American Surgical Association
129th Annual Meeting Final Program

129th Annual Meeting Program

8:15 AM
President's Opening Remarks
Secretary's Welcome & Introduction of
New Fellows Elected In 2008

President's Introduction of Honorary Fellows

Report of the Committee on Arrangements

Eulogies for Michael E. DeBakey, MD, David Sabiston, MD, and James C. Thompson, MD
9:10 AM - 11:00 AM
Moderator: Anthony D. Whittemore., MD
9:10 AM - 9:35 AM
1. Does Surgical Quality Improve in the American College of Surgeons? National Surgical Quality Improvement Program (ACS-NSQIP): An Evaluation of All Participating Hospitals
*Bruce L Hall, MD, PhD, MBA1, *Barton H Hamilton, PhD1, *Karen Richards, BS2, *Karl Y Bilmoria, MD, MS, *Mark E Cohen, PhD2, *Clifford Y Ko, MD, MS, MSHS4
1Washington University in St Louis, St Louis, MO; 2American College of Surgeons, Chicago, IL; 3Northwestern University, Chicago, IL; 4UCLA, Los Angeles, CA

Sponsored By: Thomas R. Russell, MD, American College of Surgeons
9:35 AM - 10:00 AM
2. Endograft Repair of Traumatic Aortic Injury - A Technique in Evolution
*David G Neschis, MD1, *Sina Moainie, MD1, *William R Flinn, MD1, Thomas M Scalea, MD2, Stephen T Bartlett, MD1, Bartley P Griffith, MD1
1University of Maryland School of Medicine, Baltimore, MD; 2R Adams Cowley Shock Trauma Center, Baltimore, MD
10:00 AM - 10:25 AM
3. Secondary Intervention after Endovascular Abdominal Aortic Aneurysm Repair (EVAR)
*Andrew B Adams, MD, *Mark F Conrad, MD, *Julie M Guest, BS, David C Brewster, MD, *Glenn M LaMuraglia, MD, Richard P Cambria, MD
Massachusetts General Hospital, Boston, MA
10:25 AM - 10:50 AM
4. The Better Colectomy Project: Association of best-practice adherence rates to outcomes in colorectal surgery
*Alexander F Arriaga, MD1 & 2, *Robert T Lancaster, MD, MPH2 & 3, *William R Berry, MD, MPH, MPA2, *Scott E Regenbogen, MD, MPH2 & 3, *Stuart R Lipsitz, ScD1, *Haytham M.A. Kaafarani, MD, MPH2 & 6, *Andrew W Elbardissi, MD, MPH1 & 2, *Priya Desai, BA, MPH1 & 2, *Stephen J. Ferzoco, MD4, *Ronald Bleday, MD3, *Elizabeth Breen, MD1, *William V. Kastrinakis, MD5, *Marc S. Rubin, MD5, *Atul A Gawande, MD, MPH1 & 2
1 Brigham and Women's Hospital, Boston, MA; 2 Harvard School of Public Health, Boston, MA; 3 Faulkner Hospital, Boston, MA; 4Faulkner Hospital, Boston, MA; 5North Shore Medical Center, Salem, MA; 6Veterans Affairs Boston Healthcare System, Boston, MA.

Sponsored By: Stanley W. Ashley, MD, Brigham & Women's Hospital
10:50 AM - 11:00 AM
Introduction of the President
Thomas R. Russell, MD
11:00 AM - 12:00 PM
Address by the President
Anthony D. Whittemore, MD
1:30 PM - 5:15 PM
Moderator: Donald D. Trunkey, MD
1:30 PM - 1:55 PM
5. Randomized Controlled Trial to Determine the Efficacy of Long-Term Growth Hormone Treatment in Severely Burned Children
*Ludwik K Branski, MD, David N. Herndon, MD, *Gabriela A Kulp, MS, *Gordon L Klein, MD, *Felicia N. Williams, MD, *David L. Chinkes, PhD, *Marc G. Jeschke, MD, PhD
University of Texas Medical Branch and Shriners Burns Hospital for Children, Galveston, TX
1:55 PM - 2:20 PM
6. Personalized Medicine: Genetic Variation and Early Loss of Physiologic Complexity are Associated with Mortality in 633 Trauma Patients
*Patrick R Norris, PhD, *Jeffrey A Canter, MD, *Judith M Jenkins, MSN, *Anna E Williams, BA, John A Morris, Jr., MD
Vanderbilt University Medical Center, Nashville, TN
2:20 PM - 2:45 PM
7. Validation of the Riboleukogram to Detect Ventilator-Associated Pneumonia after Severe Injury
*J. Perren Cobb, MD1, Ernest E. Moore, MD2, *Doug L. Hayden, MA3, *Joseph P. Minei, MD4, *Joseph Cuschieri, MD5, *Jingyun Yang, PhD3, *Bernard H. Brownstein, PhD1, *Laura Hennessy, RN6, *Philip H. Mason, PhD3, *William S. Schierding, MS1, *David J. Dixon, PhD1, Ronald G. Tompkins, MD, ScD3, *H. Shaw Warren, MD3, *David A. Schoenfeld, PhD3, Ronald V. Maier, M5
1Washington University in St. Louis, St. Louis, MO; 2University of Colorado, Denver, CO; 3Massachusetts General Hospital, Boston, MA; 4University of Texas Southwestern, Dallas, TX; 5University of Washington, Seattle, WA; 6Harborview Medical Center, Seattle, WA
2:45 PM - 3:10 PM
8. Impact of Motorcycle Helmets and State Laws on Society's Burden: A National Study
Martin A. Croce, MD, *Ben L. Zarzaur, MD, *Louis J. Magnotti, MD, Timothy C. Fabian, MD
University of Tennessee Health Science Center, Memphis, TN
3:10 PM - 3:35 PM
9. Impact of Future Liver Remnant Volume on Outcome in 301 Consecutive Extended Right Hepatectomies
*Jean-Nicolas Vauthey, MD, *Yoji Kishi, MD, *Yun S Chun, MD, *David C Madoff, MD, *Martin Palavecino, MD, *Michael J Wallace, MD, *Eddie K Abdalla, MD, Steven A Curley, MD
The University of Texas M.D. Anderson Cancer Center, Houston, TX
3:35 PM - 4:00 PM
10. Underuse of Surgical Resection in Patients with Nonmetastatic Colorectal Cancer: Location, Location, Location
*Nestor F Esnaola, MD, MPH1, *Mulugeta Gebregziabher, PhD1, *Chris Finney, MIS2, *Marvella Ford, PhD1
1Medical University of South Carolina, Charleston, SC; 2South Carolina Office of Research and Statistics, Charleston, SC

Sponsored By: David Cole, MD, Medical University of South Carolina
4:00 PM - 4:25 PM
11. Parenteral Fish Oil Improves Outcomes in Patients with Parenteral Nutrition Associated Liver Injury
*Mark Puder, MD, PhD, *Jonathan A Meisel, MD, *Valim Clarissa, MD, ScD, *Hau D Le, MD, *Elizabeth M Robinson, BA, *Katherine B Novak, BS, *Christopher Duggan, MD, MPH, *Kathleen M Gura, PhD
Children's Hospital Boston, Boston, MA

Sponsored By: Robert C. Shamberger, MD, Children's Hospital Boston
4:25 PM - 4:50 PM
12. Ipsilateral vs. Bilateral Central Neck Lymph Node Dissection in Papillary Thyroid Carcinoma
*Tracy-Ann S Moo, MD1, *Ben Umunna, BS1, *Meredith Kato, MD1, *Anna Kundel, MD1, *James Lee, MD2, *Rasa Zarnegar, MD1, *Thomas J Fahey, III, MD1
1New York Presbyterian Hospital-Cornell, New York, NY; 2New York Presbyterian Hospital-Columbia, New York, NY

Sponsored By: Fabrizio Michelassi, MD, Weill Cornell Medical College
4:50 PM - 5:15 PM
13. Sentinel Lymph Node Biopsy after Neoadjuvant Chemotherapy is Accurate and Reduces the Need for Axillary Dissection in Breast Cancer
Kelly K Hunt, MD, *Min Yi, MD, *Elizabeth A. Mittendorf, MD, *Cynthia Guerrero, BA, *Gildy V. Babiera, MD, *Isabelle Bedrosian, *Rosa F. Hwang, MD, *Henry M. Kuerer, MD, Phd, Merrick I. Ross, MD, *Funda Meric-Bernstam, MD
The University of Texas M. D. Anderson Cancer Center, Houston, TX

FRIDAY, APRIL 24, 2009
8:00 AM - 10:30 AM
Moderator: Anthony D. Whittemore, MD
8:00 AM - 8:25 AM
14. Small-incision Mitral Valve Repair: Safe, Durable, and Approaching Perfection
*James S Gammie, MD, Stephen T Bartlett, MD, Bartley P Griffith, MD
University of Maryland Medical Center, Baltimore, MD
8:25 AM - 8:50 AM
15. Anti-RAGE Therapies as Novel Treatment for Abdominal Aortic Aneurysm
*Fan Zhang, MD, PhD1, *Bo Liu, PhD1, *Dai Yamanouchi, MD, PhD1, *Yan Zhang2, *Kaori Kato, MD1, *Shirling Tsai, MD3, *Roman Nowygrod, MD2, *Ann Marie Schmidt2, Craig K Kent, MD1
1University of Wisconsin School of Medicine, Madison, WI; 2Columbia University Medical Center, New York, NY; 3Weill Medical School, Cornell University, New York, NY
8:50 AM - 9:15 AM
16. Understanding Variations In Surgical Mortality In Medicare Patients
*Amir A Ghaferi, MD, *Nicholas H. Osborne, MD, John D. Birkmeyer, MD, *Justin B. Dimick, MD, MPH
University of Michigan Health Systems, Ann Arbor, MI
9:15 AM - 9:40 AM
17. Do Differences in Hospital and Surgeon Quality Explain Racial Disparities in Lower-Extremity Vascular Amputation?
*Scott E Regenbogen, MD, MPH1 & 2, *Atul A Gawande, MD, MPH2 & 3, *Stuart R Lipsitz, ScD3, *Caprice C Greenberg, MD, MPH3, *Ashish K Jha, MD, MPH3
1Harvard School of Public Health, Massachusetts General Hospital, Boston, MA; 2Harvard School of Public Health, Brigham and Women's Hospital, Boston, MA; 3Brigham and Women's Hospital, Boston, MA

Sponsored By: Michael J. Zinner, MD, Brigham and Women's Hospital
9:40 AM - 10:05 AM
18. Will The Clinicians Support The Researchers and Teachers? Results of a Salary Satisfaction Survey of 1,038 Academic Surgeons
*John E Scarborough, MD, *Kyla M Bennett, MD, *Tristan B Swedish, BA, *Rebecca A Schroeder, MD, Danny O Jacobs, MD, Paul C Kuo, MD
Duke University, Durham, NC
10:05 AM - 10:30 AM
19. Five Hundred Intestinal and Multivisceral Transplantations at a Single Center
Kareem M Abu-Elmagd, MD, PhD, *Guilherme Costa, MD, *Geoffrey J Bond, MD, *Kyle Soltys, MD, *Rakesh Sindhi, MD, *George Mazariegos, MD
Thomas E. Starzl Transplantation Institute, Pittsburgh, PA
10:30 AM - 12:00 PM
The Surgeon's Role in Global Health

Moderator: Anthony D. Whittemore, MD

Atul A. Gawande, MD, MPH*
Brigham and Women's Hopsital, Boston, MA

Paul Farmer, MD*
Partners In Health, Boston, MA
1:30 PM - 4:00 PM
Moderator: Thomas R. Russell, MD
1:30 PM - 1:55 PM
20. Predictive Factors for Pathological Complete Response for Rectal Cancer Following Neoadjuvant Therapy
*Luiz FC Lobato, MD, *Luca Stocchi, MD, *Daniel Geisler, MD, *David Dietz, MD, Victor W Fazio, MD, *Ian C Lavery, MD, Mathew F Kalady, MD
Cleveland Clinic, Cleveland, OH
1:55 PM - 2:20 PM
21. Rates and Patterns of Recurrence Following Curative Intent Surgery for Colorectal Liver Metastases: an International Multi-institutional Analysis of 1512 Patients
*Timothy M Pawlik, MD, MPH1, *Mechteld de Jong, MD1, *Carlo Pulitano, MD2, *Dario Ribero, MD3, *Jennifer Strub, MD4, *Gilles Mentha, MD4, *Lorenzo Capussotti, MD3, *Michael A Choti, MD, MBA1
1Johns Hopkins, Baltimore, MD; 2Vita-Salute San Raffaele University, Milan, Italy; 3Unit of Hepato-Biliary-Pancreatic Surgery, A.O. Ordine Mauriziano, Torino, Italy; 4University Hospitals of Geneva, Geneva, Switzerland

Sponsored By: Frederic E. Eckhauser, MD, Johns Hopkins Hospital
2:20 PM - 2:45 PM
22. The Estimated Cost of Training the Future Surgical Workforce
*Thomas E Williams, Jr., MD, PhD, *Bhagwan Satiani, MD, MBA, *Andrew Thomas, E. Christopher Ellison, MD,
Ohio State University, Columbus, OH
2:45 PM - 3:10 PM
23. Redefining Geriatric Pre-Operative Assessment Using Frailty, Disability And Co-Morbidity
*Thomas N Robinson, MD1, Ben Eiseman, MD1, *Jeffrey I Wallace, MD, MPH1, *Skotti D Church, BS1, *Kim K McFann, PhD1, *Shirley M Pfister, RN, MS, NP2, *Terra J Sharp, NP-C1, *Marc Moss, MD1
1University of Colorado, Aurora, CO; 2Denver VA Medical Center, Denver, CO
3:10 PM - 3:35 PM
24. The Pediatric Surgeonsí Approach To In-Utero Treatment Of Feto-Fetal Transfusion Syndrome
*Francois I Luks, MD, PhD, *Stephen R Carr, MD, *Christopher S Muratore, MD, *Barbara M O'Brien, MD, Thomas F Tracy, Jr., MD, MS
Alpert Medical School, Brown University, Providence, RI
3:35 PM - 4:00 PM
25. Burnout and Career Satisfaction Among American Surgeons; A Survey of 7905 ACS Members
Charles M Balch, MD, FACS1,*Gerald J. Bechamps, MD, FACS2, Thomas R. Russell, MD, FACS3, Julie A. Freischlag, MD, FACS1, *Tait D. Shanafelt, MD4, Paul Collicott, MD3
1Johns Hopkins Medical Institutions, Baltimore, MD; 2Winchester Surgical Clinic, Winchester, VA; 3American College of Surgeons, Chicago, IL; 4Mayo Clinic, Rochester, MN
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
Moderator: New President-Elect
8:00 AM - 8:25 AM
26. Portal-Systemic Encephalopathy in a Randomized Clinical Trial of Endoscopic Sclerotherapy Versus Emergency Portacaval Shunt Treatment of Acutely Bleeding Esophageal Varices in Cirrhosis
Marshall J Orloff, MD, *Jon I. Isenberg, MD, *Henry O. Wheeler, ME, *Kevin S. Haynes, MD, *Horacio Jinich-Brook, MD, *Roderick Rapier, MD, *Florin Vaida, PhD, *Robert J. Hye, MD,
University of California, San Diego, San Diego, CA
8:25 AM - 8:50 AM
27. Right Ventricle Infundibulum Sparing Tetralogy of Fallot Repair in Over 300 Patients
*David LS Morales, MD, *Farhan Zafar, MD, *Jeffrey S Heinle, MD, *Elena C OCampo, MD, Charles D Fraser, Jr., MD
Texas Children's Hospital, Houston, TX
8:50 AM - 9:15 AM
28. Has Recognition of the Relationship Between Mortality and Hospital Volume for Major Cancer Surgery in California Made any Difference? Analysis of the Last Decade
*Warren J Gasper, MD1, *Piero M Fisichella, MD2, *David Glidden, MD1, Lawrence W Way, MD1, Marco G Patti, MD3
1University of California San Francisco, San Francisco, CA; 2Loyola University, Maywood, IL; 3University of Chicago, Chicago, IL
9:15 AM - 9:40 AM
29. 1,000 Consecutive Pancreas-Kidney Transplants at a Single Center with 20 Years; Follow-up
Hans W Sollinger, MD, PhD, *Jon S Odorico, MD, *Yolanda T Becker, MD, Anthony M D'Alessandro, MD, *John D Pirsch, MD
University of Wisconsin, Madison, WI
9:40 AM - 10:05 AM
30. Fulminant Hepatic Failure in Children: Superior and Durable Outcomes with Liver Transplantation Over 25 Years at a Single Center
*Douglas G Farmer, MD, *Robert S Venick, MD, *Sue V McDiarmid, MD, *John Duffy, MD, *Omar Kattan, BS, *Johnny Hong, MD, *Jorge Vargas, MD, *Hasan Yersiz, MD, Ronald W Busuttil, MD
David Geffen School of Medicine at UCLA, Los Angeles, CA
10:05 AM - 10:30 AM
31. A Prospective Randomized Trial of Laparoscopic Gastric Bypass Versus Laparoscopic Adjustable Gastric Banding for the Treatment of Morbid Obesity
Ninh T Nguyen, MD, *Johnathan A Slone, MD, MBA, MPH, *Marcelo W Hinojosa, MD, David B Hoyt, MD
UC Irvine Medical Center, Orange, CA
10:30 AM - 10:55 AM
32. Hepatic Metastasis At Diagnosis In Patients With Wilms Tumor Is Not An Independent Adverse Prognostic Factor. A Report From The Childrens Oncology Group- National Wilms Tumor Study(4/5)
*Peter F Ehrlich, MD1, Robert C Shamberger, MD2, *Fernado Ferrer, MD3, *Michael Ritchey, MD4, *James Anderson, PhD5, *Jeff Dome, MD6, *Daniel Green, MD7, *John Kalapurakal, MD8
1 University of Michigan, Ann Arbor, MI; 2 Boston Childrens Hospital, Boston, MA; 3 Connecticut Children's Medical Center, Hartford, CT; 4 Pediatric Urological Associates, Pheonix, AZ; 5 Nebraska Medical Center- University of Omaha, Omaha, NE; 6 Childrens National Medical Center, Washington, DC; 7 St Jude Research Hospital, Memphis, TN; 8 Northwestern University, Chicago, IL
11:00 AM

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