American Surgical Association
125th Annual Meeting Final Program

125th Annual Meeting Program

8:15 AM
President's Opening Remarks

Secretary's Welcome and Introduction Of New Fellows Elected In 2004

President's Introduction Of Honorary Fellows

Report Of the Committee On Arrangements

9:10 AM – 11:00 AM
Scientific Session
Moderator: Hiram C. Polk, Jr., MD
1. Sentinel Lymphadenectomy Identifies Biologically Significant Nodal Metastases In Early-Stage Melanoma: Results Of MSLT-I -- An International Multicenter Trial
Donald L. Morton, MD1, John F. Thompson, MD*2, Robert Elashoff, PhD*1, Richard Essner, MD*1, Nicola Mozzillo, MD*3, Omgo E. Nieweg, MD, PhD4*, Daniel F. Roses, MD*5, Harald J. Hoekstra, MD, PhD6, Constantin Karakqusis, MD7, Douglas S. Reintgen, MD*8, Brendon J. Coventry, MD9, Alistair J. Cochran, MD*1, Multicenter Selective Lymphadenectomy Trial Group, (MSLT)1
1John Wayne Cancer Institute, Santa Monica, CA; 2Sydney Melanoma Unit, Sydney, Australia; 3Istituto Nazionale Dei Tumori de Napoli, Naples, Italy; 4Netherlands Cancer Institute, Amsterdam, The Netherlands; 5New York University, New York, NY; 6Groningen University Hospital, The Netherlands; 7Millard Fillmore Hospital, Buffalo, NY; 8H. Lee Moffitt Cancer Center, Tampa, FL; 9Royal Adelaide Hospital, Adelaide, South Australia

2. Factors Associated With Graft Failure and Outcome In 354 Adult Living Donor Liver Transplants (ALDLT): A Report From the A2ALL Consortium
Kim M. Olthoff, MD*1, Michael M. Abecassis, MD*2, Jeffrey Fair, MD*3, Robert A. Fisher, MD*4, Chris E. Freise, MD*5, Rafik M. Ghobrial, MD, PhD*6, Igal Kam, MD*7, Robert M. Merion, MD*8, Timothy L. Pruett, MD9, Jean C. Emond, MD10
1University of Pennsylvania, Philadelphia, PA; 2Northwestern University, Chicago, IL; 3University of North Carolina, Chapel Hill, NC; 4Virginia Commonwealth University, Richmond, VA; 5University of California, San Francisco, San Francisco, CA; 6University of California, Los Angeles, Los Angeles, CA; 7University of Colorado, Denver, CO; 8University of Michigan, Ann Arbor, MI; 9University of Virginia, Charlottesville, VA; 10Columbia Presbyterian Medical Center, New York, NY

3. Preoperative Risk Factors and Surgical Complexity Are More Predictive Of Costs Than Postoperative Complications: A Case Study Using the National Surgical Quality Improvement (NSQIP) Database
Daniel L. Davenport, MBA*1, William G. Henderson, PhD* 2, Shukri F. Khuri, MD3, Robert M. Mentzer, Jr., MD1
1University of Kentucky, Lexington, KY; 2University of Colorado Health Outcomes Program, Denver, CO; 3National Surgery Quality Improvement Program, West Roxbury, MA

4. Determinants Of Long-Term Survival Following Major Surgery and the Adverse Effect Of Postoperative Complications
Shukri F. Khuri, MD1, William G. Henderson, PhD*2, Ralph G. DePalma, MD3, Cecilia Mosca, MSPH*2, Participants In the National Surgical Quality Improvement Program
1VA Boston Healthcare System, West Roxbury, MA; 2University of Colorado Health Outcomes Program, Aurora, CO; 3Department of Veterans Affairs, Washington, DC
11:00 AM
Address By the President
Hiram C. Polk, Jr., MD
1:30 PM – 5:15 PM
Scientific Session
Moderator: Donald D. Trunkey, MD
5. Proficiency Of Surgeons In Laparoscopic Hernia Repair: Effect Of Age and Experience
Leigh A. Neumayer, MD*1, Atul A. Gawande, MD, MPH* 2, Jia Wang, MS* 3, Anita Giobbie-Hurder, MS* 3, Kamal MF Itani, MD*4, Robert J. Fitzgibbons, Jr., MD5, Olga Jonasson, MD6
1 VA Salt Lake City Health Care System and University of Utah Health Sciences Center, Salt Lake City, UT; 2Harvard Medical School and Harvard School of Public Health, Boston, MA; 3Hines VA Cooperative Studies Program Coordinating Center, Hines, IL; 4VA Boston Health Care System and Boston University, Boston, MA; 5Creighton University, Omaha, NE; 6University of Illinois, Chicago, IL

6. T1 Adenocarcinoma Of the Rectum: Transanal Excision Or Radical Surgery?
Philip B. Paty, MD*1, David J. Bentrem, MD*1, Satoshi Okabe, MD*1, Jose G. Guillem, MD1, Martin R. Weiser, MD*1, Larissa Temple, MD*1, Bruce D. Minsky, MD*1, Alfred M. Cohen, MD2, Douglas Wong, MD1
1Memorial Sloan-Kettering Cancer Center, New York, NY; 2Lucille Markey Cancer Center University of Kentucky, Lexington, KY

7. One Hundred Multivisceral Transplants (MVTx) At A Single Center
Andreas G. Tzakis, MD, PhD1, Tomoaki Kato, MD*1, Seigo Nishida, MD, PhD*1, David Levi, MD*1, Juan Madariaga, MD*1, John F. Thompson, MD*1, Gennaro Selvaggi, MD*1, Jang I. Moon, MD*1, Sony Tuteja, PharmD*1, G. Patricia Cantwell, MD*2
1University of Miami, Miami, FL; 2Nova Southeastern University, Ft. Lauderdale, FL

8. ECM1 and TMPRRS4 Are Markers Of Malignant Thyroid Nodules and Improve the Accuracy Of Fine Needle Aspiration Biopsy
Electron Kebebew, MD*, Miao Peng, MD*, Quan Y. Duh, MD, Orlo H. Clark, MD, Emily Reiff, BS*, Alex McMillian, PhD
University of California, San Francisco, San Francisco, CA

9. Neurosurgical Coverage: Essential, Desired, Or Irrelevant For Good Patient Care and Trauma Center Status
Fred A. Luchette, MD*, Thomas J. Esposito, MD*, R. Lawrence Reed, MD*, Richard L. Gamelli, MD
Division of Trauma, Critical Care & Burns, Department of Surgery, Stritch School of Medicine, Loyola University Medical Center, Maywood, IL

10. Optimizing Outcomes In Bariatric Surgery: Outpatient Gastric Bypass
Todd M. McCarty, MD*
Baylor University Medical Center, Dallas, TX (Sponsored by: Goran Klintmalm, MD, PhD)

11. Adjuvant Radiotherapy Is Associated With Increased Sexual Dysfunction In Male Patients Undergoing Resection For Rectal Cancer - A Predictive Model
Alexander G. Heriot, MD FRCS*, Paris P. Tekkis, MD FCRS*, Paul Neary, MD FRCSI*, Victor W. Fazio, MD MS, Ian C. Lavery, MB BS*
Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, OH

12. A Comprehensive Evaluation Of Peri-Operative Adjuncts During Minimally Invasive Parathyroidectomy: Which Is Most Reliable?
Herbert Chen, MD*†, James R. Starling, MD, Eberhard Mack, MD*
University of Wisconsin, Madison, WI

13. Effect Of Trauma Center Designation (Level I or II) and Trauma Volume On Outcomes In Critically Injured Patients
Demetrios Demetriades, MD, PhD, Mathew Martin, MD*, Ali Salim, MD*, Peter Rhee, MD*, Carlos Brown, MD*, Linda Chan, PhD*
University of Southern California, LA, CA

FRIDAY, APRIL 15, 2005
8:00 AM – 10:30 AM
Scientific Session
Moderator: Hiram C. Polk, Jr., MD
14. Metabolic and Hormonal Changes Of Severely Burned Children Receiving Long-Term Oxandrolone Treatment
Rene Przkora, MD*, Marc G. Jeschke, MD, PhD*, Celeste C. Finnerty, PhD*, Arthur P. Sanford, MD*, David L. Chinkes, PhD*, Ron P. Mlcak, PhD*, David N. Herndon, MD
Shriners Burns Hospital for Children and University of Texas Medical Branch, Galveston, TX

15. A 25-Year Single Institution Analysis Of Health, Practice and Fate Of General Surgeons
Bruce A. Harms, MD, Charles P. Heise, MD*, Jon C. Gould, MD, James R. Starling, MD
University of Wisconsin-Madison, Madison, WI

16. Intrathoracic Leaks Following Esophagectomy Are No Longer Associated With Increased Mortality
Linda W. Martin, MD, Stephen G. Swisher, MD*, Wayne Hofstetter, MD*, Arlene M. Correa, PhD*, David C. Rice, MD*, Ara A. Vaporciyan, MD*, Garrett L. Walsh, MD*, Jack A. Roth, MD
UT MD Anderson Cancer Center, Houston, TX

17. Surgeon Contribution To Hospital Bottom Line: Not All Are Created Equal
Larry R. Kaiser, MD, Andrew S. Resnick, MD*, Diane P. Corrigan, MBA*, James L. Mullen, MD
University of Pennsylvania, Philadelphia, PA

18. Long-Term Survival Is Superior After Pancreatic Or Hepatic Resections For Cancer In High Volume Centers
Yuman Fong, MD, Mithat Gonen, PhD.*, David Rubin, BS*, Mark Radzner, BS*, Murray F. Brennan, MD
Memorial Sloan-Kettering Cancer Center, New York, NY

19. Medical Students' Perceptions Of Surgical Resident Teaching: Have Duty Hours Regulations Had An Impact?
Aimee E. Brasher, BS*, Shahnaz Chowdhry, MS*, Linnea S. Hauge, PhD*, Richard A. Prinz, MD
Rush University Medical Center, Chicago, IL
10:30 AM – 12:00 PM
Forum Discussion: Quality & Safety In Surgical Care
Moderator: Hiram C. Polk, MD
Panelists: R. Scott Jones, M.D., David Hunt, MD * & Jack Berkmeyer, MD*
1:30 PM – 4:00 PM
Scientific Session
Moderator: Kathryn D. Anderson, MD
20. Mortality and Outcomes of Pediatric Short Bowel Syndrome: Redefining Predictors of Success
Ariel U. Spencer, MD*, Andreea Neaga, B.S.*, Brady West, M.A.*, Jared Safran, B.A.*, Daniel H. Teitelbaum, MD*
University of Michigan, Ann Arbor, MI (Sponsored by: Arnold Coran, MD)

21. Utilization Of Extended Donor Criteria Liver Allografts Maximizes Donor Utility and Patient Access To Liver Transplantation
John Renz, MD PhD*, Cindy Kin, MD*, Milan Kinkhabwala, MD*, Dominique Jan, MD*, Rhagu Varadarajan, MD*, Michael Goldstein, MD*, Robert Brown, Jr., MD MPH*, Jean C. Emond, MD
New York Presbyterian Hospital, New York, NY

22. Early Esophageal Cancer: Pattern Of Lymphatic Spread and Prognostic Factors For Long Term Survival After Surgical Resection
Hubert J. Stein, MD, FACS*, Marcus Feith, MD*, Bjorn L.D.M. Brucher, MD*, Mario Sarbia, MD*, Joerg R. Siewert, MD, FACS
Technische Universität München, Munich, Germany

23. Pancreatic Serous Cystadenoma: Tumor Growth Rates and Recommendations For Treatment
Jennifer F. Tseng, MD*, Andrew L. Warshaw, MD, Dushyant V. Sahani, MD*, Gregory Y. Lauwers, MD*, David W. Rattner, MD, Carlos Fernandez-del Castillo, MD*
Massachusetts General Hospital, Boston, MA

24. Thoracoscopic Repair Of Esophageal Atresia and Tracheoesophageal Fistula: A Multi-Institutional Analysis
George W. Holcomb, III, MD, MBA1, Steven S. Rothenberg, MD*2, Klaas M.A. Bax, MD, PhD*3, Keith E. Georgeson, MD4, Marcelo M. Ferro, MD*5, Craig T. Albanese, MD*6, Daniel J. Ostlie, MD*1, David C. van der Zee, MD3, PhD.*, C.K. Yeung, MD, PhD*6
1Children's Mercy Hospital, Kansas City, MO; 2Presbyterian-St. Lukes Hospital, Denver, CO; 3Wilhelmina Children's Hospital, Utrecht, The Netherlands; 4Children's Hospital of Alabama, Birmingham, AL; 5National Children'sHospital, Buenos Aires, Argentina; 6Lucille Packard Children's Hospital, Stanford, CA; 7Chinese University of Hong Kong, Hong Kong, China

25. Complicated Diverticulitis: Is It Time To Rethink the Rules?
Jennifer R. Chapman, MD*, Michael Davies, M.D., Bruce Wolff, M.D., Deron Tessier, M.D., Jeffrey Harrington, BS
Mayo Clinic, Rochester, MN (Sponsored by: Bruce Wolff, MD)
4:00 PM – 5:00 PM
Executive Session
(Fellows Only)
7:00 PM
8:00 PM
Invited Banquet Speaker:
George McGee, MD
Forest General Hospital, Hattiesburg, Mississippi

8:00 AM – 11:00 AM
Scientific Session
Moderator: New President
26. Initiation Factor 4E (eIF4E) and Cancer Recurrence In Node-Positive Breast Carcinoma
Benjamin D. Li, MD*1, Derek McClusky, MD*1, Richard H. Turnage, MD1, John C. McDonald, MD1, Herbert Yu, MD, PhD*2, Quyen Chu, MD*1, Lester W. Johnson, MD*1, Arrigo DeBenedetti, PhD*1
1Louisiana State University, Shreveport, LA; 2Yale University, New Haven, CT

27. Carotid Stenting Done Exclusively By Vascular Surgeons: First 150 Cases
Mark K. Eskandari, MD*, G. Matthew Longo, MD*, Jon S. Matsumura, MD*, Melina R. Kibbe, MD*, Mark D. Morasch, MD*, William H. Pearce, MD
Northwestern University, Feinberg School of Medicine, Chicago, IL

28. Bariatric Surgery Significantly Improves Nonalcoholic Fatty Liver Disease (NAFLD) and the Metabolic Syndrome
Samer G. Mattar, MD, FACS*, Laura M. Velcu, MD*, Mordechai Rabinovitz, MD*, A J. Demetris, MD*, A Kransinskas, MD*, Emma Barinas-Mirchell, PhD*, George M. Eid, MD*, Ramesh Ramanathan, MD*, Philip R. Schauer, MD*
University of Pittsburgh, Pittsburgh, PA (Sponsored by: John Fung, MD)

29. Laparoscopic Versus Open Appendectomy: A Randomized Double Blind Study
Namir Katkhouda, MD*, Rodney Mason, MD*, Anna Gevorgyan, MD*, Rahila Essani, MD*, Shirin Towfigh, MD*
University of Southern California, Los Angeles, CA (Sponsored by: Thomas Berne, MD)

30. Sentinel Node Skills Verification and Surgeon Performance: Data From A Multicenter Clinical Trial For Early Stage Breast Cancer
Katherine E. Posther, MD*1, Linda M. McCall, MS*1, Peter W. Blumencranz, MD*2, William E. Burak, Jr., MD*3, Peter D. Beitsch, MD*4, Nora M. Hansen, MD*5, Monica Morrow, MD6, James E. Herndon, PhD*1, Kelly K. Hunt, MD6, Armando E. Giuliano, MD5
1American College of Surgeons Oncology Group, Durham, NC; 2Morton Plant Mease Health Care, Clearwater, FL; 3Arthur G. James Cancer Hospital and Solove Institute, Ohio State University, Columbus, OH; 4Dallas Surgical Group, Dallas, TX; 5John Wayne Cancer Institute, Santa Monica, CA; 6Fox Chase Cancer Center, Philadelphia, PA; 7University of Texas M.D. Anderson Cancer Center, Houston, TX

31. Profitable vs. Unprofitable Expansion Of Trauma and Critical Care Surgery
Jorge L. Rodriguez, MD*, Hiram C. Polk, Jr., MD
University of Louisville, Louisville, KY

32. Liver Transplantation With Neoadjuvant Chemoradiation Is More Effective Than Resection For Hilar Cholangiocarcinoma
David J. Rea, MD*, Julie K. Heimbach, MD*, Charles B. Rosen, MD*, Gregory J. Gores, MD*, Michael G. Haddock, MD*, Steven R. Alberts, MD*, Walter K. Kremers, PhD*, David M. Nagorney, MD
Mayo Clinic College of Medicine, Rochester, MN
11:00 AM

* - By Invitation
† - ASA Foundation Fellow 2002-2004
Note: Presenting Authors Are Indicated In Bold Print