστ<strong>α</strong> <strong>ε</strong>π<strong>ε</strong><strong>μ</strong>β<strong>α</strong>τική χ<strong>ε</strong>ιρουργική<br />

(minimally invasive) <strong>α</strong>λλά maximal χ<strong>ε</strong>ιρουργική.<br />

Η <strong>ε</strong>πέ<strong>μ</strong>β<strong>α</strong>ση π<strong>ε</strong>ριλ<strong>α</strong><strong>μ</strong>βάν<strong>ε</strong>ι τη δη<strong>μ</strong>ιουργί<strong>α</strong><br />

<strong>μ</strong>ι<strong>α</strong>ς το<strong>μ</strong>ής 5-7 <strong>ε</strong>κ. στη <strong>μ</strong><strong>α</strong>σχάλη<br />

που <strong>ε</strong>π<strong>ε</strong>κτ<strong>ε</strong>ίν<strong>ε</strong>τ<strong>α</strong>ι προοδ<strong>ε</strong>υτικά στη δη<strong>μ</strong>ιουργί<strong>α</strong><br />

<strong>ε</strong>νός «τούν<strong>ε</strong>λ» <strong>μ</strong>έχρι το λ<strong>α</strong>ι<strong>μ</strong>ό<br />

κ<strong>α</strong>ι το θυρ<strong>ε</strong>ο<strong>ε</strong>ιδή. Στο τούν<strong>ε</strong>λ <strong>α</strong>υτό τοποθ<strong>ε</strong>τούντ<strong>α</strong>ι<br />

τ<strong>α</strong> τρί<strong>α</strong> λ<strong>ε</strong>ιτουργικά άκρ<strong>α</strong><br />

PHARMANEWS > ΣΕΠΤΕΜΒΡΙΟΣ 2010 > ΤΕΥΧΟΣ 196<br />

49

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!