American Surgical Association
2019 Program and Abstracts

Embargo Policy
Studies scheduled for presentation at the American Surgical Association's 139th Annual Meeting, April 11-13, 2019, Dallas, Texas.


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 139th Annual Meeting, April 11-13, 2019, Dallas, Texas, 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 139th Annual Meeting, April 2019, in Dallas, Texas, is anticipated to be published in the Annals of Surgery pending editorial review."


THURSDAY, APRIL 11, 2019
8:15 AM
Regency Ballroom
OPENING SESSION

President's Opening Remarks
Secretary's Welcome & Introduction of New Fellows Elected In 2018
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 Eulogies
Report of the Committee on Arrangements

9:10 AM - 11:00 AM
Regency Ballroom
SCIENTIFIC SESSION I
Moderator: E. Christopher Ellison, M.D.
9:10 AM - 9:35 AM
1. Survival Outcomes Associated with Clinical and Pathological Response following Neoadjuvant FOLFIRINOX or Gemcitabine/Nab-paclitaxel Chemotherapy in Resected Pancreatic Cancer
Francis I. Macedo*1, Shishir Maithel*2, David Kooby2, Ryan Fields*3, William Hawkins3, Ugwuji Maduekwe*4, Hong J. Kim4, Syed Ahmad5, Sameer Patel*5, Daniel Abbott*6, Sharon Weber6, Charles R. Scoggins7, Robert CG Martin8, Alan S. Livingstone1, Dido Franceschi*1, Vikas Dudeja*1, Nipun B Merchant1
1University of Miami Health System, Miami, FL;2Emory University, Atlanta, GA;3Washington University, St Louis, MO;4UNC Chapel Hill, Chapel Hill, NC;5University of Cincinnati, Cinncinati, OH;6University of Wisconsin, Madison, WI;7University of Louisville, Loisville, KY;8University of Louisville, Louisville, KY
9:35 AM - 10:00 AM
2. Computer Vision Analysis of Intraoperative Video: Automated Recognition of Operative Steps in Laparoscopic Sleeve Gastrectomy
Daniel A. Hashimoto*1, Guy Rosman*1, Elan R. Witkowski*1, David W. Rattner1, Keith D. Lillemoe1, Daniela L. Rus*2, Ozanan R. Meireles*1
1Massachusetts General Hospital, Boston, MA;2Massachusetts Institute of Technology, Cambridge, MA
10:00 AM - 10:25 AM
3. A Novel Validated Recurrence Risk Score to Guide a Pragmatic Surveillance Strategy after Resection of Pancreatic Neuroendocrine Tumors: An International Study of 1006 Patients
Mohammad Y. Zaidi*1, Alexandra G. Lopez-Aguiar*1, Valentina Andreasi*2, Stefano Partelli*2, George A. Poultsides*3, Mary Dillhoff*4, Flavio H. Rocha*5, Kamran Idrees*6, Clifford S. Cho7, Sharon M. Weber8, Ryan C. Fields*9, Charles A. Staley, III1, Massimo Falconi*2, Shishir K. Maithel*1
1Emory University, Atlanta, GA;2San Raffaele Scientific Institute, Milan, Italy3Stanford University, Stanford, CA;4The Ohio State University, Columbus, OH;5Virginia Mason Medical Center, Seattle, WA;6Vanderbilt University, Nashville, TN;7University of Michigan, Ann Arbor, MI;8University of Wisconsin, Madison, WI;9Washington University School of Medicine, St Louis, MO
10:25 AM - 10:50 AM
4. The Hidden Burden of Mental Health Outcomes Following Firearm-Related Injures
Bellal Joseph*1, Kamil Hanna*1, Rachael A. Callcut*2, Jamie J. Coleman*3, Joseph V. Sakran*4, Leigh A. Neumayer1
1The University of Arizona, Tucson, AZ;2University of California San Francisco, San Francisco, CA;3Denver Health, Denver, CO;4The Johns Hopkins Hospital, Baltimore, MD
10:50 AM - 12:00 PM
Regency Ballroom
PRESIDENTIAL ADDRESS
Time and Change
10:50 AM - 11:00 AM
Introduction of the President
Ernest E. Moore, Jr., M.D.
11:00 AM - 12:00 PM
Address by the President
E. Christopher Ellison, M.D.
1:30 PM - 5:15 PM
Regency Ballroom
SCIENTIFIC SESSION II
Moderator: Robin S. McLeod, M.D.
1:30 PM - 1:55 PM
5. Trends in Treatment of T1N0 Esophageal Cancer
Tara R. Semenkovich*, Jessica L. Hudson*, Melanie Subramanian*, Daniel K. Mullady*, Bryan F. Meyers*, Varun Puri*, Benjamin D. Kozower
Washington University in St. Louis, St. Louis, MO
1:55 PM - 2:20 PM
6. Adult Living Donor vs Deceased Donor Liver Transplant (LDLT vs DDLT) at a Single Center- Time to Change our Paradigm for Liver Transplant
Abhinav Humar, Dana Jorgensen*, Swaytha Ganesh*, Amit Tevar*, Michele Molinari*, Christopher Hughes*
University of Pitsburgh, Pittsburgh, PA
2:20 PM - 2:45 PM
7. Description and Impact of a Comprehensive Multi-Specialty Multi-Disciplinary Intervention to Decrease Opioid Prescribing in Surgery
Haytham M. Kaafarani*, Ahmed Eid*, Donna Antonelli*, David C. Chang*, Ahmed Elsharkawy*, Joana Abed Elahad*, Elizabeth Lancaster*, John Schulz*, Serguei Melnitchouk*, William Kastrinakis*, Matthew Hutter, Peter Masiakos*, Amy Colwell*, Cameron Wright, Keith Lillemoe
Massachusetts General Hospital & Harvard Medical School, Boston, MA
2:45 PM - 3:10 PM
8. Is Disruptive Behavior Inherent to the Surgeon or the Environment? Analysis of 314 Events at a Single Academic Medical Center
Martin J. Heslin, Brandon Singletary*, Kaitlin Benos*, Laura Read Lee*, Charles Fry*, Brenessa Lindeman*
The University of Alabama at Birmingham, Birmingham, AL
3:10 PM - 3:35 PM
9. Can the Culture of Surgical Residency Be Measured? An Empirical National Assessment of the Learning Environment
Ryan J. Ellis*1, D. Brock Hewitt*1, Yue-Yung Hu*1, Shelby Parilla*1, Julie Johnson*1, Ryan P. Merkow*1, Anthony D. Yang*1, David B Hoyt2, Jo Buyske3, Karl Y Bilimoria1
1Northwestern University, Chicago, IL;2American College of Surgeons, Chicago, IL;3American Board of Surgery, Philadelphia, PA
3:35 PM - 4:00 PM
10. Long Term Patient Reported Outcomes Following Post-mastectomy Breast Reconstruction: An 8-year Examination Of 3,268 Patients
Jonas Nelson*1, Thais Polanco*1, Meghana Shamsunder*1, Aadit Patel*1, Nikhil Sobti*1, Colleen McCarthy*1, Evan Matros*1, Joseph Dayan*1, Joseph Disa1, Peter Cordeiro*1, Andrea Pusic*2, Babak Mehrara1, Robert Allen, Jr.*1
1Memorial Sloan Kettering, New York, NY;2Brigham and Women’s Hospital, Boston, MA
4:00 PM - 4:25 PM
11. Hereditary Susceptibility for Triple Negative Breast Cancer Associated with Western Sub-Saharan African Ancestry: Results from an International Surgical Breast Cancer Collaborative
Lisa A. Newman1, Joseph K. Oppong*2, Aisha S. Jibril*3, Jessica M. Bensenhaver*4, Baffour Awuah*2, Mahteme Bekele*3, Engida Abebe*3, Ishmael Kyei*2, Frances Aitpillah*2, S. David Nathanson*4, Brittany Jenkins*1, Lindsay F. Petersen*4, Erica Proctor*4, Kofi K. Gyan*1, Rick Kittles*5, Melissa B. Davis*1
1Weill Cornell Medicine, New York, NY;2Komfo Anokye Teaching Hospital, Kumasi, Ghana3Millenium Medical College St. Paul's Hospital, Addis Ababa, Ethiopia4Henry Ford Cancer Institute, Detroit, MI;5City of Hope Comprehensive Cancer Center, Los Angeles, CA
4:25 PM - 4:50 PM
12. Improved Disease-Free Survival after Prehabilitation for Colorectal Cancer Surgery
Maude Trepanier*, Enrico M. Minella*, Rashami Awasthi*, Tiffany Paradis*, Pepa Kaneva*, Franco Carli*, Gerald M. Fried, Liane S. Feldman, Lawrence Lee*
McGill University Health Center, Montreal, QC, Canada
4:50 PM - 5:15 PM
13. Long-term Outcomes After Sepsis In Critically Ill Surgical Patients: Discordance Between Inpatient Mortality And 1-year Outcomes
Scott Brakenridge*, Anna Gardner,* Gabriela Ghita*, Michael Cox*, Alicia Mohr*, Steven Anton*, Philip Efron*, Frederick Moore
University of Florida, Gainesville, FL
FRIDAY, APRIL 12, 2019
6:30 AM - 8:00 AM
Parisian Room
ASA WOMEN IN SURGERY BREAKFAST
Effective Mentoring in the Post #MeToo Era
8:00 AM - 10:30 AM
Regency Ballroom
SCIENTIFIC SESSION III
Moderator: E. Christopher Ellison, M.D.
8:00 AM - 8:25 AM
14. Metabolic Surgery Reduces The Risk Of Progression From Chronic Kidney Disease To Kidney Failure
David Romero Funes*, David Gutierrez Blanco*, Emanuele Lo Menzo*, Camila Ortiz Gómez*, Joel S. Frieder* Samuel Szomstein*, Raul J Rosenthal
Cleveland Clinic Florida, Weston, FL
8:25 AM - 8:50 AM
15. Gallstone Pancreatitis: Admission versus Normal Cholecystectomy - A Randomized Trial (Gallstone PANC Trial)
Krislynn Mueck*, Shuyan Wei*, Claudia Pedroza*, Karla Bernardi*, Margaret L. Jackson*, Mike K. Liang*, Tien C. Ko*, Lillian S. Kao
UTHSC Houston, Houston, TX
8:50 AM - 9:15 AM
16. Opportunity To Mitigate Trauma-Induced Coagulopathy In Children: Fibrinolysis Shutdown Is Not Prevalent Until 1 Hour Post-injury
Christine M. Leeper*, Stephen Strotmeyer*, Matthew D. Neal*, Barbara A. Gaines
University of Pittsburgh Medical Center, Pittsburgh, PA
9:15 AM - 9:40 AM
17. Utilizing Precison Medicine to Estimate Timing for Surgical Closure of Traumatic Extremity Wounds
Felipe A. Lisboa*1, Christopher J. Dente*2, Seth Schobel-Mchugh*1, Vivek Khatri*1, Benjamin K. Potter*1, Allan Kirk3, Eric A. Elster1
1USUHS, Bethesda, MD;2Emory University, Atlanta, GA;3Duke University, Durham, NC
9:40 AM - 10:05 AM
18. Can We Predict Incisional Hernia? - Development of a Surgery-Specific Decision-Support Interface
John P. Fischer*, Geoffrey M. Kozak*, Marten N. Basta*, Robyn B. Broach*, Charles Messa*, Irfan Rhemtulla*, Ron P. DeMatteo, Joseph M Serletti
Hospital of the University of Pennsylvania, Philadelphia, PA
10:05 AM - 10:30 AM
19. Telemedicine Based Remote Home Monitoring After Liver Transplantation: Results of a Randomized Prospective Trial
Shimul A. Shah*, Tiffany Kaiser*, Tiffany C. Lee*, Rita Alloway*, E. Steve Woodle, Michael J. Edwards
University of Cincinnati, Cincinnati, OH
10:30 AM - 12:00 PM
Regency Ballroom
FORUM DISCUSSION
Challenges to Surgical Innovation
Moderator: E. Christopher Ellison, M.D.
Faculty: Michael Harrison, M.D.
University of California, San Francisco, San Francisco, CA

Thomas M. Krummel, M.D.
Stanford University School Medical Center, Stanford, CA

Mary H. McGrath, M.D., M.P.H.
University of California, San Francisco, San Francisco, CA

Peter Angelos, M.D., Ph.D.
University of Chicago, Chicago, IL

Jeffrey L. Ponsky, M.D.
Cleveland Clinic, Cleveland, OH
1:30 PM - 4:00 PM
Regency Ballroom
SCIENTIFIC SESSION IV
Moderator: Ernest E. Moore, Jr., M.D.
1:30 PM - 1:55 PM
20. Effect of Postoperative Permissive Anemia and Cardiovascular Risk Status on Outcomes after Major General and Vascular Surgery Operative Interventions
Panos Kougias*1, Sherene Sharath*1, Zhibao Mi*2, Kousick Biswas*2, Joseph L Mills1
1Baylor College of Medicine, Houston, TX;2Cooperative Studies Program, Perry Point Coordinating Center, Perry Point, MD
1:55 PM - 2:20 PM
21. A Surgical Endovascular Trauma Service Increases Case Volume And Decreases Time To Hemostasis
Jonathan J. Morrison*, Marta J. Madurska*, Anna N. Romagnoli*, Marcus Ottochian*, Sakib N. Adnan*, Tiffany Kuebler*, William Teeter*, Melanie R. Hoehn*, Megan L. Brenner*, Joseph J. DuBose*, Thomas M. Scalea
R Adams Cowley Shock Trauma Center, Baltimore, MD
2:20 PM - 2:45 PM
22. Association of Overlapping, Non-Concurrent, Surgery with Patient Outcomes at a Large Academic Medical Center: A Coarsened Exact Matching Study
Gregory Glauser*1, Benjamin Osiemo*2, Stephen Goodrich*2, Scott D. McClintock*2, Charles Vollmer1, Ronald DeMatteo1, Neil R. Malhotra*1
1University of Pennsylvania, Philadelphia, PA;2West Chester University, West Chester, PA
2:45 PM - 3:10 PM
23. Gender Disparity in Outcomes of Ruptured Abdominal Aortic Aneurysm Repair Driven by In-Hospital Treatment Delays
Linda J. Wang*1, Satinderjit Locham*2, Hanaa Dakour-Aridi*2, Keith D. Lillemoe1, Bryan Clary3, Mahmoud B. Malas*3
1Massachusetts General Hospital, Boston, MA;2Johns Hopkins University School of Medicine, Baltimore, MD;3University of California San Diego, San Diego, CA
3:10 PM - 3:35 PM
24. Mitigating Racial and Gender Disparities in Access to Living Donor Kidney Transplantation: Impact of the Nation’s Longest Single-Center Kidney Chain
Margaux N. Mustian*, Vineeta Kumar*, Katie Stegner*, Darnell Mompoint-Williams*, Michael Hanaway*, Mark Deierhoi*, Carlton Young*, Babak Orandi*, Douglas Anderson*, Paul A. MacLennan*, Rhiannon D. Reed*, Brittany A. Shelton*, Devin Eckhoff, Jayme E. Locke*
University of Alabama at Birmingham, Birmingham, AL
3:35 PM - 4:00 PM
25. Characterizing and Assessing the Effect of Surgery on Pre-Operative Super Utilizers: A Study of Medicare Expenditure
Aslam Ejaz*, Madison Hyer*, Diamantis Tsilimigras*, Jordan Cloyd*, Fabio Bagante*, Susan White*, Timothy M. Pawlik
The Ohio State University, Columbus, OH
4:00 PM - 5:00 PM
Regency Ballroom
EXECUTIVE SESSION
ASA Fellows Only

Presentation of the Flance-Karl Award
7:00 PM
Regency Ballroom Foyer
ANNUAL RECEPTION
8:00 PM
Regency Ballroom
ANNUAL BANQUET

Banquet Speaker
The Power of a Pet: What Physicians and Surgeons Should Know
Rustin Moore, DVM, PhD, Diplomate ACVS
The Ohio State University, Columbus, OH
SATURDAY, APRIL 13, 2019
8:00 AM - 11:00 AM
Regency Ballroom
SCIENTIFIC SESSION V
Moderator: New President-Elect
8:00 AM - 8:25 AM
26. Impact of Medicaid Expansion (ME) of the Affordable Care Act on theOutcomes of Lower Extremity Bypass for Patients with Peripheral Artery Disease in the Vascular Quality Initiative (VQI) Database
Mohammad H. Eslami*1, Hanaa Darkour Aridi*2, Efthymios D. Avgerinos*1, Michel S. Makaroun1, Mahmoud Malas*2
1University of Pittsburgh Medical School, Pittsburgh, PA;2University of California, San Diego, CA
8:25 AM - 8:50 AM
27. Surgical Management of Five Hundred Patients with Chronic Gut Failure at a Single Center: Autologous Reconstruction Versus Transplantation
Kareem M. Abu-Elmagd, Sherif R. Armanyous*, Masato Fujiki*, Neha R. Parekh*, Mohammed Osman*, Raffaele Girlanda*, Koji Hashimoto*, Ajai Khanna*, Guilherme Costa*
Cleveland Clinic, Cleveland, OH
8:50 AM - 9:15 AM
28. Hepatic Ablation Promotes Colon Cancer Metastasis in an Immunocompetent Murine Model
Edward L. Jones*1, Alison Halpern*1, Heather Carmichael*1, Thomas Robinson*1, Carlton C. Barnett, Jr.2
1VAMC/ University of Colorado at Denver, Aurora, CO;2VAMC/ University of Colorado at Denver, Denver, CO
9:15 AM - 9:40 AM
29. Assessing the Effect of Market Competition on Hospital Costs and Outcomes among Privately Insured Recipients of Immediate Breast Reconstruction
Marcelo Cerullo*1, Clifford C. Sheckter2, Joseph K. Canner*3, Selwyn O. Rogers4, Anaeze C. Offodile*5
1Duke University Medical Center, Durham, NC;2Stanford University, Palo Alto, CA;3Johns Hopkins School of Medicine, Baltimore, MD;4University of Chicago, Chicago, IL;5University of Texas MD Anderson Cancer Center, Houston, TX
9:40 AM - 10:05 AM
30. Does Liver Resection Improve Survival in Colorectal Cancer? Causal-effects from Population-level Instrumental Variable Analysis
Mustafa Raoof*1, Sidra Haye*2, Philip H.G. Ituarte*1, Yuman Fong1
1City of Hope Cancer Center, Duarte, CA;2University of California Irvine, Irvine, CA
10:05 AM - 10:30 AM
31. Leveraging a Novel Comprehensive Program to Implement a Surgical Site Infection Reduction Bundle in a Statewide Quality Improvement Collaborative
Michael F. McGee*, Lindsey Kreutzer*, Christopher M. Quinn*, Anthony Yang*, Ying Shan*, Amy L. Halverson*, Remi Love*, Julie Johnson*, Karl Y. Bilimoria
Illinois Surgical Quality Improvement Collaborative (ISQIC) and Surgical Outcomes and Quality Improvement Center (SOQIC), Department of Surgery, Northwestern Medicine, Chicago, IL
10:30 AM - 10:55 AM
32. Work Related Burn Injury in 2067 Patients from 1994-2008: Impact and Consequence In A High Volume Burn Center
Bruce A. Cairns, Catherine Calvert*, Lori Chrisco*, Felicia N. Williams*, Rabia Nizamani*, Samuel W. Jones*, Anthony A. Meyer, Melina R. Kibbe, Marco G. Patti
University of North Carolina at Chapel Hill, Chapel Hill, NC
11:00 AM
ADJOURN

* By Invitation