American Surgical Association
127th Annual Meeting Final Program

127th Annual Meeting Program

8:15 AM
President's Opening Remarks
Secretary's Welcome & Introduction of New Fellows Elected In 2006
President's Introduction of Honorary Fellows
Report of the Committee On Arrangements
9:10 AM 11:00 AM
Jay L. Grosfeld, MD
9:10 AM 9:35 AM
1. The Effect of Oxandrolone On the Endocrinologic, Inflammatory and Hypermetabolic Responses During the Acute Phase Postburn
Marc G. Jeschke, MD, PhD*, David N. Herndon, MD
Shriners Burns Hospital for Children, Galveston, TX
9:35 AM 10:00 AM
2. The CAPTURE Registry: Incidence, Timing, Distribution and Severity of Stroke Following Carotid Artery Stenting In Symptomatic and Asymptomatic Patients
Ronald M. Fairman, MD* (for the CAPTURE Steering Committee and Investigators)
Hospital University of Pennsylvania, Philadelphia, PA Sponsored by: Clyde Barker, MD
10:00 AM 10:25 AM
3. Two Thousand Transhiatal Esophagectomies: Changing Trends, Lessons Learned
Mark B. Orringer, MD, Becky Marshall, Andrew C. Chang, MD*, Allan Pickens, MD*, Christine L. Lau, MD*
University of Michigan Medical Center, Ann Arbor, MI
10:25 AM 10:50 AM
4. Extent of Surgery Affects Survival For Papillary Thyroid Cancer
Karl Y Bilimoria, MD*1,2, David J. Bentrem, MD*1, Clifford Y Ko, MD*2, R Scott Jones, MD2, Andrew K Stewart, MD*2, David P Winchester, MD2, Mark S. Talamonti, MD*1, Cord Sturgeon, MD*1
1Northwestern University, Department of Surgery, Chicago IL and 2American College of Surgeons, Cancer Programs, Chicago, IL
10:50 AM 11:00 AM
Introduction of the President
Ronald W. Busuttil, MD
11:00 AM
Address By the President
Jay L. Grosfeld, MD
1:30 PM 5:15 PM
Ronald W. Busuttil, MD
1:30 PM 1:55 PM
5. Survival After Radiofrequency Ablation of Colorectal Liver Metastases: 10 Year Experience
Allan E. Siperstein, MD, Eren Berber, MD*, Naveen Ballem, MD*, Rikesh T. Parikh, MD*
Cleveland Clinic, Cleveland, OH
1:55 PM 2:20 PM
6. Evaluation of 300 Minimally Invasive Liver Resections (MILR) At A Single Institution - Less Is More
Alan J. Koffron, MD*, Greg Auffenberg, BS*, Robert Kung, BS*, Michael Abecassis
Northwestern University Feinberg School of Medicine, Chicago, IL
2:20 PM 2:45 PM
7. Getting Surgery Right
John R Clarke, MD1, 2, Janet Johnston, MSN, JD*2, Edward D. Finley, BS*2
1Drexel University, Philadelphia, PA; 2ECRI, Plymouth Meeting, PA and Pennsylvania Patient Safety Reporting System, Pennsylvania Patient Safety Authority, Harrisburg, PA
2:45 PM 3:10 PM
8. Mitochondrial Genetic Polymorphisms, Energy Production and Increased Mortality: A Study of 720 Consecutive Trauma Patients
Jeffrey A Canter, MD*1, Judith M Jenkins, MD*1, Patrick R Norris, MD*1, Jason H Moore, MD*2, John A Morris, Jr., MD1
1Vanderbilt University Medical Center, Nashville, TN; 2Dartmouth-Hitchcock Medical Center, Lebanon, NH
3:10 PM 3:35 PM
9. Shifting Paradigms In the Treatment of Lower Extremity Vascular Disease: A Report of 1000 Percutaneous Interventions
Brian G. DeRubertis, MD*, Peter L. Faries, MD*, James F. McKinsey, MD*, Matthew Pierce, Alan Weinberg, PhD*, Roman Nowygrod, MD*, Nicholas J. Morrissey, MD*, John Karwowski, MD*, Harry L. Bush, MD*, K. Craig Kent, MD
Weill Medical College of Cornell University, Columbia College of Physicians and Surgeones, New York Presbyterian Hopsital, New York, NY
3:35 PM 4:00 PM
10. External Drainage of Pancreatic Duct With A Stent To Reduce Leakage Rate of Pancreaticojejunostomy After Pancreaticoduodenectomy: A Prospective Randomized Trial
Ronnie T. Poon, MS, PhD, FRCS, FACS*, Sheung-Tat Fan, MS MD, PhD, FRCS, FACS*, Chung-Mau Lo, MS, FRCS, FRACS, FACS*, Kelvin K. Ng, MBBS, PhD, FRCS*, Wai-Key Yuen, MBBS, FRCS, FRACS, FACS*, Chun Yeung, MBBS, FRCS*, John Wong, MBBS, PhD, FRACS, FACS
The University of Hong Kong, Hong Kong, China
4:00 PM 4:25 PM
11. Prognostic Impact of Micrometastases In Colon Cancer: Interim Results of A Prospective Multicenter Trial
Anton J Bilchik, MD, PhD1, David Hoon, PhD1, Kazuo Koyanagi, MD1, Maggie DiNome, MD2, Sukamal Saha, MD3, Martin McCarter, MD4, Perry Shen, MD5, Roderick Turner, MD1, David Elashoff, MD1, Donald Morton, MD1
1John Wayne Cancer Institute, Santa Monica, CA; 2St. Johns Health Center, Santa Monica, CA; 3McLaren Regional Center, Flint, MI; 4University of Colorodo, Denver, CO; 5Wake Forest University Medical Center, Winston-Salem, NC
4:25 PM 4:50 PM
12. Validation of the Obesity Surgery Mortality Risk Score (OS-MRS) In A Multi-Center Study Proves It Stratifies Mortality Risk In Patients Undergoing Gastric Bypass (GBP) For Morbid Obesity
Eric J DeMaria, MD1, Michel Murr, MD*2, T. Karl Byrne, MD3, Robin Blackstone, MD*4, Amanda Budak, MD*3, Luke Wolfe, MD*5
1Duke University, Durham, NC; 2University of South Florida, Tampa, FL; 3Medical University of South Carolina, Charleston, SC; 4Private practice, Scottsdale, AZ; 5Virginia Commonwealth University, Richmond, VA - Sponsored by: Danny Jacobs, MD, MPH
4:50 PM 5:15 PM
Product Line Development: A Strategy For Clinical Success In Academic Centers

William D. Turnipseed, M.D.
University of Wisconsin, Madison, WI

FRIDAY, APRIL 27, 2007
8:00 AM 10:30 AM
Jay L. Grosfeld, MD
8:00 AM 8:25 AM
14. Transplantation of the Spleen - Effect of Splenic Allograft in Human Multivisceral Transplantation
Tomoaki Kato, MD*, Andreas G. Tzakis, MD, Gennaro Selvaggi, Seigo Nishida, MD*, Jeffrey J. Gaynor, PhD*, Andre David, MD*, James Mathew, PhD*, Jang Moon, MD*, David Levi, MD*, Phillip Ruiz, MD, PhD*
University of Miami, Miami, FL
8:25 AM 8:50 AM
15. Comparison of Intestinal Lengthening Procedures For Patients With Short Bowel Syndrome
Debra Sudan, MD*, Jon Thompson, MD, Steve Raynor, MD*
University of Nebraska Medical Center, Omaha, NE
8:50 AM 9:15 AM
16. Hormonally Active Females Tolerate Shock Better Than Males: A Prospective Study of Over 4000 Trauma Patients
Edwin A Deitch, MD, David H Livingston, MD, Robert F Lavery, MD*, Sean F Monaghan, MD*, Advaith Bongu, MD*, George W Macheido, MD
UMDNJ-New Jersey Medical School, Newark, NJ
9:15 AM 9:40 AM
17. Tight Glycemic Control In Critcally Injured Trauma Patients
Thomas Scalea, MD, Kelly Bochicchio, RN, BSN, MS*, Steven Johnson, MD, Anne Pyle, RN, BSN, MS*, Manjari Joshi, MD*, Grant Bochicchio, MD,MPH*
University of Maryland, Baltimore, MD
9:40 AM 10:05 AM
18. Seasonal Variation In Surgical Outcomes: The July Effect As Measured By ACS-National Surgical Quality Improvement Program
Michael J Englesbe, MD*1, Shawn J Pelletier, MD*1, John C Magee, MD*1, Paul G Gauger, MD*1, William G Henderson, MD*2, Shukri F Khuri, MD3, Darrell A Campbell, Jr., MD1
1University of Michigan, Ann Arbor, MI; 2University of Colorado, Aurora, CO; 3VA Boston Healthcare System, Brigham and Women's Hospital, and Harvard Medical School, Boston, MA
10:05 AM 10:30 AM
19. The Prevalence and Prognostic Value of BRAF Mutation In Thyroid Cancer
Electron Kebebew, MD*, Julie Weng, BS*, Orlo H Clark, MD, Quan Duh, MD, Juergen Bauer, MD*, Boris Bastian, MD*, Gustavo Ranvier, MD*
University of California, San Francisco, San Francisco, CA
10:30 AM 12:00 PM
Reassessment of the Medical Work Force: Impact On Surgical Manpower In the 21st Century

Moderator: Jay L. Grosfeld, MD

Objectives: This session will enable attendees to:
  • Evaluate the factors and evidence indicating a significant medical workforce shortage in the near future
  • Become informed about how the nation's Medical Schools plan to respond to augment medical manpower
  • Evaluate methods that will allow residency training programs to adapt to increased manpower needs
  • Discuss the implications of change in the Surgical work force and its impact on practice

The Evidence For A Physician Shortage
Richard A. Cooper, MD
University of Pennsylvania, Philadelphia, PA

The Medical School and Residency Community's Response To the Projected Medical Workforce Shortage
Darell G. Kirch, MD
American Association of Medical Colleges, Washington, DC

The Surgical Workforce Since SOSSUS
George F. Sheldon, MD
University of North Carolina at Chapel Hill, Chapel Hill, NC
1:30 PM 4:00 PM
Irving L. Kron, MD
1:30 PM 1:55 PM
20. "ProvenCareSM": A Provider Driven Pay For Performance Program For Acute Episodic Cardiac Surgical Care
Alfred S. Casale, MD*, Albert Bothe, Jr., MD*, Ronald A. Paulus, MD*, Mark J. Selna, MD*, Karen McKinley, MD*, Michael C. Doll, MD*, Scott A. Berry, MD*, Glenn D. Steele, MD
Geisinger Health System, Danville, PA
1:55 PM 2:20 PM
21. Induction Chemotherapy In Barrett Cancer - Influence On Surgical Risk, Outcome and Survival
Joerg R Siewert, MD, FACS1, Florian Lordick, MD*1, Katja Ott*1, Hubert J Stein, MD, FACS2, Wolfgang A Weber, MD*3, Karen Becker1, Christian Peschel*1, Ulrich Fink*1, Markus Schwaiger*1
1Technical University of Munich, Munich, Germany; 2Paracelsus Medical University, Salzburg, Austria; 3University of California, Los Angeles, CA
2:20 PM 2:45 PM
22. Have Endovascular Procedures Negatively Impacted General Surgery Training?
Daniel J. Grabo, MD*, Paul J. DiMuzio, MD*, John C. Kairys, MD*, Stephen E. McIlhenny, BS*, Albert G. Crawford, PhD*, Charles J. Yeo, MD
Thomas Jefferson University, Philadelphia, PA
2:45 PM 3:10 PM
23. Computed Tomograhic Angiography For the Diagnosis of Blunt Carotid/Vertebral Artery Injury: A Note of Caution
Ajai K. Malhotra, MD, FACS*, Marc Camacho, MD*, Rao R. Ivatury, MD, FACS, Michel B. Aboutanos, MD, FACS*, Therese M. Duane, MD, FACS*, Charlotte Cockrell, MS*, Christopher T. Borchers, ACNP*, Nancy Martin, RN*
Medical College of Virginia, Virginia Commonwealth University, Richmond, VA
3:10 PM 3:35 PM
24. Intraductal Papillary Mucinous Neoplasms (IPMN): Factors Predicting Malignancy
Patrick B White, MD*, Joshua A Waters, MD*, Marshall Baker, MD*, Oscar W Cummings, MD*, Constantin T Yiannoutsos*, Thomas J Howard, MD*, Henry A Pitt, MD, Nicholas J Zyromski, MD*, Atilla Nakeeb, MD*, John M DeWitt, MD, Fatih M Akisik, MD, Keith D Lillemoe, MD, C. Max Schmidt, MD*
Indiana University School of Medicine, Indianapolis, IN
3:35 PM 4:00 PM
25. A Randomized Multicenter Trial To Compare Long-Term Functional Outcome and Complications of Surgical Procedures For Low Rectal Cancers
Massarat Zutshi, MD*1, Victor W Fazio, MD*1, Feza Remzi, MD1, R Ruppert, MD2, Y Parc, MD3, J Celebreeze, Jr., MD4, A Fuerst, MD5, G Orangio, MD6, N Hyman, MD7, S Galanduik, MD8
1Cleveland Clinic Foundation, Cleveland, OH; 2Krankenhaus Munchen Neuperlach, Munich, Germany; 3Hospital Saint Antoine, Paris, France; 4Allegheny General Hospital, Pittsburgh, PA; 5Caritas St Joseph Clinic, Regensberg, Germany; 6Georgia Colon and Rectal, Atlanta, GA; 7Fletcher Allen Health Care, Burlington, VT; 8University of Louisville, Louisville, KY Sponsored by: Victor Fazio, MD
4:00 PM 5:00 PM
Fellows Only
Presentation of the Flance-Karl Award
7:00 PM
8:00 PM

8:00 AM 11:00 AM
New President
8:00 AM 8:25 AM
26. Impact of the Method of Initial Stabilization For Femoral Fractures In Polytrauma Patients At Risk For Complications (Borderline Patients) - A Prospective Randomized Analysis By the EPOFF Study Group
Hans C Pape, Associate Prof.1, Dieter Rixen, MD2, Elisabeth Ellingson, MD*3, Peter Giannoudis, MD*4
1Division of Trauma, Pittsburgh, SC; 2Division of Trauma, cologne, Germany; 3Division of Trauma, Oslo, Norway; 4Division of Trauma, Leeds, United Kingdom Sponsored by: Andrew Peitzman, Professor
8:25 AM 8:50 AM
27. Laparoscopic Colectomy For Cancer Is Not Inferior To Open Surgery Based On 5-Year Data From the COST Study Group Trial
Heidi Nelson, MD1, James Fleshman, MD2, Daniel Sargent, PhD*1, Erin Green, MD*1, Mehran Anvari, MD*3, Steven Stryker, MD*4, Robert Beart, Jr., MD5, Micheal Hellinger, MD*6, Richard Flanagan, Jr., MD*7, Walter Peters, MD*8
1Mayo Clinic, Rochester, MN; 2Washington University School of Medicine, St. Louis, MO; 3McMaster University, Hamilton, ON, Canada; 4Northwestern Surgical Associates, Chicago, IL; 5University of Southern California, Los Angeles, CA; 6University of Miami, Miami, FL; 7St. Joseph Mercy Hospital, Ann Arbor, MI; 8Boone Hospital Center, Columbia, MO
8:50 AM 9:15 AM
28. Vagal Sparing Esophagectomy: The Ideal Operation For High Grade Dysplasia and Early Esophageal Cancer
Christian G. Peyre, MD*, Steven R. DeMeester, MD*, Christian Rizzetto, MD*, Neeraj Bansal, Andrew L. Tang, MD*, Shahin Ayazi, MD*, Jessica M. Leers, MD*, John C. Lipham, MD*, Jeffrey A. Hagen, MD*, Tom R. DeMeester, MD
University of Southern California, Los Angeles, CA
9:15 AM 9:40 AM
29. Criteria For Liver Transplantation For Hepatocellular Carcinoma Should Be Expanded: A 22-Year Single Institution Study With 467 Patients
John P. Duffy, MD*, Elizabeth Robinson, MD, Andrew Vardanian, MD, Melissa Watson, MD*, Douglas G. Farmer, MD, Rafik M. Ghobrial, MD, Myron Tong, MD, Hasan Yersiz, MD*, Jonathan R. Hiatt, MD, Ronald W. Busuttil, MD
UCLA Medical Center, Los Angeles, CA
9:40 AM 10:05 AM
30. Arteriovenous Carbon Dioxide Removal Improves Survival In An Ovine Model of Severe Smoke and Burn Injury
Joseph B. Zwischenberger, MD, Manuel E. Cevallos, MD*, Kelley M. Campbell, BS*, Susan E. Keeney, MD*, Daniel L. Traber, PhD, Helen E. Rudloff, Kimberly H. Palkowetz, BS*, Xiaoqin Zhou, MD*, Frank C. Schmalstieg, MD, PhD*
University of Texas Medical Branch, Galveston, TX
10:30 AM 10:55 AM
32. Laparoscopic Splenic Procedures In Children: Experience In 231 Children
Frederick J. Rescorla, MD*, Karen W. West, MD*, Scott A. Engum, MD*, Jay L. Grosfeld, MD
Indiana University School of Med, Indianapolis, IN
11:00 AM

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