President's Opening Remarks

Secretary's Welcome & Introduction of New Fellows Elected In 2009

President's Introduction of Honorary Fellows

Report of the Committee on Arrangements

Presentation of the Medallion for Scientific Achievement

SCIENTIFIC SESSION I
Moderator: Donald D. Trunkey, MD

1 Local and Regional Control in Breast Cancer After Sentinel Node Biopsy without Axillary Lymph Node Dissection: Results from a Randomized Trial
Armando E Giuliano, MD¹, *Linda McCall, MS², *Peter Beitsch, MD³, *Pat W Whitworth, MD⁴, *Peter Blumencranz, MD⁵, *Marilyn Leitch, MD⁶, *Sukamal Saha, MD⁷, Kelly K Hunt, MD⁸, Monica Morrow, MD⁹, *Karla Ballman, PhD^10
1John Wayne Cancer Institute, Santa Monica, CA, ²American College of Surgeons Oncology Group, Durham, NC, ³Dallas Surgical Group, Dallas, TX, ⁴Nashville Breast Center, Nashville, TN, ⁵Morton Plant Hospital, Clear Water, FL. ⁶University of Texas Southwestern Medical Center Surgery, Dallas, TX, ⁷McLaren Regional Medical Center, Michigan State University, Flint, MI, ⁸MD Anderson Cancer Center, Houston, TX, ⁹Memorial Sloan-Kettering Cancer Center, New York City, NY, ¹⁰Mayo Clinic, Rochester, MN

2 Primary Fibrinolysis is Integral in the Pathogenesis of Acute Coagulopathy of Trauma
*Jeffry L Kashuk, MD¹, Ernest E Moore, MD², *Michael Sawyer, MD², *Max Wohlauer ,MD², *Carlton Barnett, MD², *Walter Biffl, MD², *Clay C Burlew, MD², *Jeffrey L Johnson, MD², *Angela Sauaia, MD, PhD^2
1Penn-State Hershey Medical Center and Penn State University College of Medicine, Hershey, PA, ²Denver Health Medical center and University of Colorado, Denver Health Sciences Center, Denver, CO

3 Early Tracking Would Improve Operative Experience of General Surgery Residents
Steven C. Stain, MD¹, *Thomas W. Biester, MS², John B. Hanks, MD³, Stanley W. Ashley, MD⁴, R. James Valentine, MD⁴, Barbara L. Bass, MD⁶, *Jo Buyske, MD^2
1Albany Medical College, Albany, NY, ²American Board of Surgery, Philadelphia, PA, ³University of Virginia, Charlottesville, VA, ⁴Brigham and Women's Hospital, Boston, MA, ⁴University of Texas Southwestern Medical Center, Dallas, TX, ⁶The Methodist Hospital, Houston, TX

4 Is Risk Adjusted Mortality An Indicator Of Quality Of Care In General Surgery? A Comparison Of Risk Adjustment To Peer Review
Steven Shackford, MD, *Talia Ben-Jacob, MD, *John Ratliff, JD, Neil Hyman, MD
University of Vermont College of Medicine, Burlington, VT

Introduction of the President
Tom R. DeMeester, MD

Address by the President
Donald D. Trunkey, MD

SCIENTIFIC SESSION II
Moderator: Kirby I. Bland, MD

5 Ulceration as a Predictive Marker for Response to Interferon alfa-2b Adjuvant Therapy in Melanoma Patients
Kelly M McMasters, MD, PhD¹, *Charles R Scoggins, MD¹, Merrick I Ross, MD², *Robert C G Martin, II, MD, PhD¹, Marshall Urist, MD³, Michael J Edwards, MD^4
1University of Louisville, Louisville, KY, ²Univ of Texas, MD Anderson Cancer Center, Houston, TX, ³University of Alabama, Birmingham, Birmingham, AL, ⁴University of Cincinnati, Cincinnati, OH

6 Stem Cell Mobilization is lifesaving in an animal model of Acute Liver Failure
*Andrew Cameron, MD, PhD, *Anthony Mark, MD, *Daniel Warren, PhD, G. Melville Williams, MD, *Robert Montgomery, MD
The Johns Hopkins University School of Medicine, Baltimore, MD

7 Surgical Quality And Nodal Ultrastaging Is Associated With Long-term Disease-free Survival In Early Colorectal Cancer: An Analysis Of Two International Multicenter Prospective Trials
Anton Bilchik, MD, PhD, FACS¹, *Avi Nissan, MD², *Zev Wainberg, MD¹, *Perry Shen, MD³, *Martin McCarter, MD⁴, *Mladjan Protic, MD⁴, *Robin Howard, MA⁶, *David Elashoff, PhD¹, *George Peoples, MD⁶, *Alexander Stojadinovic, MD^6
1University of California Los Angeles, Los Angeles, CA, ²Hadassah University, Jerusalem, Israel, ³Wake Forest University, Winston Salem, NC, ⁴University of Colorado, Denver, CO, ⁴University of Novi Sad, Novi Sad, Serbia, ⁶Uniformed Services University of the Health Sciences, Washington, DC

8 The Efficacy of Medical Team Training: Improved Team Performance and Decreased Perioperative Delays. A Detailed Analysis of 3,580 cases
*Francis A. Wolf, MD¹, Lawrence W. Way, MD², *Lygia Stewart, MD^1
1UCSF / SF VAMC, San Francisco, CA, ²UCSF, San Francisco, CA

9 A Validated Value-based Model To Improve Hospital-wide Perioperative Outcomes
Thanjavur S Ravikumar, MD¹, *Cordelia Sharma, MD¹, *Garry Ritter, PAC², *Corrado Marini, MD¹, *Rafael Barrera, MD², *Mimi Kim, ScD³, *Kathy Vandervoort, BS⁴, *Marcella DeGermino, MS², *Lindsay Baker, BS⁴, *Peter Levi, MD^4
1Geisinger Health System, Wilkes-Barre, PA, ²LIJ Medical Center, New Hyde Park, NY, ³Albert Einstein College of Medicine, Bronx, NY, ⁴Montefiore Medical Center, Bronx, NY

10 Tep Inguinal Hernia Repair Compared With Lichtenstein (the Level-trial): A Randomised Controlled Trial
*H.H. Eker, MD¹, *H.R. Langeveld, MD¹, *W.F. Weidema, MD, PhD², *L.P.S. Stassen, MD, PhD³, *E.W. Steyerberg, MD, PhD¹, *H.J. Bonjer, MD, PhD¹, *J.F. Lange, MD, PhD ¹, J. Jeekel, MD, PhD ^1
1Erasmus Medical Center, Rotterdam, Rotterdam, Netherlands, ²Ikazia Ziekenhuis, Rotterdam, Rotterdam, Netherlands, ³Reinier de Graaf gasthuis, Delft, Netherlands

11 HuR Status Is A Powerful Marker For Prognosis And Response To Chemotherapy For Resected Pancreatic Ductal Adenocarcinoma Patients
*Nathan G Richards, MD, *Agnes K Witkiewicz, MD, *Christina L Costantino, BA, *Dane R Grenda, BS, *David W Rittenhouse, MD, *Eugene P Kennedy, MD, *Jonathan R Brody, PhD, Charles J Yeo, MD
Thomas Jefferson University, Philadelphia, PA

12 Segmental Instead of Total Colectomy in Colon Cancer Patients Meeting Amsterdam Criteria: It's Not Worth the Metachronous Risk
*Matthew F Kalady, MD, *Ellen McGannon, BS, *Jon D. Vogel, MD, *Susan Fay, BS, Victor W Fazio, MD, James M. Church, ChB, MS
Cleveland Clinic, Cleveland, OH

13 A Statewide Assessment of Surgical Site Infection (SSI) Following Colectomy: The Role of Oral Antibiotics
*Michael J Englesbe, MD¹, *Martin A Luchtefeld, MD², *James Kubus, MS¹, *James P Lynch, MD³, Vic Velanovich, MD⁴, *Anthony J Senagore, MD², *John C Eggenberger, MD⁴, *Lynda Brooks, RN¹, Darrell A Campbell, Jr., MD^1
1University of Michigan, Ann Arbor, MI, ²Spectrum Health Medical Center, Grand Rapids, MI;³William Beaumont Hospital, Troy, MI, ⁴Henry Ford Health System, Detroit, MI, ⁴St Joseph's Mercy Health System, Ann Arbor, MI

SCIENTIFIC SESSION III
Moderator: Donald D. Trunkey, MD

14 Acute Glucose Elevation Is Highly Predictive Of Infection and Outcome In Critically Injured Trauma Patients
*Grant Bochicchio, MD, PhD, *Kelly Bochicchio, RN, MS, *Manjari Joshi, MD, *Obeid Ilahi, MD, Thomas Scalea, MD
University of Maryland, Baltimore, MD

15 Glucose Control In Severely Thermally Injured Pediatric Patients: What Glucose Range Should Be The Target?
*Marc G Jeschke, MD, *Robert Kraft, MD, *Fatemeh Emdad, PhD, *Gabriela A Kulp, MS, *Felicia N Williams, MD, David N Herndon, MD
UTMB, Galveston, TX

16 A National Study of Attrition During General Surgery Training:Which Residents Leave, and Where Do They Go?
*Heather Yeo, MD¹, *Emily Bucholz, BA¹, *Julie Ann Sosa, MD¹, *Leslie Curry, PhD, MPH¹, Frank R. Lewis, MD, Jr.², *Andrew T. Jones, PhD², *Kate Viola, MD¹, *Zhenqui Lin, PhD¹, Richard H Bell, Jr., MD^2
1Yale University, New Haven, CT, ²American Board of Surgery, Philadelphia, PA

17 Prevention of Surgical Resident Attrition by a Novel Selection Strategy
*Rachel R Kelz, MD, MSCE, James L Mullen, MD, Larry R Kaiser, MD, *Lori A Pray, BA, *Gregg Shea, MBA, Jeff A Drebin, MD, *Chris J Wirtalla, BA, Jon B Morris, MD
Department of Surgery, University of Pennsylvania, Philadelphia, PA

18 Primary Payer Status Affects Mortality For Major Surgical Operations
*Damien J LaPar, MD, *Castigliano M. Bhamidipati, DO, *Carlos M Mery, MD, MPH, *George J Stukenborg, PhD, David R Jones, MD, Bruce D Schirmer, MD, Irving L Kron, MD, *Gorav Ailawadi, MD
University of Virginia, Charlottesville, VA

19 Hospital Factors Do Not Explain Away Socioeconomic-based Disparities in Surgical Outcomes
*Kyla M Bennett, MD, *John E Scarborough, MD, Theodore N Pappas, MD, *Thomas B Kepler, PhD
Duke University Medical Center, Durham, NC

FORUM DISCUSSION
The Impact of Healthcare Reform on Surgery
Moderator: Donald D. Trunkey, MD

Richard A Cooper, MD*
University of Pennsylvania
Philadelphia, PA

George F Sheldon, MD
University of North Carolina at Chapel Hill
Chapel Hill, NC

SCIENTIFIC SESSION IV
Moderator: Tom R. DeMeester, MD

20 Management of Diseases of the Descending Thoracic Aorta in the Endovascular Era: A Medicare Population Study
*Mark F Conrad, MD, *Emel A Ergul, MS, *Virendra I Patel, MD, *Christopher J Kwolek, MD, Richard P Cambria, MD
Massachusetts General Hospital, Boston, MA

21 Bariatric Surgery is Safe and Effective Treatment for Diabetes in Non-morbidly Obese Patients: Results reported by ASMBS Bariatric Surgery Centers of Excellence (BSCOE) in Bariatric Outcomes Longitudinal Database (BOLD)
*Eric J DeMaria, MD¹, *Deborah Winegar, PhD², *Virginia Pate, MS², *Quinn Swanger, MS², Walter J Pories, MD^3
1Duke University, Durham, NC, ²Surgical Review Corporation, Raleigh, NC, ³East Carolina University, Greenville, NC

22 A Clinical Nomogram Predicting Pathologic Lymph-Node Involvement in Esophageal Cancer Patients
*Puja Gaur, MD¹, *Boris Sepesi, MD², *Wayne L Hofstetter, MD¹, *Arlene M Correa, MD¹, *Manoop S Bhutani, PhD¹, Jack A Roth, MD¹, *Ara A Vaporciyan, MD¹, Jeffrey H Peters, MD², *Thomas J Watson, MD², Stephen G Swisher, MD^1
1UT MD Anderson Cancer Center, Houston, TX, ²University of Rochester School of Medicine, Rochester, NY

23 Determinants Of Embolization During Carotid Angioplasty And Stenting: Symptomaticity And Coronary Artery Disease Increase Embolic Risk
*Christine Chung, BS, *Tejas Shah, MD, *Hyun Joo Shin, MD, Michael Marin, MD, *Peter Faries, MD
Mount Sinai School of Medicine, New York, NY

24 Identification of E-Selectin as a Novel Target for the Regulation of Post-Natal Neovascularization: Implications for Diabetic Wound Healing
*Zhao-Jun Liu, MD, PhD, *Runxia Tian, MD, *Weijun An, MD, *Ying Zhuge, MD, *Yan Li, BS, *Hongwei Shao, MD, *Bianca Habib, BS, Alan S Livingstone, MD, *Omaida C Velazquez, MD
University of Miami, Miami, FL

25 Impact of Hospital Volume on In-Hospital Mortality of Children Undergoing Repair of Congenital Diaphragmatic Hernia
*Brian T Bucher, MD¹, *Rebecca M Guth, MPH², *Jacqueline M Saito, MD¹, *Tasnim A Najaf, MD¹, Brad W Warner, MD^1
1Washington University School of Medicine, St. Louis, MO, ²St. Louis Children's Hospital, St. Louis, MO

EXECUTIVE SESSION
Fellows Only

Presentation of the Flance-Karl Award

SCIENTIFIC SESSION V
Moderator: New President- Elect

26 Circulating Thyrotropin Receptor (TSHR) mRNA as a Novel Marker of Thyroid Cancer: Clinical Applications Learned from 1,758 Samples
*Mira Milas, MD, *Joyce Shin, MD, *Manjula Gupta, PhD, *Tomislav Novosel, MD, *Christian Nasr, MD, *Jamie Mitchell, MD, *Eren Berber, MD, Allan Siperstein, MD
Cleveland Clinic, Cleveland, OH

27 Long-Term Patient Outcome and Quality of Life after Liver Transplantation:A Prospective Analysis of 20-Plus Year Survivors
*John P Duffy, MD, *Kenneth Kao, MD, Clifford Ko, MD, *Douglas G. Farmer, MD, *Sue V McDiarmid, MD, *Robert S Venick, MD, *Susan Feist, RN, *Leonard Goldstein, MD, Jonathan R Hiatt, MD, Ronald W Busuttil, MD, PhD
UCLA, Los Angeles, CA

28 Combinatorial Effect Of Donor And Recipient Age Is Critical In Determinating Host Immunoresponsiveness And Renal Transplant Outcome
*Stefan G Tullius, MD, PhD, *Huong Tran, MD, *Indira Guleria, MD, *Sayeed K Malek, MD, Nicholas L Tilney, MD, *Edgar Milford, MD
Brigham and Women's Hospital and Harvard Medical School, Boston, MA

29 Analysis of over 3,000,000 Patients Screened for Abdominal Aortic Aneurysm: Development of a Novel Scoring Tool for the Identification of large > 5 cm aneurysms
*Giampaolo Greco, PhD, MPH¹, *Natalia N Egorova PhD, MPH¹, *Robert M Zwolak PhD, MPH², Thomas S Riles, MD³, *Andrew J Manganaro, MD⁴, *Alan J Moskowitz, MD¹, *Annetine C Gelijns, PhD¹, K Craig Kent, MD^5
1Mount Sinai School of Medicine, New York, NY, ²Dartmouth-Hitchcock Medical Center, Lebanon, NH, ³NYU Langone Medical Center, New York, NY, ⁴Life Line Screening, Independence, OH, ⁵University of Wisconsin, Madison, WI

30 Choledochoceles: Are They Choledochal Cysts?
*Kathryn M. Ziegler, MD, Henry A Pitt, MD, *Nicholas J. Zyromski, MD, *Aakash Chauhan, MS, *Stuart Sherman, MD, *Glen A. Lehman, MD, Keith D. Lillemoe, MD, Frederick J. Rescorla, MD, *Karen W. West, MD, Jay L. Grosfeld, MD
Indiana University School of Medicine, Indianapolis, IN

31 Operative Failures After Parathyroidectomy For Hyperparathyroidism: The Influence Of Surgical Volume
Herbert Chen, MD¹, *Tracy Wang, MD, MP², *Tina Yen, MD, MS², *Kara Doffek, BS², *Elizabeth Krzywda, NP², *Sarah Schaefer, NP¹, *Rebecca S Sippel¹, Stuart Wilson, MD^2
1University of Wisconsin, Madison, WI, ²Medical College of Wisconsin, Milwaukee, WI

32 Normothermia After Gastrointestinal Surgery: Holy Grail or False Idol?
*Simon J Lehtinen, BA, *Georgiana Onicescu, ScM, *Kathy Kuhn, RN, David J Cole, MD, *Nestor F Esnaola, MD
Medical University of South Carolina, Charleston, SC