American Surgical Association
128th Annual Meeting Final Program

128th Annual Meeting Program

8:15 AM
President's Opening Remarks

Secretary's Welcome & Introduction of New Fellows Elected In 2007
President's Introduction of Honorary Fellows
Report of the Committee On Arrangements
9:10 AM – 11:00 AM
Courtney M. Townsend, Jr., MD
9:10 AM – 9:35 AM
1. Acute Normovolemic Hemodilution Versus Standard Intraoperative Management in Patients Undergoing Major Hepatic Resection: Results of a Prospective Randomized Trial
William R Jarnagin*, Mithat Gonen*, Shishir K Maithel*, Yuman Fong, Michael I D'Angelica*, Ronald P DeMatteo*, Florence Grant*, David Wuest*, Leslie H Blumgart, Mary Fischer*
Memorial Sloan-Kettering Cancer Center, New York, NY
9:35 AM – 10:00 AM
2. Tissue Engineered Vascular Grafts Demonstrate Evidence of Growth and Development When Implanted in a Juvenile Animal Model
Matthew P Brennan*, Alan Dardik, Narutoshi Habino*, Jason D Roh*, Gregory N Nelson*, Xenophon Papademitris*, Toshiharu Shinoka*, Christopher K Breuer*++
Yale University School of Medicine, New Haven, CT
Sponsored By: Robert Touloukian MD, Yale University
10:00 AM – 10:25 AM
3. Regional Recurrence After Negative Sentinel Lymph Node Biopsy for Melanoma
Grant W Carlson*, Andrew J. Page*, Douglas R. Murray*, Anya J. Li*, Keith A. Delman*, Andrea Hestley*, Douglas C. Parker*, Cynthia Cohen*
Emory University, Atlanta, GA
Sponsored By: William Wood MD, Emory University
10:25 AM – 10:50 AM
4. Severe Burn Causes A Profound And Complex Pathophysiologic Response
Marc G. Jeschke*+++, David L. Chinkes*, Celeste C. Finnerty*, Gabriela A. Kulp*, Oscar E. Suman*, William B. Norbury*, Ludwik K. Branski*, Gerd G. Gauglitz*, Ron P. Mlcak*, David N. Herndon
Shriners Burns Hospital for Children, Galveston, TX
10:50 AM – 11:00 AM
Introduction of the President
Anthony D. Whittemore, MD
11:00 AM
Address By the President
Courtney M. Townsend, Jr., MD
1:30 PM – 5:15 PM
Anthony D. Whittemore, MD
1:30 PM – 1:55 PM
5. Novel Treatment of Patients with Lower Extremity Ischemia: Use of Percutaneous Atherectomy in 559 Lesions
James F McKinsey*, Lee Goldstein*, Habib U Kahn*, Ashley Graham*, Combiz Rezayat*, Nicholas Morrissey*, Elliot B Sambol*, Kenneth Craig Kent
New York Presbyterian Hospital Columbia/Cornell Universities, New York, NY
1:55 PM – 2:20 PM
6. The Fontan Operation in the Current Era: A 15 Year Single Institution Experience
Jennifer C Hirsch*, Timothy Lee*, Sepand Salehian*, Caren Goldberg*, Richard G. Ohye*, Edward L. Bove*, Eric J. Devaney*
University of Michigan, Ann Arbor, MI
2:20 PM – 2:45 PM
7. Quantifying the Importance of Intercostal Revascularization in Thoracoabdominal Aortic Surgery
Charles W Acher*, Martha M Wynn*, Mathew Mell*, Girma Tefera*, John Hoch*
University of Wisconsin, Madison, WI
Sponsored By: Layton Rikkers MD, University Wisconsin
2:45 PM – 3:10 PM
8. Duodenal Switch Operative Mortality and Morbidity are Not Impacted by BMI
Henry Buchwald, Todd A Kellogg*, Daniel B Leslie*, Sayeed Ikramuddin*
University of Minnesota, Minneapolis, MN
3:10 PM – 3:35 PM
9. The Number of Lymph Nodes Removed Predicts Survival in Esophageal Cancer: an International Study of the Impact of Extent of Surgical Resection
Christian G Peyre1, Tom R DeMeester1, Nasser K Altorki2, Ermanno Ancona3*, Selwyn M Griffin4*, Arnulf H Hoelscher5*, Toni Lerut6, Thomas W Rice7*, J J Van Lanschot8*, John Wong9
1University of Southern California, Los Angeles, CA;2Weill Medical College of Cornell University, New York, NY;3University of Padova School of Medicine, Padua, Italy4Royal Victoria Infirmary, Newcastle upon Tyne, United Kingdom5University of Cologne, Cologne, Germany6University Hospitals Leuven, Leuven, Belgium7Cleveland Clinic, Cleveland, OH;8Erasmus University, Rotterdam, The Netherlands9University of Hong Kong, Hong Kong, China
3:35 PM – 4:00 PM
10. A Decade of Right Liver Adult-to-Adult Living Donor Liver Transplantation - the Recipients Mid-term Outcomes
See C Chan*, Barbara H Chik*, Chi L Liu*, Chung M Lo*, Sheung T Fan*, John Wong
University of Hong Kong Medical Center, Hong Kong, Hong Kong
4:00 PM – 4:25 PM
11. Predicting the Success of Limited Exploration for 1o; Hyperparathyroidism Using Ultrasound, Sestamibi and Intra-Operative PTH: Analysis of 1055 Cases
Allan Siperstein, Eren Berber*, German Barbosa*, Michael Tsinberg*, Andrew Greene*, Jamie Mitchell*, Mira Milas*
Cleveland Clinic, Cleveland, OH
4:25 PM – 4:50 PM
12. A National Study of Posttraumatic Stress Disorder, Depression, and Work and Functional Outcomes after Injury Hospitalization
Douglas F Zatzick*, Gregory Jurkovich, Frederick Rivara*, Jin Wang*, Ming-Yu Fan*, Jutta Joesch*, David Salkever*, Ellen Mackenzie*
University of Washington, Seattle, WA
Sponsored By: Gregory J. Jurkovich
4:50 PM – 5:15 PM
13. Negative Appendectomy and Imaging Accuracy in the Washington State Surgical Care and Outcomes Assessment Program (SCOAP)
David R Flum1*, Joseph Cuschieri1*, Michael Florence2*, Gregory J Jurkovich1, Scott R Steele3*, Richard Thirlby4
1University of Washington, Seattle, WA;2Swedish Medical Center, Seattle, WA;3Madigan Army Medical Center, Tacoma, WA;4Virginia Mason Medical Center, Seattle, WA

FRIDAY, APRIL 25, 2008
8:00 AM – 10:30 AM
Courtney M. Townsend, Jr., MD
8:00 AM – 8:25 AM
14. A Randomized Double Blind, Placebo-Controlled Trial of Early Corticosteroid Cessation Versus Chronic Corticosteroids: Five Year Results
E. Steve Woodle for the Astellas Steroid Withdrawal Study Group
University of Cincinnati, Cincinnati, OH
8:25 AM – 8:50 AM
15. Multicenter Analysis of 667 Left Pancreatectomies: Should the Laparoscopic Approach Become Standard?
David A Kooby1*, Theresa Gillespie1*, David J Bentrem2*, Attila Nakeeb3*, Nipun Merchant4*, Robert C. Martin5*, Sayed A. Ahmad6*, Hongjin Kim7*, William C Wood1, William G Hawkins8*
1Emory University, Atlanta, GA;2Northwestern University, Chicago, IL;3Indiana University, Indianapolis, IN;4Vanderbilt University, Nashville, TN;5University of Louisville, Louisville, KY;6University of Cincinnati, Cincinnati, OH;7University of North Carolina, Chapel Hill, NC;8Washington University, St. Louis, MO
8:50 AM – 9:15 AM
16. Increased Plasma and Platelet to RBC Ratios Improves Outcome in 466 Massively Transfused Civilian Trauma Patients
John B Holcomb1, Charles E Wade1*, Joel E Michalek2*, Gary B Chisholm2*, Martin A Schreiber3*, Ernest A Gonzalez4*, Greg Pomper5*, Kari L Williams1*, Myung S Park1*, and The Trauma Outcomes Group6*
1US Army Institute of Surgical Research, Ft Sam Houston, TX;2University of Texas Health Science Center, San Antonio, TX;3Oregon Health and Science University, Portland, OR;4University of Texas Health Science Center, Houston, TX;5Wake Forrest School of Medicine, Winston Salem, NC;6Trauma Outcomes Group, Ft Sam Houston, TX
9:15 AM – 9:40 AM
17. Early Aggressive Use of Fresh Frozen Plasma (FFP) Does Not Improve Outcome in Critically Injured Trauma Patients
Thomas Scalea, Grant Bochicchio*, Kim Lumpkins*, John Hess*, Richard Dutton*, Anne Pyle*, Kelly Bochicchio*
University of Maryland, Baltimore, MD
9:40 AM – 10:05 AM
18. The Effect of Age on Short-term Outcomes After Pancreatic Resection: A Population-based Study
Taylor S Riall*, Deepthi M Reddy*, William H Nealon
University of Texas Medical Branch, Galveston, TX
10:05 AM – 10:30 AM
19. Violations of Behavioral Practices Revealed In Closed Claims Reviews
F. Dean Griffen1*, Linda S. Stephens2*, H. Randolph Bailey3*, Scott E. Maizel3*, Beth H. Sutton3*, James B. Alexander3*, Karen L. Posner2*
1LSUHSC-S, Shreveport, LA;2University of Washington, Seattle, WA;3American College of Surgeons, Chicago, IL
Sponsored By: Richard Turnage MD, LSUHSC-S
10:30 AM – 12:00 PM

Value-Based Health Care Delivery

Courtney M. Townsend, Jr., MD

Objectives: This session will enable attendees to:
  • Understand the deficiencies inherent in our current healthcare delivery system
  • Appreciate the difficulties involved in transitioning to a patient-centered multidisciplinary system
  • Gain insight into the challenges in implementation of this revised delivery system

Michael E. Porter, MD
Harvard Business School, Boston, MA

Raphael E. Pollock, MD, PhD, FACS
The University of Texas, MD Anderson Cancer Center, Houston, TX
1:30 PM – 4:00 PM
Moderator: Robin S. McLeod, MD
1:30 PM – 1:55 PM
20. Perioperative Hyperglycemia In Noncardiac Surgical Patients: Does It Increase Postoperative infections?
Selwyn O Rogers, Jr.*, Margarita Ramos*, Zain Khalpey*, Jill Steinberg*, Maria Panizales*, Stuart Lipsitz*, Michael J. Zinner
Brigham and Women's Hospital, Boston, MA
1:55 PM – 2:20 PM
21. Unresectable Colorectal Cancer Can Be Cured with Multimodality Therapy
Kellie L Mathis*, Michael G Haddock*, John H Pemberton, Heidi Nelson
Mayo Clinic, Rochester, MN
2:20 PM – 2:45 PM
22. Utilization, Outcomes, and Retransplantation of Liver Allografts from Donation After Cardiac Death: Implications for Further Expansion of the Cadaver Donor Pool
Fred Selck1*, Eric Grossman1*, Lloyd Ratner2*, John F Renz2*+
1New York Organ Donor Network, New York, NY;2New York Presbyterian Hospital, New York, NY
Sponsored By: Kenneth Forde MD, Columbia University
2:45 PM – 3:10 PM
23. Long-term Outcomes with Ileal Pouch-Anal Anastomosis and Crohn’s Disease: Pouch Retention, Implications of Delayed Diagnosis, and Use in Highly Selected Patients
Genevieve B Melton1*, Victor W Fazio1, Ravi P Kiran1*, Jin He1*, Ian C Lavery1*, Bo Shen2*, Jean- Paul Achkar2*, Feza H Remzi1*
1Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, OH;2Department of Gastroenterology/Hepatology, Cleveland Clinic Foundation, Cleveland, OH
3:10 PM – 3:35 PM
24. Outcomes of Adjuvant Transarterial Chemoembolization (TACE) to Downstage Hepatocellular Carcinoma (HCC) Prior to Liver Transplantation
William C Chapman, Jourdan E Stuart*, Jeffrey S Crippin*, Jeffrey A Lowell*, Surendra Shenoy*, Majella Doyle*, Christopher D Anderson*, Daniel B Brown*
Washington University School of Medicine, St. Louis, MO
3:35 PM – 4:00 PM
25. Should R1 Liver Resection by Necessity be Blamed or Encouraged in the Treatment of Colorectal Metastases?
Robbert J de Haas*, Dennis A Wicherts*, Eduardo Flores*, Daniel Azoulay*, Denis Castaing*, Renι Adam*
Hτpital Paul Brousse, Villejuif, France
Sponsored By: Henri Bismuth MD, Hospital Paul Brousse
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. Superior Financial and Quality Metrics with Robotically-assisted (DaVinci) Coronary Artery Revascularization
Robert S Poston, Jr.*, Bartley Griffith, Stephen T Bartlett
University of Maryland, Baltimore, MD
8:25 AM – 8:50 AM
27. Race and Surgical Outcomes: It’s Not All Black and White
Nestor F Esnaola1*, Bruce L. Hall2*, John Z. Ayanian3*, William G. Henderson4*, Shukri F. Khuri5, Michael J. Zinner3, Selwyn O. Rogers3*
1Medical University of South Carolina, Charleston, SC;2Washington University, St. Louis, MO;3Brigham and Women's Hospital, Boston, MA;4Colorado Health Outcomes Program, Aurora, CO;5Veterans Administration Medical Center, West Roxbury, MA
8:50 AM – 9:15 AM
28. Experience With Over 500 Minimally Invasive Hepatic Procedures
Joseph F Buell1*, Mark T Thomas2*, Steven Rudich2*, Michael Marvin1*, Ravi Nagubandi1*, Ravindra Kadiyala1*, Kelly M McMasters1
1University of Louisville, Louisville, KY;2University of Cincinnati, Cincinnati, OH
9:15 AM – 9:40 AM
29. Experience with Sports Hernia "Spanning Two Decades"
William C Meyers1, Alex McKechnie2*, Marc J Philippon3*, Marcia A Horner1*, Octavia N Devon1*, Adam C Zoga4*
1Drexel University, Philadelphia, PA;2Los Angeles Lakers, Los Angeles, CA;3Steadman-Hawkins Clinic, Vail, CO;4Thomas Jefferson University, Philadelphia, PA
9:40 AM – 10:05 AM
30. Retroperitoneoscopic Adrenalectomy: Preferred Technique for Removal of Benign Tumors and Isolated Metastases
Nancy D Perrier*, Debra L Kennamer*, Ruijun Bao*, Jeffrey E Lee, Douglas B Evans
MD Anderson Cancer Center, Houston, TX
10:05 AM – 10:30 AM
31. Generation of Humanized Animal Livers using Stem Cell Transplant
Jayme E Locke, Zhaoli Sun*, Daniel S Warren*, Timothy P Sheets*, Horatio Holzer*, Michael J Shamblott*, Robert A. Montgomery*, Andrew M Cameron*++++
The Johns Hopkins University School of Medicine, Baltimore, MD
10:30 AM – 10:55 AM
32. NCI Designation Predicts Improved Outcomes in Colorectal Cancer Surgery
Emily C Paulson*, Christopher Wirtalla*, Nandita Mitra*, Rachel Kelz*, Katrina Armstrong*, Najjia Mahmoud*
Hospital of the University of Pennsylvania, Philadelphia, PA
Sponsored By: Robert Fry MD, Hospital of the University of Pennsylvania
11:00 AM

* By Invitation
+ 2004 – 2006 ASAF Fellow
++ 2005 – 2007 ASAF Fellow
+++ 2006 – 2008 ASAF Fellow
++++ 2008 – 2010 ASAF Fellow