American Surgical Association
2018 Program and Abstracts

Embargo Policy
Studies scheduled for presentation at the American Surgical Association's 138th Annual Meeting, April 19-21, 2018, Phoenix, Arizona.

The embargo on studies and their associated abstracts (including those posted online prior to the conference) scheduled for presentation at the American Surgical Association's 138th Annual Meeting, April 19-21, 2018, Phoenix, Arizona, is the date and time of each individual scientific presentation (not the beginning of the overall session in which it has been scheduled). News media activities are restricted until the embargo lifts. Any news media activity about a study and its associated abstract must include the following: "The complete manuscript of this study and its presentation at the American Surgical Association's 138th Annual Meeting, April 2018, in Phoenix, Arizona, is anticipated to be published in the Annals of Surgery pending editorial review."

Download the abridged 138th Annual Meeting Program Book ( 0.6 MB)

8:15 AM
Grand Sonoran E & F

President's Opening Remarks
Secretary's Welcome & Introduction of New Fellows Elected In 2017
President's Introduction of Honorary Fellows
Report of the Task Force on Global Surgery
Presentation of the Medallion for Scientific Achievement
Presentation of the Medallion for the Advancement of Surgical Care
Report of the Committee on Arrangements

9:10 AM - 11:00 AM
Grand Sonoran E & F
Moderator: Ronald V. Maier, M.D.
9:10 AM - 9:35 AM
1. Circulating Tumor Cells Dynamics in Pancreatic Adenocarcinoma Correlate with Disease Status: Data from a Prospective Trial
Georgios Gemenetzis*, Vincent P. Groot*, Jun Yu*, Ding Ding*, Jonathan A. Teinor*, Ammar A. Javed*, Laura D. Wood*, Richard A. Burkhart*, John L. Cameron, Martin A. Makary*, Matthew J. Weiss*, Jin He*, Christopher L. Wolfgang
Johns Hopkins University School of Medicine, Baltimore, MD
9:35 AM - 10:00 AM
2. Peroral Pyloromyotomy (POP) for Medically Refractory Gastroparesis: Short Term Results from a High Volume Center
John Rodriguez*, Andrew T. Strong*, Ivy N. Haskins*, Joshua P. Landreneau*, Matthew T. Allemang*, Kevin El-Hayek*, James Villamere*, Michael S. Cline*, Matthew Kroh*, Jeffrey L. Ponsky
Cleveland Clinic, Cleveland, OH
10:00 AM - 10:25 AM
3. Improved Post-burn Hypertrophic Scarring and Physical Recovery with Year-long Administration of Oxandrolone and Propranolol
David N. Herndon1, Gabriel Hundeshagen*1, Austin F. Lee*2, Lewis E. Kazis*2, Jayson W. Jay*1, Guillermo Foncerrada-Ortega*1, Anesh Prasai*1, Amina El Ayadi*1, Evan Ross*1, Elizabeth Blears*1, Karel Capek*1, Christian Sommerhalder*1, Dagmar Amtmann*3, Kara McMullen*3, Robert Cox*1, Kristofer Jennings*1, Linda E. Sousse*1, Walter J. Meyer, III*1, Oscar E Suman*1, Celeste C Finnerty*1
1University of Texas Medical Branch, Galveston, TX;2Boston University, Boston, MA;3University of Washington, Seattle, WA
10:25 AM - 10:50 AM
4. A Structured Compensation Plan Improves But Does Not Erase the Gender Pay Gap in Surgery
Melanie S. Morris*, Herb Chen, Marty Heslin, Helen Krontiras*
University of Alabama at Birmingham, Birmingham, AL
10:50 AM - 12:00 PM
Grand Sonoran E & F
10:50 AM - 11:00 AM
Introduction of the President
Edward M. Copeland, III, M.D.

11:00 AM - 12:00 PM
Address by the President
Our Calling

Ronald V. Maier, M.D.
1:30 PM - 5:15 PM
Grand Sonoran E & F
Moderator: E. Christopher Ellison, M.D.
1:30 PM - 1:55 PM
5. Timing of Carotid Endarterectomy After Stroke
Adam Tanious*1, Alexander B. Pothof*2, Laura Boitano*1, Alaska Pendleton*1, Linda J. Wang*1, Gert J. de Borst*3, David W. Rattner1, Marc L. Schermerhorn2, Mohammad H. Eslami*4, Mahmoud B. Malas*5, Matthew Eagleton*1, W. Darrin Clouse*1, Mark Conrad*1
1Massachusetts General Hospital, Boston, MA;2Beth Israel Deaconess Medical Center, Boston, MA;3University Medical Center, Utrecht, Netherlands4University of Pittsburgh, Pittsburgh, PA;5Johns Hopkins University, Baltimore, MD
1:55 PM - 2:20 PM
6. Better Function With A Colonic J-pouch Or A Side-to-end Anastomosis? A Randomized Controlled Trial To Compare The Complications, Functional Outcome And Quality Of Life In Patients With Low Rectal Cancer After A J-pouch Or A Side-to- End Anastomosis
Massarat Zutshi*1, Yann Parc*2, Rhinehard Ruppert*3, Alois Fuerst*4, Werner Hohenberger*5, Susan Galandiuk6, Felix Hemminger*3, Henriette Goldcher*5, Emmanuel Tiret*2, Alexander Heriot*7, Alexandra Aiello*1, Tracy Hull1
1Cleveland Clinic Foundation, Cleveland, OH;2Hospital St. Antoine, Paris, France3Krankenhaus Munchen Neuperlach, Munich, Germany4Caritas-Clinic St. Josef, Regensberg, Germany5Zentrum Für Klinische Studien, Erlangen, Germany6University of Louisville, Louisville, KY;7Peter MacCallum Cancer Centre, Melbourne, Australia
2:20 PM - 2:45 PM
7. Significant Numbers of Patients Require No Opioids After Discharge: Results of a Prospective Multicenter Initiative Aimed at Developing Opioid Prescribing Guidelines for 25 Elective Surgeries
Cornelius A. Thiels*, Daniel S. Ubl*, Kathleen J. Yost*, Sean C. Dowdy*, Tad M. Mabry*, Halena M. Gazelka*, Robert R. Cima, Elizabeth B. Habermann*
Mayo Clinic, Rochester, MN
2:45 PM - 3:10 PM
8. Does Surgical Margin Impact Recurrence in Non-Invasive Intraductal Papillary Mucinous Neoplasms? A Multi-Institutional Study
Syed A. Ahmad1, Vikrom K. Dhar*1, Michael J. Edwards1, Sameer H. Patel*1, Dennis J. Hanseman*1, Daniel E. Abbott*2, Sharon M. Weber2, Hong J. Kim3, Robert CG Martin4, Charles R. Scoggins4, David J. Bentrem*5, Kamran Idrees*6, Shishir K. Maithel*7, David A. Kooby7, Nipun B. Merchant8
1University of Cincinnati College of Medicine, Cincinnati, OH;2University of Wisconsin School of Medicine and Public Health, Madison, WI;3University of North Carolina School of Medicine, Chapel Hill, NC;4University of Louisville School of Medicine, Louisville, KY;5Northwestern University Feinberg School of Medicine, Chicago, IL;6Vanderbilt University School of Medicine, Nashville, TN;7Emory University, Atlanta, GA;8University of Miami Miller School of Medicine, Miami, FL
3:10 PM - 3:35 PM
9. Analysis of Gender-Based Differences in Surgery Faculty Compensation, Promotion, and Retention: Establishing Equity
Heather E. Hoops*, Karen J. Brasel, Elizabeth Dewey*, Sally Rodgers*, Jenny Merrill*, John G. Hunter, Kenneth S. Azarow
Oregon Health & Science University, Portland, OR
3:35 PM - 4:00 PM
10. IdeS: A Novel Agent that Cleaves Human IgG and Permits Successful Kidney Transplantation across High-Strength Donor-Specific Antibody
Bonnie E. Lonze*, Vasishta S. Tatapudi*, Elaina P. Weldon*, Elijah S. Min*, Nicole M. Ali*, Cecilia L. Deterville*, Bruce E. Gelb*, Judith A. Benstein*, Nabil N. Dagher*, Ming Wu*, Robert A. Montgomery
NYU Langone Transplant Institute, New York, NY
4:00 PM - 4:25 PM
11. Long-term Quality of Life in Neonatal Surgical Patients
Ruchi Amin*1, Michelle Knezevich*2, Melissa Lingogo*2, Casey M. Calkins*1, Thomas T. Sato*1, Keith T. Oldham1, Marjorie J Arca1
1Medical College of Wisconsin, Milwaukee, WI;2Children's Hospital of Wisconsin, Milwaukee, WI
4:25 PM - 4:50 PM
12. Hyperthyroidism is Under-Diagnosed and Under-Treated in 174,011 Patients: An Opportunity for Improvement and Intervention
Ammar Asban*, Sebastian K. Chung*, Margaret A. Tresler*, Priyanka Huilgol*, Rongbing Xie*, James K. Kirklin, Courtney J. Balentine*, Brenessa M. Lindeman*, Herbert Chen
University of Alabama at Birmingham, Birmingham, AL
4:50 PM - 5:15 PM
13. Validity in the Application of the Novel Taiwan Lymphoscintigraphy Staging and Clinical Grading Systems for Unilateral Extremity Lymphedema
Ming-Huei Cheng*1, Marco Pappalardo*1, Chieh Lin*1, Chang-Fu Kuo*1, Chia-Yu Lin*1, Kevin C. Chung2
1Chang Gung Memorial Hospital, Taipei, Taiwan2University of Michigan, Ann Arbor, MI

FRIDAY, APRIL 20, 2018
6:30 AM - 8:00 AM
Grand Sonoran A & B
Negotiating for the Big Jobs
8:00 AM - 10:30 AM
Grand Sonoran E & F
Moderator: Ronald V. Maier, M.D.
8:00 AM - 8:25 AM
14. Incentivizing Academic Productivity of Surgery Faculty Members Through an Academic RVU System
Scott A. LeMaire, Barbara W. Trautner*, Susan Y. Green*, Qianzi Zhang*, William E. Fisher*, Todd K. Rosengart
Baylor College of Medicine, Houston, TX
8:25 AM - 8:50 AM
15. Decreased Risk of Delirium with Use of Regional Anesthesia in Geriatric Trauma Patients with Multiple Rib Fractures
Kathleen O'Connell*, Alex Quistberg*, Robert Tessler*, Bryce Robinson*, Joseph Cuschieri*, Ronald Maier, Frederick Rivara*, Monica Vavilala*, Saman Arbabi
University of Washington, Seattle, WA
8:50 AM - 9:15 AM
16. Evidence for the Role of the Cecal Microbiome in Maintenance of Immune Regulation and Homestasis
Preeti Chhabra*1, Anthony Spano*1, Daniel Bowers*1, Tiantian Ren*1, Christopher Wilson*2, Andrew Marshall*3, Michael Timko*1, Martin Wu*1, Daniel Moore*1, Kenneth L. Brayman1
1University Of Virginia, Charlottesville, VA;2Vanderbilt University, Nashville, TN;3Vanderbilt University, Nashville, VA
9:15 AM - 9:40 AM
17. Xenoantigen Deletion and Chemical Immunosuppression Can Prolong Renal Xenograft Survival
Andrew B. Adams*1, Steven C. Kim*1, Gregory R Martens*2, Joseph M. Ladowski*2, Jose L. Estrada*2, Luz M. Reyes*2, Cindy Breeden*1, Allison Stephenson*1, Devin E. Eckhoff2, Matt Tector*2, Alfred J. Tector2
1Emory School of Medicine, Atlanta, GA;2University of Alabama Birmingham, Birmingham, AL
9:40 AM - 10:05 AM
18. Surgical Risk is Simply Not Linear: Derivation and Validation of a Novel and Interactive Machine-learning Predictive OpTimization Trees in Emergency Surgery Risk (POTTER) Calculator
Haytham M. Kaafarani*1, Dimitris Bertsimas*2, Jack Dunn*3, George Velmahos1
1Massachusetts General Hospital & Harvard Medical School, Boston, MA;2Massachusetts Institute of Technology, Boston, MA;3Massacusetts Institute of Technology, Boston, MA
10:05 AM - 10:30 AM
19. Impact of the Affordable Care Act (ACA) Medicaid Expansion on Cancer Admissions and Surgeries
Emanuel Eguia*1, Adrienne N. Cobb*1, Anai N. Kothari*1, Haroon Janjua*1, Ayrin Molefe*1, Paul C. Kuo2
1Loyola, Maywood, IL;2USF, Tampa, FL
10:30 AM - 12:00 PM
Grand Sonoran E & F
Is There Life after Surgery?
Moderator: Ronald V. Maier, M.D.
Faculty: Julie Ann Freischlag, M.D.
Wake Forest Baptist Medical Center, Winston-Salem, NC

David B. Hoyt, M.D.
American College of Surgeons, Chicago, IL

Carlos A. Pellegrini, M.D.
University of Washington, Seattle, WA

David F. Torchiana, M.D.
Partners Healthcare, Boston, MA

Michael J. Zinner, M.D.
Miami Cancer Institute, Miami, FL
1:30 PM - 4:00 PM
Grand Sonoran E & F
Moderator: Edward M. Copeland, III, M.D.
1:30 PM - 1:55 PM
20. The Clinical Significance of Breast-only and Node-only Pathologic Complete Response (pCR) after Neoadjuvant Chemotherapy (NACT): A Review of 20,000 Breast Cancer Patients in the National Cancer Database (NCDB)
Oluwadamilola M. Fayanju*1, Yi Ren*1, Samantha M. Thomas*1, Rachel A. Greenup*1, Jennifer K. Plichta*1, Laura H. Rosenberger*1, Nina Tamirisa*1, Jeremy Force*1, Judy C. Boughey*2, Terry Hyslop*1, E. Shelley Hwang1
1Duke University, Durham, NC;2Mayo Clinic, Rochester, MN
1:55 PM - 2:20 PM
21. Pure Laparoscopic Donor Hepatectomy: Ready for Widespread Adoption
Benjamin Samstein*1, Adam Greisemer*2, Karim Halazun*1, Fabrizio Michelassi1, Tomoaki Kato2, Craig Smith2, James V. Guarrera*2, Jean C. Emond2
1Weill Cornell Medicine, New York, NY;2Columbia University Medical Center, New York, NY
2:20 PM - 2:45 PM
22. A Prospective Clinical Trial of Personalized Medicine for Operable Pancreatic Cancer
Susan Tsai*, Kathleen K. Christians*, Ben George*, Paul S. Ritch*, Kulwinder Dua*, Abdul H. Khan*, A. Craig Mackinnon*, Parag Tolat*, William A. Hall*, Beth A. Erickson*, Douglas B. Evans
Medical College of Wisconsin, Milwaukee, WI
2:45 PM - 3:10 PM
23. Stem Cell Mobilization is Life Saving in a Large Animal Model of Acute Liver Failure
Andrew Cameron*, Ali R. Ahmadi*, Maria Chicco*, Tyler Creamer*, Yongchun Wang*, Jinny Huang*, George M. Williams, Zhaoli Sun*
The Johns Hopkins University School of Medicine, Baltimore, MD
3:10 PM - 3:35 PM
24. More Frequent Surveillance Following Lung Cancer Resection is Not Associated with Improved Survival
Timothy L. McMurry*1, George J. Stukenborg*1, Melisa L. Wong*2, Larry G. Kessler*3, Amanda Francescatti*4, Jessica Schumacher*5, Caprice C. Greenberg5, George Chang*6, Graham A. Colditz*7, David P. Winchester4, Daniel P. McKellar*4, David R. Jones8, Benjamin D. Kozower*7
1University of Virginia, Charlottesville, VA;2University of California, San Francisco, San Francisco, CA;3University of Washington, Seattle, WA;4American College of Surgeons, Chicago, IL;5University of Wisconsin, Madison, WI;6MD Anderson Cancer Center, Houston, TX;7Washington University in St. Louis, St. Louis, MO;8Memorial Sloan Kettering Cancer Center, New York, NY
3:35 PM - 4:00 PM
25. Analysis of the Learning Curve and Patient Outcomes of Endovascular Repair of Thoracoabdominal Aortic Aneurysms Using Fenestrated and Branched Endografts
Darren B. Schneider*, Sharif H. Ellozy*, Peter H. Connolly*, Andrew J. Meltzer*, Ashley R. Graham*, Fabrizio Michelassi
Weill Cornell Medicine and NewYork-Presbyterian Hospital, New York, NY
4:00 PM - 5:00 PM
Grand Sonoran E & F
ASA Fellows Only

Presentation of the Flance-Karl Award
7:00 PM
Canyon 7 & 8 Foyer
8:00 PM
Canyon 7 & 8

8:00 AM - 11:00 AM
Grand Sonoran E & F
Moderator: New President-Elect
8:00 AM - 8:25 AM
26. Impact of a Novel Preoperative Patient-Centered Surgical Wellness Program
Kristen Kelley, Alyssa D. Fajardo, Nancy M. Strange, Carol Harmon, Kim A. Pawlecki, Nikki Walke, William A. Wooden, Thomas J. Birdas, Larry H. Stevens, Grace S. Rozycki, C. Max Schmidt
Indiana University Health, Indianapolis, IN
8:25 AM - 8:50 AM
27. Long-Term Quality of Life and Gastrointestinal Functional Outcomes after Pancreaticoduodenectomy
Casey J. Allen*, Danny Yakoub*, Francisco I. Macedo*, Austin R. Dosch*, Jessica Brosch*, Vikas Dudeja*, Rhonda Ayala*, Nipun B. Merchant
University of Miami Miller School of Medicine, Miami, FL
8:50 AM - 9:15 AM
28. Declining Resident Experience in Open Vascular Operations Threatens the Status of Vascular Surgery as an Essential Content Area of General Surgery Training
John R. Potts, III1, R. James Valentine2
1ACGME, Chicago, IL; 2Vanderbilt University, Nashville, TN
9:15 AM - 9:40 AM
29. Modifying Risks in Ventral Hernia Patients with Prehabilitation: A Randomized Controlled Trial (NCT02365194)
Mike K. Liang*1, Karla Bernardi*1, Julie L. Holihan*1, Deepa V. Cherla*1, Richard J. Escamilla*1, Debbie F. Lew*1, David H. Berger2, Tien C .Ko*1, Lillian S. Kao1
1University of Texas Health Science Center at Houston, Houston, TX;2Baylor College of Medicine, Houston, TX
9:40 AM - 10:05 AM
30. Insurance Status Biases Trauma-System Utilization and Appropriate Inter-Facility Transfer: The Reverse Disparity of the 'Wallet Biopsy'
Cheryl K. Zogg*, Kevin M. Schuster*, Adrian A. Maung*, Kimberly A. Davis
Yale School of Medicine, New Haven, CT
10:05 AM - 10:30 AM
31. Is It Time To Abandon The Milan Criteria? Results of a Tri-Institutional US Collaboration to Redefine Hepatocellular Carcinoma Liver Transplantation Selection Policies
Karim J. Halazun*1, Parissa Tabrizian*2, Marc Najjar*3, Sander Florman*2, Myron Schwartz2, Fabrizio Michelassi1, Benjamin Samstein*1, Roberts S. Brown, Jr.*1, Jean C. Emond3, Ronald W. Busuttil4, Vatche G. Agopian*4
1Weill Cornell Medicine, New York, NY;2Mount Sinai School of Medicine, New York, NY;3Columbia University Medical Center, New York, NY;4UCLA Medical Center, Los Angles, CA
10:30 AM - 10:55 AM
32. Prospective Study to Evaluate the Safety, Feasibility, and Financial Implications of a Post-Operative Telemedicine Program
Vahagn C. Nikolian*, Aaron M. Williams*, Benjamin Jacobs*, Michael T. Kemp*, Jesse Wilson*, Hasan B. Alam
University of Michigan, Ann Arbor, MI
11:00 AM

* By Invitation

Golf Course