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American Surgical Association
2020 Program and Abstracts
The American Surgical Association wishes to recognize and thank the following company for their ongoing educational grant support:
Wolters Kluwer
Annals of Surgery

Wolters Kluwer is the Publisher of the Annals of Surgery, the official publication of the papers presented at the Scientific Sessions of the Annual Meeting of the American Surgical Association.

Embargo Policy
Studies scheduled for presentation at the American Surgical Association's 140th Annual Meeting, April 16-18, 2020, Washington, D.C.

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 140th Annual Meeting, April 16-18, 2020, Washington, D.C., 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 140th Annual Meeting, April 2020, in Washington, D.C., is anticipated to be published in the Annals of Surgery pending editorial review."

8:15 AM
Independence Ballroom

President's Opening Remarks
Secretary's Welcome & Introduction of New Fellows Elected in 2019
President's Introduction of Honorary Fellows
Presentation of the Medallion for Scientific Achievement
Presentation of the Medallion for the Advancement of Surgical Care
Past President Eulogies
Report of the Committee on Arrangements

9:10 AM - 10:50 AM
Independence Ballroom
Moderator: Robin S. McLeod, M.D.
9:10 AM - 9:35 AM
1. Making Every Liver Count: Increased Transplant Yield of Donor Livers Through Normothermic Machine Perfusion
*Malcolm MacConmara1, *Steven I. Hanish1, *Christine S. Hwang1, *Lucia DeGregoria1, *Dev Desai1, *Bekir Tanriover1, James F. Markmann2, Herbert Zeh, III1, *Parsia A. Vagefi1
1University of Texas Southwestern Medical Center, Dallas, TX; 2Massachusetts General Hospital, Boston, MA
9:35 AM - 10:00 AM
2. Breast Implant-Associated Anaplastic Large Cell Lymphoma Incidence: Determining an Accurate Risk
*Jonas A. Nelson1, *Stefan Dabic1, Babak J. Mehrara1, *Peter G. Cordeiro1, Joseph J. Disa1, *Andrea L. Pusic2, *Evan Matros1, *Joseph H. Dayan1, *Robert J. Allen, Jr.1, *Michelle Coriddi1, *Thais O. Polanco1, *Meghana G. Shamsunder1, *Itay Wiser1, Monica Morrow1, *Ahmet Dogan1, *Michele R. Cavalli1, *Elizabeth Encarnacion1, *Meghan E. Lee1, *Colleen M. McCarthy1
1Memorial Sloan Kettering, New York, NY; 2Brigham and Women's Hospital, Boston, MA
10:00 AM - 10:25 AM
3. Uterus Transplantation - Evolution of the Field of Transplant From Saving Lives to Fertility Treatment
Giuliano Testa, *E. Colin Koon, *Greg J. McKenna, *Robert T. Gunby, Jr., *Johanna Bayer, *Anji E. Wall, *Richard Ruiz, *Nicholas Onaca, *Amar Gupta, *Eric J Martinez, *Anthony R. Gregg, *Liza Johannesson
Baylor University Medical Center, Dallas, TX
10:25 AM - 10:50 AM
4. The Impact of Mental Illness on Peri-operative Outcomes Among Medicare Beneficiaries - A Missed Opportunity to Help Surgical Patients?
*Anghela Z. Paredes, *Madison Hyer, *Adrian Diaz, *Diamantis I. Tsilimigras, Timothy M. Pawlik
The Ohio State University, Columbus, OH
10:50 AM - 12:00 PM
Independence Ballroom
Small Changes Can Have Big Results: Going Green in the OR
10:50 AM - 11:00 AM
Introduction of the President
Karen E. Deveney, M.D.
11:00 AM - 12:00 PM
Address by the President
Robin S. McLeod, M.D.
1:30 PM - 5:15 PM
Independence Ballroom
Moderator: Selwyn M. Vickers, M.D.
1:30 PM - 1:55 PM
5. Patient-derived Organoid Pharmacotyping is a Clinically Tractable Strategy for Precision Medicine in Pancreatic Cancer
*Toni T. Seppälä1, *Jacqueline Zimmerman1, *Noah S. Rozich1, *Alex B. Blair1, *Dwayne Thomas1, *Jonathan Teinor1, *Ammar A. Javed1, John L. Cameron1, *William R. Burns1, *Jin He1, *David A. Tuveson2, *Elizabeth M. Jaffee1, Christopher L. Wolfgang1, *Richard A. Burkhart1
1Johns Hopkins Hospital, Baltimore, MD; 2Cold Spring Harbor Laboratory, Cold Spring Harbor, NY
1:55 PM - 2:20 PM
6. Significance of Lymph Node Resection after Neoadjuvant Therapy in Pancreatic, Gastric and Rectal Cancers
*Amanda K. Arrington, *Catherine O'Grady, *Mohammad Khreiss, Taylor S. Riall
University of Arizona, Tucson, AZ
2:20 PM - 2:45 PM
7. Is it Safe to Manage Acute Cholecystitis Non-Operatively During Pregnancy? A Nationwide Analysis of Morbidity According to Management Strategy
*Arturo J. Rios Diaz, *Emily A. Oliver, *Lisa A. Bevilacqua, *David Metcalfe, Charles J. Yeo, *Vincenzo Berghella, *Francesco Palazzo
Thomas Jefferson University Hospital, Philadelphia, PA
2:45 PM - 3:10 PM
8. Liver Transplantation In Highest Acuity Patients (MELD 40 Or More): Identifying Factors Predicting Survival
*Srinath Chinnakotla, *Michael Evans, *David Vock, Arthur Matas
University of Minnesota, Minneapolis, MN
3:10 PM - 3:35 PM
9. A Novel Immune Modulator for Patients With Necrotizing Soft Tissue Infections (NSTI): Results of a Multicenter, Phase 3 Randomized Controlled Trial
Eileen M. Bulger1, Addison K. May2, *Bryce R.H. Robinson1, *David C. Evans3, *Sharon Henry4, *John M. Green5, *Eric Toschlog6, Jason L. Sperry7, *Peter Fagenholz8, *Niels D. Martin9, *Wayne M. Dankner10, *Greg Maislin11, *David Wilfret10, *Andrew C. Bernard12, *NA on behalf of the ACCUTE Study Investigators13
1University of Washington, Seattle, WA; 2Atrium Health, Charlotte, NC; 3Ohio Health Grant & Mansfield Hospitals, Columbus, OH; 4University of Maryland, Baltimore, MD; 5Carolinas Medical Center, Charlotte, NC; 6East Carolina University, Greenville, NC; 7University of Pittsburgh, Pittsburgh, PA; 8Massachusetts General Hospital, Boston, MA; 9University of Pennsylvania, Philadelphia, PA; 10Atox Bio Ltd, Durham, NC; 11Biomedical Statistical Consulting, Wynnewood, PA; 12University of Kentucky, Louisville, KY; 1365 clinical sites US and France, Seattle, WA
3:35 PM - 4:00 PM
10. Swog S1505: Initial Surgical Outcome Results From a Randomized Clinical Trial of Folfirinox vs Gemcitabine/nab-paclitaxel for Perioperative Treatment of Resectable Pancreatic Ductal Adenocarcinoma (PDA)
Syed A. Ahmad1, *Mai Duong2, *Davendra Sohal1, *Namita Gandhi3, *Muhammad Shaalan Beg4, *Andrea Wang-Gillam5, *James Lloyd Wade6, *Katherine A. Guthrie7, Andrew M. Lowy8, *Philip Agop Philip9, *Howard S. Hochster10
1University of Cincinnati Medical Center, Cincinnati, OH; 2SWOG Statistical Center, Fred Hutchinson Cancer Center, Seattle, WA; 3Cleveland Clinic, Cleveland, OH; 4The University of Texas Southwestern Medical Center, Dallas, TX; 5Washington University School of Medicine, St Louis, MO; 6Heartland Cancer Research Institute, Decatur, IL; 7SWOG Statistics and Data Management Center, Fred Hutchinson Cancer Center, Seattle, WA ;8UCSD Moores Cancer Center, San Diego, CA; 9Karmanos Cancer Institute, Detroit, MI; 10Rutgers Cancer Institute of New Jersey, New Brunswick, NJ
4:00 PM - 4:25 PM
11. Quantifying Factors Essential To The Integrity Of The Esophagogastric Junction During Anti-Reflux Procedures
*Dessislava Stefanova, *Jessica N. Limberg, *Timothy M. Ullmann, *Jessica W. Thiesmeyer, *Brendan M. Finnerty, *Toni Beninato, *Felice H. Schnoll-Sussman, *Philip O. Katz, Thomas J. Fahey, III, *Rasa Zarnegar
Weill Cornell Medicine, New York, NY
4:25 PM - 4:50 PM
12. No Clear Benefit To Prophylactic Central Neck Dissection In Patients With Clinically Node Negative Papillary Thyroid Cancer
Rebecca S. Sippel1, *Sarah Robbins1, *Jennifer L. Poehls1, *Susan C. Pitt1, Herbert Chen2, *Kristin L. Long1, *David F. Schneider1, *Nadine P. Connor1
1University of Wisconsin School of Medicine and Public Health, Madison, WI; 2University of Alabama at Birmingham School of Medicine, Birmingham, AL
4:50 PM - 5:15 PM
13. Outcomes in Kidney Transplantation Between Veterans Administration and Civilian Hospitals: Considerations in the Context of the Mission Act
*Samuel J. Kesseli, *Mariya L. Samoylova, *Dimitrios Moris, *Ashton A. Connor, *Robin Schmitz, *Brian I. Shaw, *Jared N. Gloria, *Nader Abraham, *Lisa M. McElroy, Debra L. Sudan, Stuart J. Knechtle, *Andrew S. Barbas
Duke University Hospital, Durham, NC

6:30 AM - 8:00 AM
Penn Quarter
Invitation Only

When Violence is Close to Home: What Surgical Leaders Need to Know
8:00 AM - 10:30 AM
Independence Ballroom
Moderator: Robin S. McLeod, M.D.
8:00 AM - 8:25 AM
14. Underrepresented Minorities in Surgical Residencies: Where Are They? A Call to Action to Increase the Pipeline
*Cherisse Berry, *Ajaratu Keshinro, *Charles DiMaggio, *Spiros Frangos, *Marko Bukur, *Russell Berman, *Akuezunkpa Ude Welcome, H. Leon Pachter
NYU Langone Health, New York, NY
8:25 AM - 8:50 AM
15. Situating Artificial Intelligence in Surgery: A Focus on Disease Severity
James R. Korndorffer, Jr., Mary T. Hawn, David A. Spain, *Lisa M. Knowlton, *Dan E. Azagury, *Aussama K. Nassar, *James N. Lau, *Katherine Arnow, *Amber Trickey, Carla M. Pugh
Stanford University, Stanford, CA
8:50 AM - 9:15 AM
16. The Increasing Financial Burden of Out-of-Pocket Spending for Outpatient Surgical Procedures
*Jessica I. Billig1, *Wen-Ching Lan2, *Yu-Ting Lu1, Kevin C. Chung1, *Chang-Fu Kuo2, *Erika D. Sears1
1Michigan Medicine, Ann Arbor, MI; 2Chang Gung Memorial Hospital, Taoyuan, Taiwan
9:15 AM - 9:40 AM
17. Patterns of National Institute of Health Grant Funding to Surgical Research and Scholarly Productivity in the United States
*Jose Wilson Mesquita-Neto1, *William Dailey1, *Francis I. Macedo2, Nipun B. Merchant3
1Wayne State University School of Medicine, Detroit Medical Center, Detroit, MI;2University of Central Florida College of Medicine, Gainesville, FL; 3University of Miami School of Medicine, Miami, FL
9:40 AM - 10:05 AM
18. Urgent Care Centers Delay Emergent Surgical Care Based on Patient Insurance Status in The United States
*Walter R. Hsiang, *Daniel Wiznia, *Laurie Yousman, *Michael Najem, *Alison Mosier-Mills, *Siddharth Jain, *Akshay Khunte, Kimberly A. Davis, *Howard Forman, *Kevin M. Schuster
Yale School of Medicine, New Haven, CT
10:05 AM - 10:30 AM
19. Pediatric Firearm Injuries and Fatalities: Do Racial Disparities Exist?
*Joseph Sakran1, *Michael Nance2, Taylor Riall3, *Samer Asmar3, *Mohamad Chehab3, *Bellal Joseph3
1Johns Hopkins Univeristy, Baltimore, MD; 2Children's Hospital of Philadelphia, Philadelphia, PA; 3University of Arizona, Tucson, AZ
10:30 AM - 12:00 PM
Independence Ballroom
A Public Health Approach to Prevent Firearm-Related Injuries and Deaths
Moderator: Robin S. McLeod, M.D.
Cancer Care Ontario, Toronto, ON, Canada

Current Status of Injuries and Deaths Due to Firearms in the USA
Ronald M. Stewart, M.D.
University of Texas Health Science Center, San Antonio, TX

Effect of Changes Following the Port Arthur Massacre
John A. Crozier, M.D.
Liverpool Hospital, Sydney, Australia

Current Status in New Zealand
Ian D. Civil, M.B.Ch.B.
Auckland City Hospital, Auckland, New Zealand

Can Doctors Play a Role in Decreasing the Risk of Firearm Injuries and Deaths?
Najma Ahmed, M.D.
University of Toronto, Toronto, ON, Canada

Recommendations from the American College of Surgeons Medical Summit on Firearm Injury Prevention: What Is Next?
Eileen M. Bulger, M.D.
Harborview Medical Center, Seattle, WA
1:30 PM - 4:00 PM
Independence Ballroom
Moderator: Karen E. Deveney, M.D.
1:30 PM - 1:55 PM
20. Predicting the Outcome of Limb Revascularization in Patients with Lower-extremity Arterial Trauma: Development and External Validation of a Supervised Machine-learning Algorithm to Support Surgical Decisions
*Zane B. Perkins1, *Barbaros Yet1, *Anna Sharrock2, *Rory Rickard2, *William Marsh1, Todd E. Rasmussen3, *Nigel R.M. Tai2
1Queen Mary, University of London, London, United Kingdom; 2Royal Centre for Defence Medicine, Birmingham, United Kingdom; 3Uniformed Services University of Health Sciences, Bethesda, MD
1:55 PM - 2:20 PM
21. Overall Tumor Burden Dictates Outcomes For Patients Undergoing Resection of Multinodular Hepatocellular Carcinoma Beyond The Milan Criteria
*Diamantis I. Tsilimigras1, *Rittal Mehta1, *Dimitrios Moris1, *Anghela Z. Paredes1, *Kota Sahara1, *James Madison Hyer1, *Fabio Bagante2, *Francesca Ratti3, *Hugo P. Marques4, *Olivier Soubrane5, *Vincent Lam6, *George A. Poultsides7, *Irinel Popescu8, *Sorin Alexandrescu8, *Guillaume Martel9, *Aklile Workneh9, *Alfredo Guglielmi2, *Tom Hugh10, *Luca Aldrighetti3, *Itaru Endo11, Timothy M. Pawlik1
1The Ohio State University, Columbus, OH; 2University of Verona, Verona, Italy; 3Ospedale San Raffaele, Milano, Italy; 4Curry Cabral Hospital, Lisbon, Portugal; 5Beaujon Hospital, Clichy, France; 6Westmead Hospital, Sydney, Australia; 7Stanford University, Palo Alto, CA; 8Fundeni Clinical Institute, Bucharest, Romania; 9University of Ottawa, Ottawa, ON, Canada; 10The University of Sydney, Sydney, Australia; 11Yokohama City University School of Medicine, Yokohama, Japan
2:20 PM - 2:45 PM
22. Finding the True "N0" Cohort: Technical Aspects of Near-infrared Sentinel Lymph Node Mapping in Non-Small Cell Lung Cancer
*William W. Phillips1, *Kathleen D. Weiss2, *Christopher S. Digesu2, *Emanuele Mazzola3, *Lana Y. Schumacher1, Yolonda L. Colson1
1Massachusetts General Hospital, Boston, MA; 2Brigham and Women's Hospital, Boston, MA; 3Dana-Farber Cancer Institute, Boston, MA
2:45 PM - 3:10 PM
23. Whole Blood is Superior to Component Transfusion for Injured Children: A Propensity-Matched Analysis
*Christine M. Leeper, *Mark Yazer, *Matthew D. Neal, Barbara A. Gaines
University of Pittsburgh Medical Center, Pittsburgh, PA
3:10 PM - 3:35 PM
24. Socioeconomic Factors And Intensive Care Unit (ICU)-Related Cognitive Impairment
*Diane N. Haddad, *Matthew F Mart, *Li Wang, *Christopher J. Lindsell, *Rameela Chandrasekhar, *Mina F. Nordness, Kenneth W Sharp, *Pratik P. Pandharipande, *Timothy D. Girard, *E. Wesley Ely, *Mayur B. Patel
Vanderbilt, Nashville, TN
3:35 PM - 4:00 PM
25. Multiplexed Plasma Immune Mediator Signatures Can Differentiate Sepsis and SIRS Patients
*Laura A. Cahill1, *Kiyoshi Itagaki2, *Woon-Yong Kwon2, *Charlotte H. Kirk2, *Brian Joughin3, *Michael B. Yaffe2,3, *Leo E. Otterbein2, *Nathan I. Shapiro2, *James A. Lederer1, Carl J. Hauser2
1Brigham and Womens Medical Center, Boston, MA; 2Beth Israel Deaconess Medical Center, Boston, MA; 3Massachusetts Institute of Technology, Cambridge, MA
4:00 PM - 5:00 PM
Independence Ballroom
ASA Fellows Only

Presentation of the Flance-Karl Award
Reports of the 2018-2020 Foundation Fellowship Recipients
Report of the Secretary

2020 Membership Ballot
Council Actions
2021 Membership Applicants
Committee and Representative Appointments
Report of the Tellers
Report of the Treasurer and of the Audit Committee
Report of the Nominating Committee
Installation of New President
7:00 PM
Independence Foyer
8:00 PM
Independence Ballroom

8:00 AM - 11:00 AM
Independence Ballroom
Moderator: New President-Elect
8:00 AM - 8:25 AM
26. Unintended Consequences of Health Care Reform: Impact of Changes in Payor Mix on Patient Safety Indicators
*Alex Bartholomew1, *Alexander Zeymo2, *Kitty Chan3, *Nathan Aminpour1, *Ankit Mishra1, *Thomas DeLeire4, *Nawar Shara5, Waddah B Al-Refaie6
1Georgetown University Medical Center, Washington, D.C.; 2MedStar Health Research Institute, Washington, D.C.; 3MedStar Health Research Institue, Washington, D.C.; 4Georgetown McCourt School of Public Policy, Washington, D.C.; 5MedStar Health Research Institute and Georgetown University Medical Center, Washington, D.C.; 6MedStar Georgetown University Hospital, Washington, D.C.
8:25 AM - 8:50 AM
27. Clinical Utility of Molecular Testing in the Management of Thyroid Follicular Neoplasms (Bethesda IV Nodules)
Sally E. Carty, *N. Paul Ohori, *Kelly L. McCoy, *Dane A. Hilko, *Esra K. French, *Pooja Manroa, *Elena Morariu, *Shaum Sridharan, *Raja S. Seethala, Linwah Yip
University of Pittsburgh, Pittsburgh, PA
8:50 AM - 9:15 AM
28. Automated Surveillance of Surgical Site Infections Using Natural Language Processing: Development and Validation
*Brian T. Bucher1, *Jianlin Shi1, *Jeffrey P. Ferraro2, *David E. Skarda1, *Matthew H. Samore1, *Adi V. Gundlapalli1, *Wendy W. Chapman1, Samuel RG Finlayson1
1University of Utah, Salt Lake City, UT; 2Intermountain Healthcare, Salt Lake City, UT
9:15 AM - 9:40 AM
29. How Much Weight Loss is Required for Cardiovascular Benefits? Insights from a Metabolic Surgery Matched Cohort Study
*Ali Aminian1, *Alexander Zajichek1, *Kathy E. Wolski1, Stacy A. Brethauer2, Philip R. Schauer3, *Michael W. Kattan1, *Steven E. Nissen1
1Cleveland Clinic, Cleveland, OH;2Ohio State University Wexner Medical Center, Columbus, OH;3Pennington Biomedical Research Center, Baton Rouge, LA
9:40 AM - 10:05 AM
30. Impact of Multi-tasking Under Dynamic Temporal Demand on Surgeons' Brain Function
*Hemel N. Modi, Ara Darzi, *Harsimrat Singh, *Daniel R. Leff
Imperial College London, London, United Kingdom
10:05 AM - 10:30 AM
31. Persistent Racial Disparities in Outcomes after Coronary Artery Bypass Surgery
*Zachary O. Enumah1, *Joseph Canner1, *Diane Alejo1, *Xun Zhou1, *Gayane Yenokyan2, *Thomas Matthew1, Jennifer Lawton1, Robert S.D Higgins1
1Johns Hopkins Hospital, Baltimore, MD; 2Johns Hopkins School of Public Health, Baltimore, MD
10:30 AM - 10:55 AM
32. A Novel Cross-application Approach for Optimizing the Electronic Health Record to Improve Perioperative Efficiency
*Dido Franceschi, *Maritza M. Suarez, *Jose Ruiz, *David Seo, Nipun Merchant
University of Miami, Miami, FL
11:00 AM

* By Invitation