American Surgical Association
126th Annual Meeting Final Program

126th Annual Meeting Program

8:15 AM
President's Opening Remarks
Secretary's Welcome & Introduction of New Fellows Elected in 2005
President's Introduction of Honorary Fellows
Report of the Committee on Arrangements
Presentation of the Medallion for Scientific Achievement
Eulogy for Oliver H. Beahrs, MD
9:10 AM - 11:00 AM
Scientific Session
Moderator: Carlos A. Pellegrini, MD
9:10 AM - 9:35 AM
1. Biologic Prosthesis Reduces Recurrence After Laparoscopic Paraesophageal Hernia Repair: A Multi-Center, Prospective, Randomized Trial
Brant K. Oelschlager, MD*1, Carlos A. Pellegrini, MD1, John Hunter, MD2, Nathaniel J. Soper, MD3, Michael Brunt, MD*4, Brett Sheppard, MD*2, Blair Jobe, MD*2, Nayak Polliser, PhD*1, Lee Mitsumori, MD*1, Lee Swanstrom, MD*5
1University of Washington, Seattle, WA; 2Oregon Health Sciences University, Portland, OR; 3Northwestern University, Chicago, IL; 4Washington University, St. Louis, MO; 5Oregon Clinic, Portland, OR
9:35 AM - 10:00 AM
2. Simulation Improves Resident Performance In Catheter-Based Intervention: Results Of A Randomized Controlled Study
Rabih A. Chaer, MD*, Brian G. DeRubertis, MD*, Stephanie C. Lin, MD*, Harry L. Bush, MD*, John K. Karwowski, MD*, Daniel Birk, BA*, Nicholas J. Morrissey, MD*, Peter L. Faries, MD*, James F. McKinsey, MD*, K Craig Kent, MD
Columbia, Weill Cornell Division of Vascular Surgery at New York Presbyterian Hospital, New York, NY
10:00 AM - 10:25 AM
3. Prevalence Of Gastroesophageal Reflux Disease In Patients Awaiting Lung Transplantation
Matthew Sweet, MD*, Lorriana Leard, MD*, Fernando AM Herbella, MD*, Jeffrey Golden, MD*, Steven Hays, MD*, Charles Hoopes, MD*, Marco Patti, MD
University of California San Francisco, San Francisco, CA
10:25 AM - 10:50 AM
4. Surgeon Age and Operative Mortality In the United States
Jennifer F. Waljee, MD, M.P.H.*, Lazar J. Greenfield, MD, Justin B. Dimick, MD, M.P.H.*, John D Birkmeyer, MD*
University of Michigan, Ann Arbor, MI
10:50 AM - 11:00 AM
Introduction Of the President
Jay L. Grosfeld, MD
11:00 AM
Address By the President
Carlos A. Pellegrini, MD
1:30 PM - 5:15 PM
Scientific Session
Moderator: Jay L. Grosfeld, MD
1:30 PM - 1:55 PM
5. Open Versus Laparoscopic Pyloromyotomy For Pyloric Stenosis: A Prospective Randomized Trial
Shawn D. St. Peter, MD*, George W. Holcomb, III, MD, Casey M. Calkins, MD*, Walter S. Andrews, MD*, J Patrick Murphy, MD*, Charles L. Snyder, MD*, Ronald J. Sharp, MD*, Daniel J. Ostlie, MD*
Children's Mercy Hospital, Kansas City, MO
1:55 PM - 2:20 PM
6. Patterns Of Errors Contributing To Trauma Mortality: Lessons Learned From 2594 Deaths
Russell L. Gruen, MD PhD*, Gregory J. Jurkovich, MD, Lisa K. McIntyre, MD*, Hugh M. Foy, MD*, Ronald V. Maier, MD
Harborview Medical Center, University of Washington Seattle, WA
2:20 PM - 2:45 PM
7. An Acute Care Surgery Model Improves Outcomes In Patients With Appendicitis
C. William Schwab, MD, John P. Pryor, MD*, Angela S. Earley, MD*, Patrick Kim, MD*, Joseph H. Hedrick, MD*, Seema Sonnad, PhD*, Jibby E. Kurichi, MPH*, Amy C. Minogue, BA*, Patrick M. Reilly, MD*
University of Pennsylvania, Phialdelphia, PA
2:45 PM - 3:10 PM
8. Subtype Specific Prognostic Nomogram For Patients With Primary Liposarcoma Of the Retroperitoneum, Extremity Or Trunk
Kimberly M. Dalal, MD*, Michael W. Kattan, Ph.D.*, Cristina R. Antonescu, MD*, Murray F. Brennan, MD, Samuel Singer, MD
Memorial Sloan-Kettering Cancer Center, New York, NY
3:10 PM - 3:35 PM
9. Treatment Evolution In High Risk Congenital Diaphragmatic Hernia: Ten Years Experience
Kevin P. Lally, MD, The Congenital Diaphragmatic Hernia Study, Group*
University of Texas Houston, Houston, TX
3:35 PM - 4:00 PM
10. Increased CD4+CD25+ T Regulatory Cell Activity In Trauma Patients Depresses Protective Th1 Immunity
Malcolm P. MacConmara, MD*, Adrian A. Maung, MD*, Satoshi Fujimi, MD*, Ann M. McKenna, MD*, Adam Delisle, BS*, Peter H. Lapchak, PhD*, James A. Lederer, PhD*, John A. Mannick, MD
Brigham and Women's Hospital/Harvard Medical School, Boston, MA
4:00 PM - 4:25 PM
11. Parenteral Nutrition (PN) Impairs Gut-Associated Lymphoid Tissue (GALT) and Mucosal Immunity By Reducing Lymphotoxin B Receptor (LTBR) Expression
Woodae Kang, MD, PhD*, Enrique F. Gomez, PhD*, Jinggang Lan, PhD*, Yoshifumi Sano, MD*, Chikara Ueno, MD*, Kenneth A. Kudsk, MD
University of Wisconsin, Madison, WI
4:25 PM - 4:50 PM
12. Development Of A Prognostic Model Based On the Analysis Of 1452 Patients With Non Colorectal Non-Endocrine Hepatic Metastases Treated With Hepatic Resection
René Adam, MD, Ph.D.*, Laurence Chiche, MD*, Dominique Elias, MD*, Rémy Salmon, MD*, Michel Rivoire, MD*, Daniel Jaeck, MD*, Jean Saric, MD*, Yves Patrice Le Treut, MD*, Jacques Belghiti, MD*, Georges Mantion, MD
*Hospital Paul Brousse, Villejuif, France
Sponsored By: Henri Bismuth, M.D.
4:50 PM - 5:15 PM
13. The Effect Of Insulin Infusion Upon Protein Metabolism In Neonates On Extracorporeal Life Support
Michael S.D. Agus, MD*, Patrick J. Javid, MD*, Hannah G. Piper, MD*, Biren P. Modi, MD*, Christopher Duggan, MD*, Daniel P. Ryan, MD*, Tom Jaksic, MD, Ph.D.*
Children's Hospital Boston, Boston, MA
Sponsored by: Robert Shamberger, M.D.

FRIDAY, APRIL 21, 2006
8:00 AM - 10:30 AM
Scientific Session
Moderator: Carlos A. Pellegrini, MD
8:00 AM - 8:25 AM
14. The Impact Of An Intensivist Model ICU On Trauma-Related Mortality
Avery B. Nathens, MD MPH*, Frederick P. Rivara, MD MPH*, Ellen J. MacKenzie, PhD*, Daniel Scharfstein, PhD, Ronald V. Maier, MD, Jin Wang, PhD*, Gregory J. Jurkovich, MD
University of Washington, Seattle, WA
8:25 AM - 8:50 AM
15. Morbidity and Quality Of Life (QOL) Assessment In A Phase III Trial Of Surgical Treatment For Gastric Cardia Cancer, Comparing A Left Thoraco-Abdominal (LT) With Abdominal and Transhiatal Approach (AT) (JCOG9502)
Mitsuru Sasako, MD*, Ken-ichi Yoshimura, Ph.D.*, Takeshi Sano, MD*, Motonori Sairenji, MD*, Seiichiro Yamamoto, PhD*, Kuniyoshi Arai, MD*, Taira Kinoshita, MD*
National Cancer Center Hospital, Tokyo, Japan
Sponsored By: Murray Brennan, MD
8:50 AM - 9:15 AM
16. Expanding Deceased Donor Liver Availability By the Use Of Donors After Cardiac Death
Robert M. Merion, MD1, 2, Shawn J. Pelletier, MD*1, Nathan P. Goodrich, MS*2, 3, Michael J. Englesbe, MD*1, Francis L. Delmonico, MD*4
1University of Michigan Health System, Ann Arbor, MI, 2Scientific Registry of Transplant Recipients, Ann Arbor, MI, 3University of Renal Research and Education Association, 4Harvard Medical School, Boston, MA
9:15 AM - 9:40 AM
17. Teaching Surgical Skills: What Kind Of Practice Makes Perfect?
Carol-anne E. Moulton, MB;BS, FRACS*, Adam Dubrowski, PhD*, Helen MacRae, MD, MA, FRCSC*, Brent Graham, MD, FRCSC*, Ethan Grober, MD*, Richard Reznick, MD, MEd, FRCSC, FACS
Univeristy Health Network, Toronto, ON, Canada
9:40 AM - 10:05 AM
18. Surgery Increases Survival In Patients With Gastrinoma
Jeffrey A. Norton, MD, Douglas L. Fraker, MD, H Richard Alexander, MD, Fathia Gibril, MD*, Daniel Liewehr, PhD*, David J. Venzon, PhD*, Robert T. Jensen, MD*
Stanford University, Stanford, CA
10:05 AM - 10:30 AM
19. Thoracoscopic Lobectomy Is A Broadly-Applicable and Safe Procedure For Patients With Suspected Stage I Lung Cancer
Mark W. Onaitis, MD*, Rebecca Petersen, MD, MSc*, Stafford S. Balderson, PA-C*, Eric Toloza, MD, PhD*, William R. Burfeind, MD*, David Harpole, MD, Thomas A. D'Amico, MD*
Duke University, Durham, NC
10:30 AM - 12:00 PM
Forum Discussion
To Err is Human... Or Is It?

Moderator: Carlos A. Pellegrini, MD
University of Washington School of Medicine, Seattle, WA
Objectives: This session will enable attendees to:
  • Identify the genesis and the origin of errors in the practice of surgery, including specific pre-dispositions in the human mind.
  • Describe how aging and other performance variables affect the commission of errors.
  • Understand how to create systems that prevent or minimize the occurrence of errors.
  • Discuss the practical information the American College of Surgeons provides to surgeons to decrease the number of errors in their practice.
  • Surgeons who implement the information offered in this session should experience a decrease in the numbers of errors in their own practices.
Nature and Inevitability Of Human Error
Sir Alfred Cuschieri, MD
Scuola Superiore S'Anna di Studi Universitari, Pisa, Italy

When Good Docs Go Bad: A Systems Problem
Lucian L. Leape, MD
Harvard School of Public Health, Boston, MA

Building Safer Surgical Systems
Lawrence W. Way, MD
University of California, San Francisco, CA

ACS Efforts - Error Prevention and Patient Safety
Thomas R. Russell, MD
American College of Surgeons, Chicago, IL
1:30 PM - 4:00 PM
Scientific Session
Moderator: Shukri F. Khuri, MD
1:30 PM - 1:55 PM
20. A Decade of Experience with Endovascular Abdominal Aortic Aneurysm Repair (EVAR)
David C. Brewster, MD, John E. Jones, MD*, Thomas K. Chung, MA*, Glenn M. LaMuraglia, MD*, Christopher J. Kwolek, MD*, Michael T. Watkins, MD*, Thomas M. Hodgman, BA*, Richard P. Cambria, MD
Massachusetts General Hospital/Harvard Medical School, Boston, MA
1:55 PM - 2:20 PM
21. Hepatitis C Recurrence Following Liver Transplant Is Influenced By Non-Viral Factors
Andrew M. Cameron, MD/PhD*, Rafik M. Ghobrial, MD/PhD*, Sherilyn A. Gordon, MD*, Douglas G. Farmer, MD*, Hasan Yersiz, MD*, Jonathan R. Hiatt, MD*, Michael A. Zimmerman, MD*, Francisco Durazo, MD*, Jeffery Gornbein, DrPH*, Ronald W. Busuttil, MD/PhD
University of California Los Angeles, Los Angeles, CA
2:20 PM - 2:45 PM
22. A Selective Approach To Resection In Patients With Cystic Lesions Of the Pancreas: Results From 539 Consecutive Patients
Peter J. Allen, MD*, Michael D'Angelica, MD*, David P. Jaques, MD, Daniel G. Coit, MD, William R. Jarnagin, MD*, Ronald P. DeMatteo, MD*, Yuman Fong, MD, Leslie H. Blumgart, MD, Murray F. Brennan, MD
Memorial Sloan-Kettering Cancer Center, New York, NY
2:45 PM - 3:10 PM
23. A New Era In the Surgical Treatment Of Atrial Fibrillation: The Impact Of Ablation Technology and Lesion Set On Procedural Efficacy
Spencer J. Melby, MD*, Andreas Zierer, MD*, Rochus K. Voeller, MD*, Shelly Lall, MD*, Marci S. Bailey, RN*, Marc R. Moon, MD*, Ralph J. Damiano, Jr., MD
Washington University School of Medicine, Barnes-Jewish Hospital, Saint Louis, MO, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, MO
3:10 PM - 3:35 PM
24. Gene Expression Profiles Differentiate Between SIRS and Early Sepsis
Steven B. Johnson, MD*, Matthew Lissauer, MD*, Grant Bochicchio, MD, MPH*, Richard Moore, MD, PhD*, Alan Cross, MD, PhD*, Thomas Scalea, MDR
Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD
3:35 PM - 4:00 PM
25. Serologic Markers Of Brain Injury Associated To Cognitive Function After Cardiopulmonary Bypass
Basel Ramlawi, MD*, James L. Rudolph, MD*, Shigetoshi Mieno, MD*, Jun Feng, MD, PhD*, Cesario Bianchi, MD, PhD*, Kamal Khabbaz, MD*, Munir Boodhwani, MD*, Sue E. Levkoff, ScD*, Edward R. Marcantonio, MD*, Frank W. Sellke, MD
Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA
4:00 PM - 5:00 PM
Executive Session (Fellows Only)

Presentation Of the Flance-Karl Award
7:00 PM
Annual Banquet
8:00 PM
Annual Reception

8:00 AM - 11:00 AM
Scientific Session
Moderator: New President
8:00 AM - 8:25 AM
26. Does More Extensive Nodal Dissection Improve Survival For Resectable Colon Cancer? A Population Based Study
Steven L. Chen, MD, MBA*, Anton J. Bilchik, MD, PhD*
John Wayne Cancer Institute, Santa Monica, CA Sponsored by: Donald Morton, M.D.
8:25 AM - 8:50 AM
27. Use Of Extended Criteria Livers Decreases Wait Time For Liver Transplantation Without Adversely Impacting Post-Transplant Survival
A. Joseph Tector, III, MD, PhD*, Richard Shane Mangus, MD*, Paul Chestovich, MD*, Rodrigo M. Vianna, MD*, Jonathan A. Fridell, MD*, Martin L. Milgrom, MD*, Carrie E. Sanders, BN*, Paul Y. Kwo, MD*
Indiana University, Indanapolis, IN Sponsored by: Keith Lillemoe, MD
8:50 AM - 9:15 AM
28. Duodenal Switch Provides Superior Weight Loss In the Super-Obese (BMI>50) Compared To Gastric Bypass
Vivek N. Prachand, MD*, Roy T. DaVee, BS*, John C. Alverdy, MD
University of Chicago, Chicago, IL
9:15 AM - 9:40 AM
29. AFPmRNA Detected In Bone Marrow By Real Time PCR Analysis Predicts Survival and Recurrence After Curative Hepatectomy For Hepatocellular Carcinoma
Toshiya Kamiyama, Dr*, Masato Takahashi, Dr*, Takahito Nakagawa, Dr*, Kazuaki Nakanishi, Dr*,Hirofumi Kamachi, Dr*, Tomomi Suzuki, Dr*, Tsuyoshi Shimamura, Dr*, Michiaki Matsushita, Dr*, Hiroyuki Furukawa, Dr*, Satoru Todo, Dr
Hokkaido University, Sapporo, Japan
9:40 AM - 10:05 AM
30. Impact Of Pre-Operative Versus Post-Operative Chemotherapy On the Extent and Number Of Surgical Procedures In Patients Treated On Randomized Clinical Trials For Breast Cancer
Judy C. Boughey, MD*, Flori Peintinger, MD*, Funda Meric-Bernstam, MD*, Allison Perry, MS, PA-C*, Kelly K. Hunt, MD, Gildy V. Babiera, MD*, Isabelle Bedrosian, MD*, Aman U. Buzdar, MD*, Lajos Pusztai, MD, PhD*, Henry M. Kuerer, MD, PhD*
University of Texas MD Anderson Cancer Center, Houston, TX
10:05 AM - 10:30 AM
31. Remedial Parathyroid Surgery: Changing Trends In 130 Consecutive Cases
Robert Udelsman, MD, Patricia I. Donovan, RN*
Yale University School of Medicine, New Haven, CT
10:30 AM - 10:55 AM
32. Role Of Selective Nonoperative Management Of Penetrating Abdominal Solid Organ Injuries
Demetrios Demetriades, MD, PhD, Pantelis Hadjizacharia, MD*, Carlos Brown, MD*, Kenji Inaba, MD*, Peter Rhee, MD*, Ali Salim, MD*
University of Southern California, LA, CA
11:00 AM

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