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2014 Program and Abstracts

Embargo Policy
Studies scheduled for presentation at the American Surgical Association's 134th Annual Meeting, April 10-12, 2014, Boston, Massachusetts
The embargo on studies and their associated abstracts (including those posted online prior to the conference) scheduled for presentation at the American Surgical Association's 134th Annual Meeting, April 10-12, 2014, Boston, Massachusetts, is the date and time of each individual scientific presentation (not the beginning of the overall session in which it has been scheduled). News media activities are restricted until the embargo lifts. Any news media activity about a study and its associated abstract must include the following: "The complete manuscript of this study and its presentation at the American Surgical Association's 134th Annual Meeting, April 2014, in Boston, Massachusetts, is anticipated to be published in the Annals of Surgery pending editorial review."



THURSDAY, APRIL 10, 2014
8:15 AM
OPENING SESSION
Grand Ballroom E-F

President's Opening Remarks
Secretary's Welcome & Introduction of New Fellows Elected In 2013
President's Introduction of Honorary Fellows
Presentation of the Medallion for Scientific Achievement
Presentation of the Medallion for the Advancement of Surgical Care
Past President Eulogy
Report of the Committee on Arrangements
9:10 AM - 11:00 AM
SCIENTIFIC SESSION I
Grand Ballroom E-F

Moderator: Layton F. Rikkers, M.D.
9:10 AM - 9:35 AM 1. Lessons Learned from the Management of 10,000 Patients with Soft Tissue Sarcoma
Murray F Brennan, Cristina Antonescu*, Nicole Moraco*, Sam Singer
Memorial Sloan-Kettering Cancer Center, New York, NY
9:35 AM - 10:00 AM 2. Risks Of Recurrence And Emergency Surgery Following Non-operative Treatment Of Colonic Diverticulitis: A Population-based Competing Risk Analysis
Debbie Li*, Charles de Mestral*, Nancy N Baxter, Robin S McLeod, Rahim Moineddin*, Avery B Nathens
University of Toronto, Toronto, ON, Canada
10:00 AM - 10:25 AM 3. The Enteric Nervous System (ENS) Neuropeptide, Bombesin (BBS), Reverses Innate Immune Impairments during Parenteral Nutrition (PN)
Kenneth A Kudsk, Rebecca A Busch*, Aaron F Heneghan*, Joseph F Pierre*, Xinying Wang*
University of Wisconsin-Madison, Madison, WI
10:25 AM - 10:50 AM 4. The HYSLAR Trial: A Prospective Randomized Trial on the Use of a Restrictive Fluid Regimen with 3% Hypertonic Saline (HS) versus Lactated Ringers (LR) in Patients Undergoing Pancreaticoduodenectomy (PD)
Harish Lavu*, Naomi Sell*, Jordan Winter*, Timothy Carter*, David Maguire*, David Gratch*, Marian Feil*, Richard Berman*, Zvi Grunwald*, Benjamin Leiby*, Edward Pequignot*, Ernest Rosato*, Charles Yeo
Thomas Jefferson University, Philadelphia, PA
10:50 AM - 12:00 PM PRESIDENTIAL ADDRESS
10:50 AM - 11:00 AM Introduction of the President
Ronald J. Weigel, M.D.
11:00 AM - 12:00 PM Address by the President
Layton F. Rikkers, M.D.
1:30 PM - 5:15 PM
SCIENTIFIC SESSION II
Grand Ballroom E-F

Moderator: Anna M. Ledgerwood, M.D.
1:30 PM - 1:55 PM 5. Increased Trauma Center Volume is Associated with Improved Survival After Severe Injury: Results from a Resuscitation Outcomes Consortium (ROC) Study
Joseph P. Minei1, Timothy C Fabian2, Danielle M. Guffey*3, Craig Newgard*4, Eileen M. Bulger3, Karen J. Brasel5, Jason Sperry*6, Russell D MacDonald*7
1University of Texas Southwestern Medical Center, Dallas, TX;2University of Tennessee Health Science Center, Memphis, TN;3University of Washington, Seattle, WA;4Oregan Health and Science University, Portland, OR;5Medical College of Wisconsin, Milwaukee, WI;6University of Pittsburgh, Pittsburgh, PA;7University of Toronto, Toronto, ON, Canada
1:55 PM - 2:20 PM 6. Disease Severity Not Operative Approach Drives Organ Space Infection Following Pediatric Appendectomy
Fergal J Fleming*1, Kristin N Kelly*1, Christopher T Aquina*1, Christian P Probst*1, Katia Noyes*1, Walter Pegoli*2, John RT Monson1
1University of Rochester Medical Center, Surgical Health Outcomes and Research Enterprise, Rochester, NY;2University of Rochester Medical Center, Deptartment of Pediatric Surgery, Rochester, NY
2:20 PM - 2:45 PM 7. Primary Hyperparathyroidism with Negative Imaging: A Significant Clinical Problem
Heather Wachtel*, Edmund K. Bartlett*, Rachel R Kelz*, Isadora Cerullo*, Giorgos C Karakousis*, Douglas L Fraker
Hospital of the University of Pennsylvania, Philadelphia, PA
2:45 PM - 3:10 PM 8. Trainee Participation Affects Outcomes In Emergency General Surgery Procedures: An Analysis Of The Nsqip Database
George Kasotakis*, Aliya Lakha*, Beda Sarkar*, Hiroko Kunitake*, Nicole Kissane-Lee*, Tracey Dechert*, David McAneny*, Peter Burke*, Gerard Doherty
Boston University, Boston, MA
3:10 PM - 3:35 PM 9. Value of Intraoperative Neck Margin Analysis During Whipple for Pancreatic Adenocarcinoma: A Multicenter Analysis of 1399 Patients
David A Kooby*1, Neha L Lad*1, Malcolm H Squires, III*1, Shishir K Maithel*1, Sharon M Weber2, Emily R Winslow*2, David J Bentrem*3, Syed A Ahmad*4, Daniel E Abbott*4, Hong Jin Kim*5, Charles R Scoggins*6, Robert C Martin6, Alexander A Parikh*7, Yassar M Hashim*8, Nipun B Merchant7
1Division of Surgical Oncology, Winship Cancer Institute, Emory University, Atlanta, GA;2Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, WI;3Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL;4Department of Surgery, University of Cincinnati College of Medicine, Cincinnati, OH;5Department of Surgery, University of North Carolina School of Medicine, Chapel Hill, NC;6Division of Surgical Oncology, Department of Surgery, University of Louisville School of Medicine, Louisville, KY;7Department of Surgery, Vanderbilt University School of Medicine, Nashville, TN;8Department of Surgery, Washington University School of Medicine, St. Louis, MO
3:35 PM - 4:00 PM 10. Does Hospital Accreditation Matter for Bariatric Surgery?
John M Morton*1, Trit Garg*1, Ninh Nguyen2
1Stanford University, Stanford, CA;2University of California, Irvine, Irvine, CA
4:00 PM - 4:25 PM 11. Repair Of Extensive Aortic Aneurysm: A Single-center Experience With The Elephant Trunk Technique Over Two Decades
Hazim J Safi, Anthony L Estrera*, Charles C Miller, III*, Ali Azizzadeh*, Harleen K Sandhu*
University of Texas Health Science Center at Houston, Houston, TX
4:25 PM - 4:50 PM 12. Extrapleural Pneumonectomy in the Treatment of Epithelial Malignant Pleural Mesothelioma: Experience in 529 Patients
David Sugarbaker, William Richards*, Raphael Bueno
Brigham and Women's Hospital, Boston, MA
4:50 PM - 5:15 PM 13. Laser Resurfacing and Remodeling of Hypertrophic Burn Scars: The Results of a Large, Prospective, Before-After Cohort Study, with Long Term Follow-Up
Charles S Hultman, Jon S Friedstat*, Renee E Edkins*, Bruce A Cairns, Anthony A Meyer
University of North Carolina, Chapel Hill, NC
FRIDAY, APRIL 11, 2014
7:00 AM - 8:00 AM
ASA WOMEN IN SURGERY BREAKFAST
Salon B-C

8:00 AM - 10:30 AM
SCIENTIFIC SESSION III
Grand Ballroom E-F

Moderator: Layton F. Rikkers, M.D.
8:00 AM - 8:25 AM 14. Indications for Elective Colon Resection after Diverticulitis: A Report from the SCOAP Collaborative
Vlad V Simianu*1, Amir L Bastawrous*2, Richard P Billingham*2, Ellen T Farrokhi*3, Alessandro Fichera*1, Daniel O Herzig*4, Eric Johnson*5, Scott R Steele*5, Richard C Thirlby6, David R Flum1
1University of Washington, Seattle, WA;2Swedish Medical Center, Seattle, WA;3Surgical Care and Outcomes Assessment Program (SCOAP), Seattle, WA;4Oregon Health & Science University, Portland, OR;5Madigan Army Medical Center, Tacoma, WA;6Virginia Mason Medical Center, Seattle, WA
8:25 AM - 8:50 AM 15. Preoperative Methylprednisolone Enhances Recovery after Endovascular Aortic Repair
Louise de la Motte*, Henrik Kehlet, Katja Vogt*, Claus H Nielsen*, John Groenvall*, Henning B Nielsen*, Andreas Andersen*, Torben V Schroeder*, Lars Lönn*
Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark
8:50 AM - 9:15 AM 16. Market Competition Influences Renal Transplantation Risk and Outcomes
Joel T Adler*1, Rosh KV Sethi*2, Heidi Yeh*1, James F Markmann1, Louis L Nguyen*3
1Massachusetts General Hospital, Boston, MA;2Harvard Medical School, Boston, MA;3Brigham and Women's Hospital, Boston, MA
9:15 AM - 9:40 AM 17. Are Higher Hospital Venous Thromboembolism (VTE) Rates an Indicator of Better Quality? Evaluating the Validity of the Hospital VTE Quality Measure Using Clinical Data
Mila H Ju*1, Jeanette W. Chung*1, Christine V. Kinnier*1, David W. Baker*1, David J Bentrem*1, David M. Mahvi1, Clifford Y. Ko2, Karl Y. Bilimoria*1
1Northwestern University, Chicago, IL;2University of California, Los Angeles (UCLA), Los Angeles, CA
9:40 AM - 10:05 AM 18. Hospital Readmissions: Necessary Evil or Preventable Target For Quality Improvement
Erin G Brown*, Debra Burgess*, Richard J Bold
UC Davis, Sacramento, CA
10:05 AM - 10:30 AM 19. Is There A Relationship Between Patient Satisfaction And Favorable Surgical Outcomes?
Gregory Kennedy*, Sarah Tevis*, K. Craig Kent
University of Wisconsin, Madison, WI
10:30 AM - 12:00 PM
FORUM DISCUSSION
Grand Ballroom E-F

Quality: The Key to Surgery's Future
Moderator: Layton F. Rikkers, M.D.

"Measuring Quality"
David Hoyt, MD
Executive Director
American College of Surgeons
Chicago, IL


"Creating Quality within Systems"
David R. Flum, MD
University of Washington Medical Center
Seattle, WA

"Ensuring Quality at the Individual Level"
Mark A. Malangoni, MD
Associate Executive Director
American Board of Surgery
Philadelphia, PA

1:30 PM - 4:00 PM
SCIENTIFIC SESSION IV
Grand Ballroom E-F

Moderator: Ronald J. Weigel, M.D.
1:30 PM - 1:55 PM 20. Extent Of Surgery For Papillary Thyroid Cancer Is Not Associated With Survival: An Analysis Of 69,136 Patients
Mohamed Abdelgadir Adam*, Lin Gu*, John Pura*, Michaela A Dinan*, Douglas Tyler, Shelby D Reed*, Sanziana Roman*, Julie A Sosa*
Duke University School of Medicine, Durham, NC
1:55 PM - 2:20 PM 21. Tumor Subtype Impacts Surgical Approach And Pathological Response To Neoadjuvant Chemotherapy In Node-Positive Breast Cancer Patients - Findings From A Prospective Multicenter Clinical Trial (ACOSOG Z1071 [Alliance])
Judy C Boughey*1, Linda McCall*2, Karla Ballman*1, Elizabeth A Mittendorf*3, Gretchen Ahrendt*4, Lee Wilke*5, Bret Taback*6, A Marilyn Leitch*7, Teresa Flippo-Morton*8, Kelly K Hunt3
1Mayo Clinic, Rochester, MN;2Duke University, Durham, NC;3M.D. Anderson Cancer Center, Houston, TX;4University of Pittsburgh Cancer Institute, Pittsburgh, PA;5University of Wisconsin Hospital and Clinics, Madison, WI;6Columbia University Medical Center, New York, NY;7University of Texas Southwestern Medical Center, Dallas, TX;8Carolinas Medical Center/Levine Cancer Institute, Charlotte, NC
2:20 PM - 2:45 PM 22. Randomized Pilot Trial of Bariatric Surgery vs. Intensive Weight Management on Diabetes Remission in Patients with Type 2 Diabetes who do NOT Meet NIH Criteria for Surgery and the Role of sRAGE Diabetes Biomarker as a Predictor of Success
Manish Parikh*1, Mimi Chung*1, Sheetal Sheth*1, Michelle McMacken*1, Tasneem Zahra*2, John K Saunders*1, Aku Ude-Welcome*1, Vann Dunn*3, Ggbenga Ogedegbe*1, Ann-Marie Schmidt*1, H L Pachter1
1NYU Medical Center/Bellevue Hospital, New York, NY;2Lincoln Health Center, New York, NY;3MetroPlus Health Plan, New York, NY
2:45 PM - 3:10 PM 23. Failure of Evidence-Based Cancer Care in the US - Rectal Cancer Treatment, Geography and Hospital Type
John R.T. Monson1, Christian P Probst*1, Steven D Wexner2, Feza H Remzi*3, James Fleshman4, Julio Garcia-Aguilar5, George J Chang*6, David W Dietz, On behalf of The OSTRiCh Consortium*3
1University of Rochester Medical Center, Rochester, NY;2Cleveland Clinic, Weston, FL;3Cleveland Clinic, Cleveland, OH;4Baylor University Medical Center, Houston, TX;5Memorial Sloan-Kettering Cancer Center, New York, NY;6University of Texas MD Anderson Cancer Center, Houston, TX
3:10 PM - 3:35 PM 24. Total Laparoscopic Pancreaticoduodenectomy For Pancreatic Ductal Adenocarcinoma: Oncologic Advantages Over Open Approaches?
Kristopher P Croome*, Michael Farnell, Florencia G Que*, Kaye Reid-Lombardo*, Mark Truty*, David Nagorney, Michael L Kendrick*
Mayo Clinic, Rochester, MN
3:35 PM - 4:00 PM 25. Early Use Of Low Residue Diet Is Superior To Clear Liquid Diet After Elective Colorectal Surgery
Cheryl C.L Lau*, Edward Phillips, Catherine Bresee*, Philip R Fleshner*
Cedars Sinai Medical Center, Los Angeles, California, CA
4:00 PM - 5:00 PM
EXECUTIVE SESSION
Grand Ballroom E-F

ASA Fellows Only
Presentation of the Flance-Karl Award
7:00 PM
ANNUAL RECEPTION
Grand Ballroom Foyer

8:00 PM
ANNUAL BANQUET
Grand Ballroom G-K

SATURDAY, APRIL 12, 2014
8:00 AM - 11:00 AM
SCIENTIFIC SESSION V
Grand Ballroom E-F

Moderator: New President-Elect
8:00 AM - 8:25 AM 26. Differences in Surgical Outcomes Between Hepatitis B (HBV)- and Hepatitis C (HCV)-related Hepatocellular Carcinoma (HCC)
Bernardo Franssen*, Kutaiba Alshebeeb*, Sasan Roayaie*, Parissa Tabrizian*, Nir Lubezky*, Myron Schwartz, Sander Florman*
Icahn School of Medicine at Mount Sinai, New York, NY
8:25 AM - 8:50 AM 27. Long-Term Outcomes after Total Pancreatectomy and Islet Cell Autotransplantation: Is it a Durable Operation?
Syed A Ahmad*, Gregory C Wilson*, Jeffrey M Sutton*, Daniel E Abbott*, Jeffrey J Sussman*, Michael J Edwards
Univerisity of Cincinnati, Cincinnati, OH
8:50 AM - 9:15 AM 28. Measuring Risk-adjusted Value Using Medicare and ACS-NSQIP: Is High Quality, Low Cost Surgical Care Achievable Everywhere?
Elise H Lawson*, David S. Zingmond*, Anne Stey*, Bruce Lee Hall, Clifford Y Ko
UCLA School of Medicine, Los Angeles, CA
9:15 AM - 9:40 AM 29. The Natural History of Main Duct Involved, Mixed-Type Intraductal Papillary Mucinous Neoplasm: Parameters Predictive of Progression
Alexandra M Roch*, Eugene P Ceppa*, Mohammad A Al-Haddad*, John M DeWitt*, Michael G. House*, Nicholas J Zyromski*, Attila Nakeeb*, David V Feliciano, C Max Schmidt*
Indiana School of Medicine, Indianapolis, IN
9:40 AM - 10:05 AM 30. A Twenty Year Experience with Thoracic Endovascular Aortic Repair
Himanshu J Patel*, David M Williams*, Narasimham L Dasika*, Joseph L Drews*, G Michael Deeb
University of Michigan Cardiovascular Center, Ann Arbor, MI
10:05 AM - 10:30 AM 31. X-Chromosome Linked IRAK1 Polymorphism Is Strong Predictor Of Multiple Organ Failure And Mortality Post-Injury
Jason Sperry*, Brian Zuckerbraun*, Samuel Zolin*, Yorum Vodovotz*, Rami Namas*, Andrew Peitzman, Robert Ferrell*, Timothy Billiar
University of Pittsburgh, Pittsburgh, PA
10:30 AM - 10:55 AM 32. A Novel Approach to Maintaining Gut Mucosal Integrity Using an Oral Enzyme Supplement
Sulaiman R Hamarneh*1, Sara A. Morrison*1, Tyler J. Tantillo*1, Konstantinos P. Economopoulos*1, Qingsong Tao*1, Mussa M. Mohamed*1, Kanakaraju Kaliannan*1, Sonoko Narisawa*2, José L. Millán*2, Madhu S. Malo*1, Richard A. Hodin1
1Massachusetts General Hospital, Harvard Medical School, Boston, MA;2Sanford Children's Health Research Center, Sanford-Burnham Medical Research Institute, La Jolla, CA
11:00 AM ADJOURN
* By Invitation



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