SPRING-SUMMER 2014 NUMBER 31

IN THIS ISSUE . . . Performing Robotic Colorectal Surgery Introducing New Faculty • General & Bariatric Surgeon To Achieve Superior Results • Laryngologist/ENT Surgeon Using the Latest Technology to Lead • Vascular Surgeon The Way in Patient Care Open Heart Surgery Saves Pregnant Mother Dr. Roberto Bergamaschi with our da Vinci And Her Baby robot in the OR, positioning its arms. PHOTO: JEANNE NEVILLE Woman Travels Across Country for Leading-Edge Salivary Gland Surgery First Non-Surgical Procedure to Treat Leg surgical specialties, including urological Varicose Veins surgery, cardiothoracic surgery, otolaryn- gology-head and neck surgery, and general Research Day Success, Moving the Science Of (gastrointestinal) surgery, among others, and it Surgery Forward is also advancing minimally invasive surgery in the colorectal field. Introducing Our New Department Administrator Our Colon and Rectal Surgery Division has & Business Manager been providing robotic colorectal surgery with Offering CME Credits great success, and is a leader in the use of • Surgical Grand Rounds robotic technology. • Vascular Surgery Conference espite the demonstrated advantages of laparo- scopic surgery for treating colorectal condi- Roberto Bergamaschi, MD, PhD, professor of Residency Update & Alumni News Dtions, some limitations continue to exist and surgery and chief of colon and rectal surgery, call for improvement. Division Briefs ... Plus More! who is an internationally renowned specialist in laparoscopic surgery, is leading our colorectal Robot-assisted colorectal surgery is addressing most of robotic surgery program. He has been specially the shortcomings of the standard laparoscopic approach, trained and certified to operate with the robot. and the robotic technique has proved its safety profile in both colon and rectal surgery. The surgeon—not the “robot”—performs the surgery, and is in full control of the Indeed, robotic technology has during the past decade robotic system and the procedure. revolutionized minimally invasive surgery in several Continued on Page 2 Weight Loss Center Earns Top-Level Accreditation for Bariatric Surgery Full Approval as a Comprehensive Bariatric Facility Granted to Stony Brook Medicine tony Brook Medicine has been granted full To earn MBSAQIP accreditation, Stony Brook Saccreditation as a comprehensive bariatric facility by University Hospital met the essential criteria that the new Metabolic and Bariatric Surgery Accreditation and ensure its ability to support a bariatric surgical Quality Improvement Program (MBSAQIP) of the American care program and measure up to the institutional College of Surgeons and American Society of Metabolic performance requirements outlined by the and Bariatric Surgery. MBSAQIP accreditation standards. MBSAQIP accreditation demonstrates our Bariatric and Our new MBSAQIP designation is: Metabolic Weight Loss Center’s commitment to delivering Comprehensive Center with Adolescent the highest-quality care for bariatric surgery patients. Qualifications. Continued on Page 3 2 Stony Brook Medicine I DEPARTMENT OF SURGERY I Stony Brook University

Performing Robotic As a result, the robotic system enables the COLON CANCER SURGERY Colorectal Surgery colorectal surgeon to operate with enhanced Robotic colectomy (removal of all or part Continued from Page 1 vision, precision, dexterity, and control. of the colon) offers the following potential benefits: The surgeon is in full control of the robotic Operative experience with the robot is import- system, which translates his or her hand ant for the successful performance of robotic • Precise removal of cancerous tissue movements into smaller, more precise colorectal surgery. • Low blood loss movements of tiny instruments inside the • Quick return of bowel function patient’s body. Another member of our Colon and Rectal • Quick return to a normal diet Surgery Division who is skilled at robotic • Low rate of complications The development of robotic surgical technol- colorectal surgery is Paula I. Denoya, MD, • Low conversion rate to open surgery ogy took off in the mid-1980s with remote assistant professor of surgery. • Short hospital stay surgery (also known as telesurgery) being • Better cosmetic result compared to open the major driving force. Since that time, sev- We provide robotic colorectal surgery for surgery eral robotic devices have been developed. colon cancer, rectal cancer, diverticulitis, and The da Vinci system—the first system ap- inflammatory bowel disease (ulcerative colitis RECTAL CANCER SURGERY proved by the FDA in 2000—is now the only and Crohn’s disease). Robotic low anterior resection (rectal cancer available robotic surgical system worldwide. surgery) offers precise removal of cancer- Robotic surgery for rectal cancer provides ous tissue as well as the following potential Stony Brook Medicine acquired the da Vinci a radial resection margin larger than the margin laparoscopic or benefits when compared to conventional open system seven years ago. In fact, our medical surgery: center was the first on Long Island to ac- traditional surgery can achieve. quire the most technically advanced model • Less blood loss Commenting on the use of robotic colorectal of the robot. • Less pain surgery at Stony Brook, Dr. Bergamaschi • Shorter hospital stay says: “The robot represents a major advance • Quicker return of bowel function in colon and rectal surgery that offers • Quicker return to a normal diet patients more benefits of the minimally • Faster recovery invasive approach. • Better cosmetic result

“We are the first to have published When compared to traditional laparoscopy, evidence* that robotic surgery for rectal robotic low anterior resection offers the cancer provides a radial resection mar- following potential benefits: gin larger than the margin laparoscopic or traditional surgery can offer. This is very • Lower conversion rate to open surgery important because radial resection margin is • Fewer major complications The da Vinci robot is about the metric that predicts survival.” • Shorter hospital stay six feet tall and has four • Quicker return to a normal diet spider-like arms. For consultations/appointments with our • Quicker return of urinary function colorectal robotic specialists, please call • Quicker return of sexual function (631) 444-4545 (Surgical Care Center) or (631) 638-1000 (Cancer Center). Laparoscopic surgery is now considered by many experts as the approach of choice for * “The study reports no statistically significant the surgical treatment of both benign and difference from open or laparoscopic techniques in the quality of TME during the learning curve malignant colorectal diseases. of robotic proctectomy for rectal cancer and The first report about robotic colorectal sur- demonstrates an improved CRM.” Advancing the laparoscopic approach, the gery was published in the medical literature in Barnajian M, Pettet D III, Kazi E, Foppa C, robot is gaining acceptance supported by clin- 2002. Since then, the study of robotic colorec- Bergamaschi R. “Quality of Total Mesorectal ical studies, and its use is providing patients tal resection as an alternative treatment option Excision and Depth of Circumferential Resection Margin in Rectal Cancer.” Colorectal Disease more benefits of minimally invasive surgery. for colorectal cancer has been of particular (April 2014). interest. We provide robotic colorectal surgery for colon cancer, rectal cancer, diverticulitis, and inflammatory bowel disease. is published by Advisory Board All correspondence Instead of a large abdominal incision used The Department of Surgery Roberto Bergamaschi, MD, PhD should be sent to: in open surgery, surgeons using the robotic Stony Brook Medicine Alexander B. Dagum, MD Dr. Jonathan Cohen Stony Brook, New York Writer/Editor, POST-OP system make a few small incisions, similar Thomas K. Lee, MD Department of Surgery to what’s done in traditional laparoscopy. Editor-in-Chief Brian J. O’Hea, MD Mark A. Talamini, MD Aurora D. Pryor, MD Stony Brook Medicine The robotic system features a magnified 3D David A. Schessel, MD, PhD Stony Brook, NY 11794-8191 high-definition vision system and special Writer/Editor A. Laurie Shroyer, PhD, MSHA Jonathan Cohen, PhD wristed instruments that bend and rotate far Apostolos K. Tassiopoulos, MD Jonathan.Cohen@ stonybrookmedicine.edu greater than the human wrist. Contributing Editors James R. Taylor Jr., MD John M. Hutter, MBA, MS, CMPE James A. Vosswinkel, MD Permission for use of da Vinci robot Karen A. Ross, MBA photo (page 2) granted by Intuitive Surgical, Inc., Sunnyvale, CA. 2 Stony Brook Medicine I DEPARTMENT OF SURGERY I Stony Brook University Stony Brook Medicine I DEPARTMENT OF SURGERY I Stony Brook University 3

Weight Loss Center Earns Top-Level Accreditation for Bariatric Surgery Continued from Page 1

Seated from left, Catherine Tuppo, PT, bariatric coordinator; Aurora Pryor, MD, director, bariatric surgery; and Dana Telem, MD, associate director, bariatric surgery. Standing from left, Kaitlyn Roggemann, database manager; Christine Erickson, bariatric administrator; Kartik Gohil, MBBS, bariatric fellow; Kathryn Cottell, RD, dietitian; Darragh Herlihy, NP, bariatric nurse practitioner; Maria Altieri, MD, research fellow; Genna Hymowitz, PhD, psychologist; Renee Browning Goss, pre-certification specialist; Jennifer Rosenstein, RN, clinical nurse specialist, 9 North; and

PHOTO: JEANNE NEVILLE Donna Hoffman, RN, nurse manager, 9 North.

Accredited bariatric surgery centers provide This joint effort resulted in MBSAQIP, which placed it at the forefront of American surgery, both the hospital resources necessary for is designed to achieve a single national and have made the college an important optimal care of morbidly obese patients accreditation standard for all bariatric surgery advocate for all surgical patients. With more and the support and resources necessary programs. than 79,000 members, the college is the to address the entire spectrum of care and largest organization of surgeons in the world. needs of bariatric patients, both pre- and MBSAQIP accreditation is an important post-operatively. way to verify that a hospital has The American Society of Metabolic and everything needed for optimal care of Bariatric Surgery is the largest organization for “We are very pleased to receive accreditation bariatric surgery patients. metabolic and bariatric surgeons in the world. from the American College of Surgeons,” says It is a not-for-profit organization that works to Aurora D. Pryor, MD, professor of surgery, MBSAQIP accreditation is awarded in advance the art and science of metabolic and chief of general surgery, and director of the categories, each with its own criteria that bariatric surgery, and is committed to educating Stony Brook Bariatric and Metabolic Weight must be met. Facilities undergo a site visit medical professionals and the lay public about Loss Center. “They were very impressed by an experienced bariatric surgeon, who metabolic and bariatric surgery as an option for with our entire staff and the Stony Brook reviews the facilities’ structure, process, the treatment of morbid obesity, as well as the facilities. Our group should be commended and data quality. Because optimal surgical associated risks and benefits. for their team effort and attention to detail as care requires documentation using reliable acknowledged by the surveyor.” outcomes measures, accredited bariatric The society encourages its members to surgery centers are required to report their investigate and discover new advances Stony Brook Medicine received the outcomes data to the MBSAQIP Data Registry in metabolic and bariatric surgery while highest level of accreditation possible, Platform. maintaining a steady exchange of experiences and is authorized to treat the most and ideas that may lead to improved surgical complex bariatric patients here. In the United States, more than 15 million outcomes for morbidly obese patients. people suffer from severe obesity, and the Dr. Pryor emphasizes, “Accreditation is an numbers continue to increase. Obesity For more information about the Stony Brook Bariatric and Metabolic Weight Loss Center, please call Christine important way for patients to verify that a increases the risks of morbidity and mortality Erickson, bariatric administrator, at (631) 444-BARI practice has access to all the key resources because of the diseases and conditions (2274). necessary for optimal care, and we are proud that are commonly associated with it, such to be acknowledged here for our excellence at as type 2 diabetes, hypertension, and Stony Brook Medicine.” cardiovascular disease, among other health risks. At present, weight loss surgery provides The Stony Brook Bariatric and Metabolic Concerning bariatric surgery for children, Dr. the only effective, lasting relief from severe Weight Loss Center Provides ... Pryor says: “There is now no official lower age obesity. limit for surgery. We will assess each patient • Comprehensive multidisciplinary care for individually with our multidisciplinary team of Therefore, the American College of Surgeons both adults and children pediatric, nutrition, psychology, and surgical believes it is of utmost importance to extend • Full accreditation as a comprehensive center specialists to make individualized treatment its quality initiatives to accrediting bariatric • Individualized treatment plans recommendations.” surgery centers so that it can assist the • Nationally renowned bariatric surgeons public in identifying those facilities that • Minimally invasive weight loss procedures MBSAQIP is administered by the American provide optimal surgical care for patients who • Customized patient-centered hospital rooms College of Surgeons. In 2012, the college undergo this surgical procedure. • Psychological support before and after and the American Society of Metabolic and • Post-op support group Bariatric Surgery announced plans to combine The American College of Surgeons is a • Dietary guidance from nutritionists their respective national bariatric surgery scientific and educational association of • Patient liaisons to assist with all needs accreditation programs into a single unified surgeons that was founded in 1913 to raise • Record of successful outcomes program to achieve one national accreditation the standards of surgical education and standard for bariatric surgery centers. practice, and to improve the quality of care for the surgical patient. Its achievements have 4 Stony Brook Medicine I DEPARTMENT OF SURGERY I Stony Brook University Introducing New Faculty Selected 2014 Publications* Almassi GH, Shroyer AL, Collins JF, e are very pleased to announce that the Grover FL. ROOBY trial data Wfollowing physicians have joined our faculty: demonstrates revascularization had no impact on POAF. Future Cardiol 2014;10:157. Anderson JE, Hemming AW, Chang DC, Talamini MA, Mekeel KL. Are hepatocellular carcinoma patients more likely to receive liver resection in regions with longer transplant wait times? Transplant Proc 2014;46:199-201. Balas MC, Vasilevskis EE, Olsen KM, Schmid KK, Shostrom V, Cohen MZ, Peitz G, Gannon DE, Sisson J, Sullivan J, Stothert JC, Lazure J, Nuss SL, Jawa RS, Freihaut F, Ely EW, Burke WJ. Effectiveness and safety of the awakening and breathing coordination, delirium monitoring/management, and Caitlin A. Halbert, DO Melissa M. Mortensen, MD Angela A. Kokkosis, MD early exercise/mobility bundle. General & Bariatric Surgeon Laryngologist/ENT Surgeon Vascular Surgeon Crit Care Med 2014;42:1024-36. Bao PQ, Mazirka PO, Watkins KT. Retrospective comparison Title Title Title of robot-assisted minimally Assistant Professor of Surgery invasive versus open Instructor in Surgery Assistant Professor of Surgery pancreaticoduodenectomy for periampullary neoplasms. J Board Certification Board Certification Board Certification Gastrointest Surg 2014;18:682-9. Bekelis K, Missios S, Eskey C, Eligible in Surgery Otolaryngology Eligible in Vascular Surgery Labropoulos N. Socioeconomic characteristics of patients undergoing ambulatory Training Training Training diagnostic cerebral angiography Medical School Medical School Medical School in four US states. Int Angiol Stony Brook University (2009) 2014;33:58-64. Philadelphia College of SUNY Upstate Medical Bekelis K, Missios S, Mackenzie TA, Osteopathic Medicine (2009) University (2002) Residency Training Desai A, Fischer A, Labropoulos Residency Training Residency Training Vascular Surgery, Mount Sinai N, Roberts DW. Predicting inpatient complications from General Surgery, Christiana Otolaryngology, Mount Sinai Medical Center cerebral aneurysm clipping: Care Health System Medical Center the Nationwide Inpatient Sample 2005-2009. J Neurosurg Fellowship Training Clinical Interests/Expertise 2014;120:591-8. Clinical Interests/Expertise Laryngology, Mount Sinai • All areas of arterial and Bergamaschi R, Corman ML. The rectal prolapse dilemma: • Minimally invasive surgery Medical Center venous surgery abundance of adjectives. Cir Esp • Dysphagia (difficulty • Open and minimally invasive 2014;92:147-8. swallowing) endovascular management Bishawi M, Fakhoury M, Denoya Clinical Interests/Expertise PI, Stein S, Bergamaschi R. • Esophageal conditions and • Full range of ear, nose, and of all arterial conditions Surgical site infection rates: open diseases throat (ENT) care for both • All aspects of complex versus hand-assisted colorectal • Gallbladder disease resections. Tech Coloproctol adult and pediatric patients venous disease, including 2014;18:381-6. • Gastroesophageal reflux • Voice disorders treatment of acute DVT Buscaglia JM, Karas J, Palladino N, Fakhoury J, Denoya disease (GERD) • Swallowing disorders with thrombolysis, pelvic • Hernias PI, Nagula S, Bucobo JC, • Medialization thyroplasty congestion syndrome, and Bishawi M, Bergamaschi R. • Obesity Simulated transanal NOTES • Arytenoid adduction vascular malformations • Spleen disease sigmoidectomy training improves • Injection laryngoplasty • Minimally invasive treatment the responsiveness of surgical • Other abdominal conditions • Transnasal esophagoscopy of varicose veins and spider endoscopists. Gastrointest Endosc 2014;80:126-32. • Videostroboscopy veins (venous ablation and Coker AM, Barajas-Gamboa JS, Cheverie Additional • Minimally invasive head and sclerotherapy) J, Jacobsen GR, Sandler BJ, Member, American College of Talamini MA, Bouvet M, Horgan neck procedures • All aspects of hemodialysis Surgeons, Society of American S. Outcomes of robotic-assisted • General ENT and allergy access creation and transhiatal esophagectomy Gastrointestinal and Endoscopic for esophageal cancer after consultations maintenance Surgeons. neoadjuvant chemoradiation. J • Lower extremity limb salvage Laparoendosc Adv Surg Tech A. Additional 2014;24:89-94. Dathatri S, Gruberg L, Anand J, Author of 15 peer-reviewed Additional Romeiser J, Sharma S, Finnin

articles. Member, American Registered physician in E, Shroyer AL, Rosengart TK. Informed consent for cardiac Academy of Otolaryngology- vascular interpretation (RPVI). procedures: deficiencies in Head and Neck Surgery, Author of eight peer-reviewed patient comprehension with articles. Member, International current methods. Ann Thorac American Broncho-Esophageal Surg 2014;97:1505-12. Association, and American Society of Vascular Surgery, Laryngological Association. Peripheral Society of Vascular * The names of faculty authors appear in boldface. Surgery, and Society for Continued on Page 6 Vascular Surgery. 4 Stony Brook Medicine I DEPARTMENT OF SURGERY I Stony Brook University Stony Brook Medicine I DEPARTMENT OF SURGERY I Stony Brook University 5

Open Heart Surgery Performed On Mother 27 Weeks Pregnant Heart Tumor Threatens Mother and Baby, Quick Decisions by Our Team Save Both

Sharon Savino and her family Dr. Taylor and his team tried to reunite with Dr. James R. Taylor Jr. (left), who removed the tumor reduce the amount of time Ms. from her heart, saving her life and Savino was on the machine and her baby’s, and the OB team, Drs. that her heart was stopped all Gerald Quirk and Ruth Wei, who monitored her baby during the together during the surgery. entire surgery. Most atrial myxoma patients spend about 45 minutes on the heart-lung machine and 25 to 30 minutes with the heart stopped during surgery. to organ damage or stroke. “It’s not a malignant tumor— Dr. Taylor was able to reduce not invading,” Dr. Taylor said the patient’s time on the ma- during the interview. “But chine to 18 minutes with her because of its size it causes heart arrested for only 12. problems inside the heart. During the surgery, the baby Something needed to be done was monitored closely by J. Ger- during that hospital visit.” ald Quirk, MD, PhD, professor A decision needed to be made: of obstetrics, gynecology & re- perform open heart surgery productive medicine, and a team on the pregnant mother to from the Neonatal Intensive remove the tumor, or deliver Care Unit who were on stand by the baby preterm and wait until if Ms. Savino went into labor. the mother healed from her The surgery went off without a

PHOTO: JOHN GRIFFINPHOTO: JOHN cesarean section before doing hitch, and Ms. Savino remained heart surgery. in the hospital for a week after it while she was monitored for eing tired a lot during “I couldn’t believe it,” Ms. The team, led by Dr. Taylor, signs of preterm labor. She her second trimester Savino told a reporter from the decided the tumor was too dan- spent the remaining two months of pregnancy was New York Daily News during B gerous to wait, and Ms. Savino at home before delivering baby something that 25-year-old an interview at Stony Brook underwent open heart surgery Maximus via a C-section on Sharon Savino had felt before University Hospital. “I just never in January while her baby boy April 2. being pregnant with her son and expected I would hear that, remained in utero. daughter. But after developing especially when I’m so young. I “After Maximus was born, I a bad cough around Christmas, was shocked.” Only 17 similar cases are thought, ‘I can’t believe I made she started coughing up blood, currently found in the entire it,’” Ms. Savino told the Daily and knew something was very Ms. Savino’s tumor, an atrial medical literature. News. “He’s healthy, and I’m still wrong. myxoma, presented a serious going.” and immediate health threat, This type of open heart surgery is not unusual, but performing Ms. Savino went to a nearby James R. Taylor Jr., MD, The baby, weighing 7 pounds, it on a pregnant woman is rare community hospital where professor of surgery and chief 3 ounces, was welcomed by and came with some risks. The doctors gave her medication for of cardiothoracic surgery, and his father, Russell Daniels, medical literature includes only bronchitis, but could not say co-director, Stony Brook Uni- and siblings, Russell Jr., 4, and 17 cases like it in the world. why the blood had appeared. versity Heart Institute, told the Shallyssa, 2. When more blood was coughed Daily News. During the surgery, one of the biggest risks came with using up, she became very concerned Ms. Savino won’t ever forget a heart-lung bypass machine, for her unborn child, and came The tumor could have obstruct- what she went through to bring which could impair blood supply to her obstetricians at Stony ed her mitral valve at any time, this baby into the world, and to the fetus, making the baby’s Brook University Hospital, causing sudden death. Seg- named him Maximus because, heart rate drop rapidly. In some where tests revealed she had an ments of the tumor could have she said, he was a fighter from cases, that stress could induce egg-sized tumor on the left side also broken free and traveled the beginning. of her heart. within the blood stream, leading labor. 6 Stony Brook Medicine I DEPARTMENT OF SURGERY I Stony Brook University Treating Patients Bride-to-Be Travels across Country From Afar In May, Dr. Marzouk treated another For Minimally Invasive Gland Surgery patient from afar with a salivary Following Outpatient Salivary Endoscopy gland stone—five times larger than the stones found in Ms. Truglia. The Wedding Goes as Planned, Pain-Free single stone, in fact, was nearly three- quarters of an inch in diameter. The ina Truglia had experienced excruciating pain in her jaw for nearly a decade and was gentleman couldn’t find the care he misdiagnosed with everything from mumps to mono. Eager to have her upcoming needed in Florida where he lives, and for Twedding free of pain, Ms. Truglia flew from Flagstaff, AZ, to Long Island in mid- six years he looked for a solution there. February, trading in a June week of bridal festivities, including her bachelorette party, for an Internet research led him to Dr. appointment with Mark F. Marzouk, MD, assistant professor of surgery and member of our Marzouk, so he traveled to Long Island Otolaryngology-Head and Neck Surgery Division. for treatment at Stony Brook. Doctors in his home state had told him they Ms. Truglia had been told by fections. With her wedding just stone removal, duct dilatation, were unable to remove the stone former doctors that she needed months away, she turned to the and steroid injection, can be without removing the entire salivary an operation to remove her web and searched for another done at the same time. gland (parotid) on the inside of his cheek. That would have left him with a salivary gland, something this solution. problematic dry mouth. 32-year-old bride-to-be did Sialolithiasis, or stone(s) in not want to do so close to her Salivary endoscopy allows for the salivary duct, is the most Dr. Marzouk used salivary endoscopy upcoming nuptials. minimally invasive salivary common disease of the salivary technology to guide his successful gland surgery in a safe and glands for which salivary endos- “open” operation to remove the stone effective way, and is done on an and preserve the gland. He utilized the outpatient basis. copy is done. It affects approxi- mately 12 in 1,000 adults. Symp- scope’s light to pinpoint the location of the stone, shining it through the What and who she found was toms include pain, intermittent skin and seeing the stone on the video only 15 minutes away from the swelling of the glands, and screen. The scope also helped him to home she grew up in in Farm- possibly severe infection. determine there were no other stones. ingville, NY. The success rate of salivary This technique enabled Dr. Marzouk to remove the stone without risking damage During her appointment with Dr. endoscopy in treating sialolithiasis is over 90%, as reported in the to the patient’s facial nerve that runs Marzouk, he correctly diagnosed through the affected gland, effectively Ms. Truglia with five salivary current literature, with less than avoiding risk of facial paralysis. duct stones, the size of baby 5% recurrence. Recovery time is teeth, embedded in her gland. much faster than with an open Selected 2014 Publications technique, and patients may re- Continued from Page 4 Ms. Truglia had a salivary turn to a normal diet the same day. Durieux R, Van Damme H, Labropoulos endoscopy, the new minimally N, Yazici A, Legrand V, Albert invasive salivary gland proce- Salivary endoscopy is a minimal- A, Defraigne JO, Sakalihasan N. ly invasive procedure. It allows High prevalence of abdominal dure that can be used for both aortic aneurysm in patients with diagnosis and treatment at for salivary gland surgery in a three-vessel coronary artery disease. Eur J Vasc Endovasc Surg Dr. Mark F. Marzouk at post-op Stony Brook University Hospi- safe and effective way, and is appointment with patient Tina done on an outpatient ba- 2014;47:273-8. Truglia who had salivary gland tal. This procedure is performed Ebrahimi R, Bakaeen FG, Uberoi A, stones removed two days prior. sis. Originally developed in Swit- Ardehali A, Baltz JH, Hattler B, by only a few surgeons in the Almassi GH, Wagner TH, Collins PHOTO: TINA TRUGLIA zerland, salivary endoscopy is United States. JF, Grover FL, Shroyer AL. truly one of the most fascinating Effect of clopidogrel use post The current standard in most and patient-centered innovations coronary artery bypass surgery The patient was in and out of on graft patency. Ann Thorac Surg institutions for treating salivary surgery within 25 minutes. She introduced in recent years in 2014;97:15-21. duct stones has been surgical the field of otolaryngology-head Foppa C, Bergamaschi R. Confusing had all five stones removed by nomenclature. Colorectal Dis removal of the gland that entails Dr. Marzouk during the endos- and neck surgery. 2014;16:315. an incision in the neck and an copy procedure. And following Fourman MS, Phillips BT, Crawford overnight stay in the hospital. Since Dr. Marzouk started L, McClain SA, Lin F, Thode her post-op visit two days later, HC Jr, Dagum AB, Singer AJ, she returned to Arizona. performing salivary endoscopy Clark RA. Indocyanine green dye The conventional “open” at Stony Brook, he has attracted angiography accurately predicts survival in the zone of ischemia operation also carries with it In 2010, soon after Dr. Marzouk numerous patients from around in a burn comb model. Burns the potential complications of the world, who travel to be 2014;40:940-6. joined our faculty, he performed Hymowitz G, Salwen J, Vivian D, scarring, wound infection, and the first salivary endoscopy cared for by him, in order to ob- Adamowicz J, Pryor A, Tuppo facial nerve injury. tain the relief they seek without C, Cottell K, Kar HL. The Stony ever done on Long Island. This Brook University interdisciplinary minimally invasive technique al- having a conventional operation. approach to the management Leaving the stones untreated of morbid obesity. Behav Ther lows for the examination of the For consultations/appointments 2014;37:34-41. would have left Ms. Truglia at salivary ducts under endoscopic with Dr. Marzouk, please call (631) 444-4121. Continued on Page 11 risk for severe and repeated in- guidance. Treatments, such as 6 Stony Brook Medicine I DEPARTMENT OF SURGERY I Stony Brook University Stony Brook Medicine I DEPARTMENT OF SURGERY I Stony Brook University 7

Providing Long Island’s First Non-Surgical Treatment for Varicose Leg Veins New Drug Therapy Improves Symptoms And Appearance of Visible Varicosities

aricose veins affect and standard medical supplies, ment are to wear compression over 20% of the adult in addition to the foam solution. stockings for two weeks and to Vpopulation. They avoid heavy exercise for one are superficial vessels that Varicose leg veins can be more week and extended periods of are abnormally lengthened, than simply a cosmetic problem inactivity for one month. but a medical condition for which twisted, or dilated, and are treatment is covered by most seen most often on the legs insurance. PEM is a sclerosant, that is, a and thighs. Women are twice chemical (drug) that causes as likely as men to develop This advance in the treatment of veins to close. This sclerosant varicosities. varicose veins is the result of a has been made into foam of successful research effort that very small bubbles to create involved multicenter clinical tri- microfoam. Leg of patient who was enrolled in the als in which the principal inves- Varithena trial at the Stony Brook Vein PEM is intended to act as Center, before (left) and after treatment. tigator at Stony Brook Medicine PHOTO: STONY BROOK VEIN CENTER was Antonios P. Gasparis, MD, follows: (1) the foam displac- es blood from the vein to be PHOTO:JEANNE NEVILLE professor of surgery (Vascular with proven long-term results. Surgery Division) and director treated and (2) the polidocanol PEM provides an effective of the Stony Brook Vein Center. then scleroses the endothelium (inner lining of vein). alternative that should appeal to patients who are candidates. Results of the U.S. phase 3 trial Patients with varicose leg veins It was approved by the FDA in of PEM in 2012 showed a high treated with PEM can return November 2013. degree of statistical significance. to normal activities and work following administration of the For a consultation/appointment with one PEM is the first and only foam foam. of our vascular specialists to learn more drug approved by the FDA for about PEM and/or for a free varicose vein screening, please call (631) 444-VEIN the treatment of incompetent Varicose veins often require (8346). veins and visible varicosities of treatment for symptoms includ- Dr. Antonios P. Gasparis the great saphenous vein (GSV) ing leg pain, aching, heaviness, system. restless legs, cramps, throb- bing, fatigue, itchiness, tingling, “Polidocanol endovenous Varicose veins bulge and rise “Varithena sets a new standard and edema. These symptoms microfoam provided clinically above the skin’s surface. They for the treatment of both the are frequently the cause of ab- meaningful benefit in treating symptoms and appearance in may often be uncomfortable and symptoms and the appearance senteeism from work, disability, result in swelling of the legs. patients with varicose veins. of varicose veins,” says Dr. and decreased quality of life. Polidocanol endovenous If left untreated, varicose veins Gasparis. “It provides compre- microfoam was an effective may lead to more serious medi- hensive therapy for the widest Varicose veins are a clinical pre- and comprehensive minimally cal problems, such as phlebitis, range of varicose veins—incom- sentation of superficial venous invasive treatment for patients inflammation, or leg ulcers. petent GSV, accessory saphe- insufficiency—a condition in with a broad spectrum of vein nous veins, and visible varicos- which veins are inefficient in disease (clinical, etiology, Now, our vascular specialists are anatomy, pathophysiology ities of the GSV system both returning blood to the heart be- clinical class C2 to C6) and providing a non-surgical treat- above and below the knee.” cause of venous hypertension. great saphenous vein diameters ment that involves the injection One-way valves that normally ranging from 3.1 to 19.4 mm. of a foam drug; specifically, poli- “Patients undergoing treatment direct blood toward the heart Treatment with polidocanol docanol endovenous microfoam with Varithena can return to are damaged or missing, and endovenous microfoam was (PEM; Varithena). normal activities and work instead, some blood refluxes associated with mild or moderate following administration of the (moves in the opposite direc- manageable side effects.” PEM injection requires no drug.” tion) and often pools in the vein. anesthesia or sedation, and is “The VANISH-2 Study: A Randomized, the most minimally invasive Blinded, Multicenter Study to Evaluate Patients are encouraged to Current treatments for var- the Efficacy and Safety of Polidocanol treatment option for varicose walk/mobilize the same day icose veins include thermal Endovenous Microfoam 0.5% and veins. The treatment only with minimal restrictions. The ablation and surgery, both of 1.0% Compared with Placebo for the Treatment of Saphenofemoral Junction requires an ultrasound machine only restrictions post-treat- which are excellent options Incompetence.” Phlebology (July 2013). Continued on Page 11 8 Stony Brook Medicine I DEPARTMENT OF SURGERY I Stony Brook University Fifth Annual Research Day Celebrates Our Discoveries The Department of Surgery’s Fifth Annual Research Day took place in June at the Charles B. Wang Center on west campus of Stony Brook University.

Winner of poster competition, from Division of Plastic and Reconstructive Surgery.

department—to foster research, and Research Day shows our commitment to advancing scientific knowledge in order to improve patient care and population health.”

All categorical residents in our general surgery residency program are required to conduct at least one research project each year, and to present their studies at the Research Day program.

All of our residency programs are committed to training physician- scientists who can both practice and advance surgery in their his year’s program was breadth of interests and research Dr. Brunicardi’s talk, “Patient- careers after they graduate from another great success, capabilities for our department.” Based Leadership Training and Stony Brook. Tas the event continues Personalized Surgery,” addressed to grow, with more research The program included nearly the need for leadership training Next year’s Research Day will take place on Thursday, June 4, 2015, presentations. 50 posters presenting study for surgical residents, and why abstracts, plus five oral at the Wang Center. For more presentations moderated by surgeons who must function as information, please call (631) The morning forum showcased faculty discussants, and it leaders will benefit. 444-7875. ongoing and completed research attracted more than a hundred projects by way of oral platform attendees from Stony Brook Discussing his own research, Established in 2010, Research Day presentations, as well as a poster Medicine and the University Dr. Brunicardi talked about is an opportunity for our residents competition by our residents, community. personalized genomic medicine as well as our faculty and medical medical students, and faculty. and surgery, which represents students to present their surgical The keynote speaker was F. a new approach to healthcare research. The focus of the program “Stony Brook Medicine is Charles Brunicardi, MD, vice that customizes patients’ medical is moving the science of surgery geared for making research chair of the Department of treatment according to their own forward. happen,” said Mark A. Talamini, Surgery at the University of genetic information. MD, professor and chairman California, Los Angeles. He The Research Day program offers of surgery, in his opening is Moss Foundation chair of A. Laurie W. Shroyer, PhD, continuing medical education remarks at the program. “Our gastrointestinal and personalized MSHA, professor of surgery (CME) credit; this activity is Research Day celebrates our surgery and chief of general and vice chair for research, who designated for a maximum of 3.5 discoveries. Not only that, it surgery at UCLA Medical Center. oversees Research Day, said AMA PRA Category 1 Credits™. demonstrates a truly impressive that “it takes a village—an entire 8 Stony Brook Medicine I DEPARTMENT OF SURGERY I Stony Brook University Stony Brook Medicine I DEPARTMENT OF SURGERY I Stony Brook University 9

2014 RESEARCH DAY POSTERS Here are the titles/authors of the posters exhibited at this year’s Research Day. Together, they demonstrate the range of research activity within the Department, and the impressive productivity of our residents and students:

• Amyand’s hernia after • Effect of aprepitant (Emend) • Omega-3 fatty acid supple- • Secondary appendicitis in the nonoperative treatment of in postoperative nausea and mentation as an adjunct to setting of colonic inflammation perforated appendicitis | Kim P, vomiting in morbidly obese bariatric surgery in the obese | Hartendorp P, DeMuro J. Adamo A, DeMuro J. patients undergoing laparoscopic patient | Lacayo-Baez MJ, Altieri sleeve gastrectomy: cost and MS, Gohil KN, Telem DA, Pryor AD. • Single shot thoracic epidural: • Assessment of voice quality and effectiveness | Rubano JA, Orioles an aid to earlier discharge extra-esophageal reflux pre- & C, Gohil KN, Gracia GJ, Telem DA, • Optimal pain control after open for pediatric laparoscopic post-bariatric surgery | O’Brien Pryor AD. pancreaticoduodenectomy cholecystectomy | Hsieh L, Tan S, Telem DA, Pryor AD, Altieri MS, | Pagkratis S, Moller D, Watkins JM, Gruffi C, Grewal S, Scriven RJ, Regenbogen E. • Emerging technologies and KT, Mazirka P, Bao PQ. Seidman PA, Lee TK. procedures: results of an online • Bilateral juvenile gigantomastia in survey and real-time poll | Verma • Pancreatic duct-to-β-cell • siRNA delivery by mesenchymal a 13-year-old girl: a brief report R, Eid G, Ali M, Saber A, Pryor AD. transdifferentiation represents stem cells as a therapy for | Peredo AL, Virvilis D, Lee TK, the most likely source of new beta colorectal cancer | Gersch RP, Khan SU. • Examining coronary artery bypass cells during post-natal growth Gordon C, You K, Want HZ, Brink P, grafting outcomes of multi- and regeneration | El-Gohary Y, Bergamaschi R. • Can intraoperative indocyanine institutional cardiac surgeons: Tulachan S, Guo P, Xiao X, Wiersch green angiography predict fat should the regionalization of CABG J, Gaffar I, Prasadan K, Shiota C, • Sizes of abdominal aortic necrosis in free flap breast services be revisited? | Bilfinger Gittes G. aneurysms being repaired: a reconstruction? | Levites H [third- TV, Shroyer AL, Taylor JR Jr, Gioia W, review of the surgical literature year medical student], Trasolini NA, Bishawi M. • Pathologic predictors of complete | Kelly B, Svestka M, Labropoulos Fourman MS, Gersch RP, Phillips response after neoadjuvant N, Tassiopoulos AK. BT, Khan SU, Gelfand MA, DT Bui. • First in man experience with chemotherapy for breast cancer | • Sternal wound reconstruction Winner of poster competition. Ms. the ReVive PV peripheral Ahn S, Piotrowski J, O’Hea BJ. Levites will receive the expenses to thrombectomy device for the with pectoral, omental, and attend a scientific meeting where revascularization of below- • Perioperative VTE rates in normal falciform flaps for poststernotomy she can present her study. the-knee embolic occlusions | weight versus morbidly obese mediastinitis: a case report | surgical patients | Wang L Kaymakcalan O, Levites H, Phillips • Characterization of acute venous Margolis J, Landau DS, Moomey C, Fiorella D. [second-year medical student], BT, Dagum AB. congestion in a rat model using Pryor AD, Romeiser JL, Altieri, MS, ICG angiography | Nasser AE, • Frequency and time of reinter- Talamini MA, Telem DA. Semi- • The effect of sleeve gastrectomy Fourman MS, Gersch RP, Hsi H, vention following Heller myotomy | finalist in poster competition. on extraesophageal reflux disease Phillips BT, Dagum AB, Khan SU, Chantachote C, Telem DA. | Frenkel C, Telem DA, Pryor AD, Gelfand MA, Bui DT. • Postoperative infections in Talamini MA, Altieri MS, Shroyer • Impact of rectal mobilization, tissue expander based breast KR, Korman M, Regenbogen E. • Chondrosarcoma of the chest wall fixation to sacrum and access reconstruction | Klein G, Nasser | Chiu J, DeMuro J. on recurrence rates following AE, Landford W, Bui DT, Dagum AB, • The extent of extracapsular extension may influence the need • Coil embolization of an aortic rectopexy for full-thickness Ganz JC, Gelfand MA, Huston TL, rectal prolapse: a pooled Khan SU. for axillary lymph node dissection pseudo-aneurysm post open in patients with T1-T2 breast repair of type A aortic dissection analysis of 532 patients | Bishawi M, Foppa C, Bergamaschi R, for the • Quantitative analysis of nipple cancer | Gooch J, King TA, Eaton | Jain V, Gruberg L, Bilfinger TV, areola complex tattoo fade A, Dengel L, Stempel M, Corben Tassiopoulos AK, Loh SA. Rectal Prolapse Recurrence Study Group. patterns: a prospective study AD, Morrow M. • Creation of gastric conduit | Levites HA, Lyubchik A, Trasolini • Institutional experience with NA, Fromm IM, Fourman MS, • The role of duplex ultrasound in free-graft with intraoperative the pelvic congestion syndrome perfusion imaging during the ReVive PV peripheral Phillips BT, Khan SU, Dagum AB, thrombectomy device for the Bui DT. workup | Spentzouris G, Malgor pancreaticoduodenectomy in RD, Adrahtas D, Gasparis AP, a patient post esophagectomy revascularization of below- the knee embolic occlusions • Repair, replacement or Ross Tassiopoulos AK, Labropoulos N. | Virvilis D, Pagkratis S, Phillips procedure: developing and Semi-finalist in poster competition. BT, Bao PQ, Khan SU, Ganz JC, | Monastiriotis S, Loh SA, Tassiopoulos AK. algorithm for valve selection for Watkins KT. adults with aortic stenosis and/ • The use of CT scan in diagnosing • Intravascular leiomyomatosis: a or regurgitation | Koudoumas D, appendicitis in the pediatric • CT scan is helpful for internal population | El-Gohary Y, hernia detection following weight systematic review of the literature Iliopoulos D, Yacoub M, Khalpey Z. | Terrana LM, Labropoulos N, Shapiro MJ. loss surgery | Altieri MS, Telem • Review of tertiary center DA, Hall K, Zawin M, Dubrovski G, Gasparis AP, Tassiopoulos AK, • Total situs inversus with Loh SA. outcome: laparoscopic vs open Brathwaite CE, Pryor AD. pancreatectomy | Em M, Bao PQ. hepatocellular carcinoma (HCC): a case report and review of • Dearterialization vs hemor- • Long-term mortality rates normalize to the general • Robot-assisted sialolithotomy literature | Zhao K. rhoidectomy: a 3-year follow-up with sialoendoscopy: a novel of a randomized controlled trial | population following bariatric • Viral preconditioning of rat surgery in New York State | Altieri approach to management of large Tam J, Denoya PI, Bergamaschi R. submandibular gland stones | ischemic skin flaps is similar to MS, Pryor AD, Yang J, Zhang Q, physiologic delay | Gersch RP, • Early unplanned hospital Shroyer AL, Telem DA. Razavi C, Pascheles C, Samara GJ, Marzouk MF. Semi-finalist in poster Fourman MS, Phillips BT, Nasser readmission following acute AE, Kaminsky SM, Crystal RG, traumatic injury | Copertino • Management of intraluminal competition. thrombus in the non-diseased McClaine SA, Khan SU, Dagum AB, LM, Jawa RS, McCormack JE, • Role of ALT flaps in foot Bui DT. Rutigliano D, Huang EC, Shapiro aorta | Jain V, Koullias G, Tassiopoulos AK, Zawin M. reconstruction | Gulamhusein T, MJ, Vosswinkel JA. Gelfand MA, Bui DT. • What makes bariatric surgery a success? The use of fMRI to • Roux-en-Y gastric bypass (RYGB) determine the role of reward in a severely type 2 diabetic pathways in post-bariatric surgery rodent model | Lau R, Brathwaite patients | Sullivan B, Telem DA, CE, Rideout D, Hall K, Radin M, Pryor AD. Ragolia L. PHOTOS: GERALD BUSHART 10 Stony Brook Medicine I DEPARTMENT OF SURGERY I Stony Brook University

RESIDENCY UPDATE Since 1975 when our first graduating residents entered the profession of surgery, 219 physicians have completed their residency training in general surgery at Stony Brook. The alumni of this residency program and our other residency (fellowship) programs now practice surgery throughout the United States, as well as in numerous other countries around the world—and we’re proud of their diverse achievements and contributions to healthcare. ______2014 Graduating Residents & Fellows

GENERAL SURGERY Career Direction Soojin Ahn, MD...... Breast surgery fellowship (TBA) Vikalp Jain, MD ...... Vascular surgery fellowship, U of North Carolina, Chapel Hill, NC Brett Phillips, MD ...... Plastic surgery fellowship, Duke U, Durham, NC Jerry Rubano, MD ...... Trauma/critical care fellowship, Stony Brook U Dimitrios Virvilis, MD ...... Vascular surgery fellowship, Cleveland Clinic, Cleveland, OH COLORECTAL SURGERY Career Direction Shani Palmer, MD...... Private practice in colorectal surgery

VASCULAR SURGERY Career Direction Rafael Malgor, MD...... Assistant Professor of Surgery, U of Oklahoma, Tulsa, OK CRITICAL CARE Career Direction Vera Freeman, MD...... Critical care practice, St. Catherine of Siena Medical Center, Smithtown, NY Cynthia Salinas, MD...... General surgery, acute care surgery, trauma surgery, and critical care practice, McAllen Medical Center, McAllen, TX MIS/BARIATRIC SURGERY Career Direction Kartik Gohil, MBBS...... Private practice in advanced gastrointestinal surgery New Chief Residents Incoming Residents/Categorical PGY-1 GENERAL SURGERY Medical School (Grad Year) GENERAL SURGERY Medical School (Grad Year) Jason Chiu, MD ...... U at Buffalo (’04) Kelly Detoy, MD...... Stony Brook U (’13) Leonard Copertino, MD ...... Ross U (’10) Carl Dickler, MD...... George Washington U (’14) Makkalon Em, MD ...... St. George’s U (’09) Syed Karim, MD...... U of Maryland (’14) Pamela Kim, MD ...... U of Texas-San Antonio (’10) Robert Laskowski, MD...... Drexel U (’14) Georgios Spentzouris, MD ...... St. George’s U (’09) Owen Pyke, MD...... Stony Brook U (’14) Michael Trostler, MD...... Georgetown U (’14) VASCULAR SURGERY Medical School (Grad Year) Carl Gonzales, MD ...... U of Texas-Galveston (’10) VASCULAR SURGERY Medical School (Grad Year) Chenara Johnson, MD...... U of Illinois (’14)

l Dr. Mark Talamini (left), chairman of surgery, and Dr. Richard Scriven (far right), program director of the general surgery residency, with our 2014 graduates (from left to right), Drs. Soojin Ahn, Rafael Malgor, Vikalp Jain, Brett Phillips, Jerry Rubano, Dimitrios Virvilis, and Shani Palmer, at the graduation banquet held in June at Lombardi’s on the Sound in Port Jefferson, NY (not in photo are Drs. Vera Freeman, Kartik Gohil, and Cynthia Salinas who couldn’t attend). PHOTO: GERALD BUSHART

j Dr. Leonard Copertino (center) received the 2014 David J. Kreis Jr. Award for Excellence in Clinical Service in Trauma Surgery, pictured here with members of the trauma team (left to right): Drs. Daniel Rutigliano, James Vosswinkel, Michael Paccione, and Marc Shapiro. Established in 2000, this annual award is presented to a senior (fourth-year) surgical resident by the Trauma, Emergency Surgery, and Surgical Critical Care Division in honor of the late Dr. Kreis, who was the founding chief of our trauma/surgical critical care service, and who served with distinction on our faculty until his untimely death. PHOTO: GERALD BUSHART 10 Stony Brook Medicine I DEPARTMENT OF SURGERY I Stony Brook University Stony Brook Medicine I DEPARTMENT OF SURGERY I Stony Brook University 11

Our Residents Win New York State ALUMNI NEWS Surgical Jeopardy Championship Earning Yearlong Bragging Rights For Dr. Aaron H. Chevinsky (’88) University Medical Center, is is chief of surgical oncology and now director of transplant and Best Surgical Residency Program in State co-director of the Morristown hepatobiliary surgery at Nazih Memorial Hospital’s Carol Zuhdi Transplant Institute at G. Simon Cancer Center in INTEGRIS Baptist Medical Morristown, NJ. He often Center, Oklahoma City, OK. He appears on television and radio specializes in transplantation of news broadcasts to discuss liver, kidney, and pancreas. He detection, awareness, and helped perform the first split- treatment of melanoma, skin, liver transplant at Mayo and breast, and colorectal cancers. the first living-related pediatric liver transplant at Duke. He has Dr. Cliff P. Connery (’89), performed more than 200 liver in New York City, continues to transplants. serve as chief of the Thoracic Surgery Divisions at St. Luke’s- Dr. Sepehr Sajjad (’08), after Dr. Brett Phillips (left) and Dr. William Gioia. PHOTO: GERALD BUSHART Roosevelt Hospital Center and completing fellowship training Beth Israel Medical Center, in hand and microsurgery at In May, our resident Jeopardy team—William Gioia, DO (PGY-2), and Brett Phillips, MD (PGY-5)—won first place in the Second Annual as well as director of Program Yale University, founded the Resident Jeopardy Competition sponsored by the New York Chapter of Development in Thoracic comprehensive Hand Center at the American College of Surgeons. Oncology for Continuum Cancer Lawrence & Memorial Hospital Centers of New York. Under in New London, CT, where he This is the first year we entered Surgical Jeopardy is modeled his guidance, the Thoracic is chief of hand surgery. It is the statewide competition. in format after the popular TV Surgery Divisions have been the region’s only dedicated Harlem Hospital’s team were the show and in content by a game recognized internationally for hand surgery and rehabilitation reigning champs, and we beat created by the American College them in the first round. We played of Surgeons to test and increase the development of innovative center. He recently was featured Lenox Hill in the final round surgeons’ knowledge. treatments for patients with in Connecticut Magazine’s “Top and won on the final jeopardy benign and malignant disorders Doctors” issue as one of the few question. As of 2014, the college has held of the chest. He has a special hand surgeons nationwide who can Surgical Jeopardy at its Annual interest in the treatment of replace faulty wrist and/or knuckle The final question was: What Clinical Congress for over a hyperhidrosis (excessive joints with devices that allow is the anatomical landmark decade. The game tests general sweating) and numerous peer- them to resume full function. for an unsuccessful complete and specialty surgery knowledge vagotomy? And the winning of residents around the country, reviewed publications about it. response: What is the “criminal and has been a great success. Dr. Mark M. Melendez (’10), nerve” of Grassi? Dr. Steve R. Martinez (’03), assistant chief of plastic surgery Our residents and faculty faced after serving on the surgical for breast reconstruction at The competition took place off in our first annual Jeopardy faculty at the University of Griffin Hospital (Yale-affiliated at Albany Medical Center in game here at Stony Brook in California, Davis, now practices teaching institution) in Derby, Albany, NY. Each Jeopardy team 2008, with questions on “All the surgical oncology in Everett, CT, joined us in June at the consisted of two residents; one World’s a Stage” (tumor staging), PGY-1 or -2 and one PGY-3, -4, “Tons of Fun” (bariatric surgery), WA. Last year, he joined the graduation of this year’s chief or -5. First-place winners won and “Odds and Ends” (colorectal Everett Clinic “because I residents, in order to personally $1000 to split, and second-place surgery), among other categories. felt that it provided an ideal present the annual Esther won $500 to split. platform for me to provide Rentas Resident Research well-coordinated, efficient, Award—the research grant Selected 2014 Publications Li E, Ji P, Ouyang N, Zhang Y, Wang multidisciplinary care of my award he established in 2010, in Continued from Page 6 XY, Rubin DC, Davidson NO, patients with breast, endocrine, memory of his grandmother, to Bergamaschi R, Shroyer KR, Jacobsen GR, Barajas-Gamboa JS, Burke S, Zhu W, Williams JL. and general surgical oncology help our residents in pursuing Coker AM, Cheverie J, Macias Differential expression of miRNAs issues.” Also last year, he was basic and clinical surgical CA, Sandler BJ, Talamini MA, in colon cancer between African a winner of the Top Doctor research. Horgan S. Transvaginal organ and Caucasian Americans: extraction: potential for broad implications for cancer racial Competition of HealthTap, clinical application. Surg Endosc health disparities. Int J Oncol an online interactive health 2014;28:484-91. 2014;45:587-94. Jain V, Gruberg L, Bilfinger TV, McCutcheon BA, Chang DC, Marcus LP, company. Tassiopoulos AK, Loh SA. Coil Inui T, Noorbakhsh A, Schallhorn embolization of an aortic pseudo- C, Parina R, Salazar FR, Talamini Dr. Vivek Kohli (’05), who aneurysm post open repair of type . Long-term outcomes of MA completed fellowship training To submit alumni news online, A aortic dissection. Ann Vasc Surg patients with nonsurgically please visit the Department’s 2014;28:1312. managed uncomplicated in transplant surgery at the website at www.medicine. Labropoulos N, Tzogias L, Malgor RD, appendicitis. J Am Coll Surg Mayo Clinic and later gained Antoniou G, Giannoukas AD. 2014;218:905-13. stonybrookmedicine.edu/ Phlebosclerosis in lower extremities further experience at Duke surgery/about/news/alumni veins. Phlebology 2014;29:1-5. Continued on Page 15 12 Stony Brook Medicine I DEPARTMENT OF SURGERY I Stony Brook University DIVISION BRIEFS

Breast and Oncologic Surgery Dr. Bilfinger is co-principal in- surgery residency, in June re- Among Dr. Bergamaschi’s Dr. Brian J. O’Hea, associate vestigator of a study of spinal ceived this year’s Outstanding current research studies as professor of surgery and chief cord monitoring funded by Teacher Award given by our principal investigator are the of breast and oncologic surgery, the Craig H. Neilsen Founda- residents. following two funded clinical has again been selected as a tion grant ($600,000). The aim trials: “Top Doctor” for inclusion in of the study is to develop a Dr. McLarty is one of three • Efficacy and safety of topical Castle Connolly’s America’s Top disposable catheter to measure recipients of a 2014 Small Grant E-101 solution to prevent Doctors, published in January, real-time spinal cord perfusion Award, announced in June, for incisional infections among to be utilized for complex aortic her research study titled “Evi- colorectal surgery patients and America’s Top Doctors for (phase 3). April 2013 to Cancer, published last year. This and spinal operations. dence-Based Surveillance of January 2015. $22,798. selection is based on screening Patients with Moderate-Sized • Trans-anal hemorrhoidal by a physician-directed research A few recent research presen- Thoracic Aortic Aneurysms.” dearterialization (THD) vs. tations by Dr. Bilfinger and This study aims to develop hemorrhoidectomy for 3rd- team that identifies thetop 1% and 4th-degree hemorrhoids of physicians in the entire na- colleagues are: safe data-driven guidelines in at least three quadrants: tion. He is also included again in • FDG PET-CT: benign chest for follow-up of patients with a prospective randomized Castle Connolly’s Top Doctors: wall findings following moderate-sized TAAs who do control study. October 2012 to New York Metro Area, published percutaneous cryoablation for not yet meet criteria for surgical December 2014. $32,500. in February. lung malignancies. Society intervention. of Nuclear Medicine and Dr. Marvin L. Corman, Molecular Imaging Annual professor of surgery, has been Dr. Christine R. Rizk, assis- Meeting; St. Louis, MO, June The abstract of the pilot study tant professor of surgery, in 2014 [authors: LoGiurato B, that forms the basis of the new honored by inclusion in Matthews R, Moore WH, Who’s Who America for the February was interviewed on study was presented in April at Safaie E, Francheschi D, past 15 years. Fox News to discuss the recent Bilfinger TV] the annual meeting of the Amer- publication of a study in the • Thymic hyperplasia in ican Association for Thoracic British Journal of Medicine that autoimmune thyroid Surgery, held in Toronto, ON: Dr. Corman’s book, Corman’s disease. Joint Meeting of “Surveillance of Moderate-Size Colon and Rectal Surgery, has cast doubt on the value of the International Society regular mammography screen- Aneurysms of the Thoracic the sixth edition of which of Endocrinology and the was published in 2012, is ing for women. Dr. Rizk said it Endocrine Society; Chicago, Aorta” (authors: McLarty AJ, is a “dangerous and confusing IL, June 2014 [authors: Khan S, Bishawi M, Baba1 S, Shroyer currently being translated into Nunez C, Narula HS, McLarty AL, Romeiser J). Portuguese, Romanian, and study,” and she defended the A, Bilfinger TV, Carlson HE] value of early detection via Spanish. This reference book is • The fate of endoscopic vein often referred to as the mammography, citing six land- harvest for lower extremity Dr. James R. Taylor Jr., pro- “bible” mark studies that show survival bypass surgery: a systemic fessor of surgery and chief of of the specialty. review and meta-analysis. cardiothoracic surgery, has also benefit. Society for Vascular Surgery been selected again as a “Top Dr. Paula I. Denoya, assistant Annual Meeting; Boston, MA, professor of surgery, in March Cardiothoracic Surgery June 2014 [authors: Malgor Doctor” for inclusion in Top Dr. Thomas V. Bilfinger, pro- R, Bilfinger TV, Margolis JS, Doctors: New York Metro Area. graduated from the SBU fessor of surgery and director of Hines GL, Tassiopoulos AK] In addition, he was selected School of Medicine’s Peer- • The impact of aortic Mentoring Program. thoracic surgery, has again been transection on patients 80 again for inclusion in New York selected as a “Top Doctor” for years or older. Society for Magazine’s Best Doctors. inclusion in Castle Connolly’s Vascular Surgery Annual Dr. William B. Smithy, Meeting; Boston, MA, June assistant professor of surgery, Top Doctors: New York Metro 2014 [authors: Malgor RD, Colon and Rectal Surgery Area, published in February. Dr. Roberto Bergamaschi, has again been selected as a Bilfinger TV, McCormack J, “ ” for inclusion in Tassiopoulos AK]. professor of surgery and Top Doctor Top Doctors: Dr. Bilfinger serves as co-di- chief of colon and rectal Castle Connolly’s New York Metro Area rector of the Lung Cancer Dr. Harold A. Fernandez, surgery, in May gave the , published Evaluation Center (LCEC) at professor of surgery and deputy following presentations at the in February. Stony Brook University Cancer chief of cardiothoracic surgery, international conference called Center, and is active in the in January received the David the Russian School of Colorectal Dr. Smithy in June was honored by our graduating ProvenCare Lung Cancer Award presented by Net- Surgery, held at the Russian general surgery residents Collaborative. Stony Brook working magazine for being National Center of Surgery in Medicine is 1 of 12 institutions a “Renaissance Man” who per- Moscow: who presented him with the Attending of the Year Award. nationwide to be currently par- forms “heroic acts and unselfish • Laparoscopic proctocolectomy ticipating in it. This year, a 100% acts for the benefit of all.” with ileal reservoir score on reliability measures • Laparoscopic surgery for rectal General Surgery cancer Dr. Aurora D. Pryor, pro- has been achieved. Dr. Fernandez has also been • SPY technology: necessity or selected again as a “Top fessor of surgery and chief of caprice? general surgery, has again been “While it is too early to tell if Doctor” for inclusion in Top • Standard vs. extralevator APR: these process improvements Doctors: New York Metro Area. what is the difference? selected as a “Top Doctor” for • Start up in laparoscopic inclusion in Castle Connolly’s will lead to better five-year In addition, he was selected colorectal surgery survival,” says Dr. Bilfinger, “it again for inclusion in New York America’s Top Doctors, pub- lished in January. This selection should be reassuring to patients Magazine’s Best Doctors Dr. Bergamaschi was one of treated at Stony Brook that the issue published in June. is based on screening by a phy- nine specialists of the invited sician-directed research team most up-to-date care processes faculty, representing (four from are being adhered to on a daily Dr. Allison J. McLarty, asso- that identifies thetop 1% of the USA, two from the UK, two physicians in the entire nation. basis with our utmost attention.” ciate professor of surgery and from Italy, one from Russia). associate director of the general She is also included again in It was the eighth annual Castle Connolly’s Top Doctors: conference. 12 Stony Brook Medicine I DEPARTMENT OF SURGERY I Stony Brook University Stony Brook Medicine I DEPARTMENT OF SURGERY I Stony Brook University 13

New York Metro Area, published surgery, percutaneous cholecys- (authors: Telem DA, Patterson Dr. Scriven in March was in February. tostomy is often considered the WL, Peoples BD, Altieri M, involved with the emergency standard of care, either offering Gracia G, Yang J, Zhang Q, delivery of twin premature in- Dr. Pryor will serve as program definitive treatment or serving Pryor AD). fants in the mother’s house with chair of next year’s annual as a bridge to cholecystectomy. the Stony Brook Fire Depart- meeting of the Society of However, data guiding surgical Otolaryngology-Head and ment, of which he is an active American Gastrointestinal practice had been lacking. Neck Surgery member. The story was featured and Endoscopic Surgeons Dr. Mark F. Marzouk, on CBS New York News. The (SAGES), to be held in April Dr. Talamini has recently been assistant professor of surgery, twin boys were taken to the neo- 2015 in Nashville, TN. honored by election to serve in March graduated from the natal intensive care unit at Stony as recorder of the Society of SBU School of Medicine’s Brook University Hospital, where As another reflection of her Surgery for the Alimentary Peer-Mentoring Program. they did well. national stature, Dr. Pryor will Tract. The society is commit- also serve as program chair ted to advancing the science The Third Annual Otolaryn- Later in March, Dr. Scriven went of next year’s annual meeting and practice of surgery in the gology Update and Alumni on another medical mission to of the American Society for treatment of digestive disease. Day will take place on October Ecuador where he performed Metabolic and Bariatric Surgery As one of the society’s officers, 18, 2014. The all-day program numerous procedures to help (ASMBS), to be held in Novem- the recorder serves a three-year held at Stony Brook Medicine needy patients. ber 2015 in Los Angeles, CA. term, and chairs the publica- offers lectures presented by our tions committee. faculty as well as by nation- Plastic and Dr. Mark A. Talamini, profes- al visiting professors. As an Reconstructive Surgery sor and chairman of surgery, Among other duties, Dr. Talami- accredited continuing medical Dr. Alexander B. Dagum, says he is “happy to help with ni will oversee the publication education program for physi- professor of surgery and chief very tough cases that others of all scientific papers presented cians, it provides 7 AMA PRA of plastic and reconstructive have given up on” to provide before the society at its annual Category 1 Credit(s)™. surgery, has been appointed care for patients with complex meeting, and will serve as a executive vice chair of inflammatory bowel disease, member of the editorial board For more information, please surgery. In this role, he will specifically, Crohn’s disease and of the Journal of Gastrointestinal call Jennifer Drasser at (631) contribute his experience and ulcerative colitis. Surgery, the society’s official 444-8410; or email her at Jenni- vision to the leadership of the journal. fer.Drasser@stonybrookmedi- Department of Surgery. Dr. Talamini in April was visiting cine.edu. professor in the surgery depart- Dr. Dana A. Telem, assis- Dr. Dagum has again been ment at the Baylor College of tant professor of surgery, in Pediatric Surgery selected as a “Top Doctor” for Medicine in Houston, TX, where March graduated from the Dr. Thomas K. Lee, professor inclusion in Castle Connolly’s he gave a lecture titled “The SBU School of Medicine’s of surgery and chief of pedi- America’s Top Doctors, published Future of Surgery.” Peer-Mentoring Program. atric surgery, has again been in January. This selection selected as a “Top Doctor” for is based on screening by a Also in April, Dr. Talamini Dr. Telem in April received inclusion in Castle Connolly’s physician-directed research team served as an expert panelist for the Career Development Top Doctors: New York Metro that identifies thetop 1% of resident/fellow presentations at Award presented at the annual Area, published in February. physicians in the entire nation. the SAGES meeting. SAGES meeting, held in April in Salt Lake City, UT. This Dr. Richard J. Scriven, associ- He is also included again in Cas- Dr. Talamini in March served competitive award, funded ate professor of surgery and tle Connolly’s Top Doctors: New as chair of the FDA adviso- by the SAGES Education and director of the general surgery York Metro Area, and in New ry committee for a device to Research Foundation, will help residency, has also been select- York Magazine’s Best Doctors boost lung transplant success. support Dr. Telem’s current ed again as a “Top Doctor” for issue published in June. The device, called the XVIVO studies for a masters of public inclusion in Top Doctors: New XPS perfusion system, pumps a health (MPH) degree, plus York Metro Area. warm nutrient solution through her outcomes-based research lungs and monitors their func- initiatives. tion, and was recommended for a humanitarian use device In addition at the SAGES meet- exemption—the device equiva- ing, Dr. Telem had a plenary lent of orphan drug status. session presentation, titled “Comparison of Long-Term Dr. Talamini and colleagues, Mortality (>8 Years) of 7,862 in February, presented a study Bariatric Patients to the General titled “Cholecystostomy Of- Population in New York State” fers No Survival Benefit in (authors: Telem DA, Altieri M, Patients with Acute Acalcu- Yang J, Zhang Q, Patterson WL, lus Cholecystitis and Severe Peoples BD, Gracia G, Shroyer Sepsis or Shock” at the annual AL, Pryor AD). Academic Surgical Congress, held in San Diego, CA. She also had another podium presentation, titled “Hospital Ad- In patients with acute cholecys- missions Greater Than 30 Days titis, who are often critically ill Following Bariatric Surgery: and frequently deemed unfit for Patient and Procedure Matter” Dr. Richard J. Scriven (right) with fellow members of the Stony Brook FD. 14 Stony Brook Medicine I DEPARTMENT OF SURGERY I Stony Brook University

DIVISION BRIEFS continued from Page 13 Dr. Dagum in May made news This multi-institutional retrospec- Earlier this year, Dr. Jawa re- Lower Extremity Occlusive for his contribution to the tive study aims to develop a risk ceived a Presidential Citation Disease.” successful reconstruction of assessment tool in order to help from the Society of Critical Care a Kenyan girl’s face, which reconstructive breast surgeons Medicine. Dr. Landau in January at the Inter- required multiple procedures. maximize clinical outcomes national Symposium on Endovas- Coverage appeared in the Daily and reduce readmissions. The Dr. Jawa is one of three recipients cular Therapy held in Miami, FL, News and on News 12 and Fios1, co-principal investigator of the of a 2014 Small Grant Award, an- gave a presentation titled “First in among other news media. The study is Dr. Tara L. Huston, nounced in June, for his research Man Experience with the Revive 12-year-old girl had contracted assistant professor of surgery. study titled “The Role of Cyto- PV Thrombectomy Device for the a devastating bacteria that ate kines and Vitamin D Binding Revascularization of Below-the- away at her face, and she was Surgical Research Protein-Actin Complexes in Knee Embolic Occlusions.” flown to Long Island for pro Dr. Robert P. Gersch, Acute Muscle Injury.” bono care at Stony Brook Chil- research assistant professor of Dr. Apostolos K. Tassiopoulos, dren’s Hospital. surgery, won the 2014 Award The purpose of this study is to professor of surgery and chief of for Excellence in Biomedical better understand the molecular vascular surgery, has again been After one year in the United Research presented by the mechanisms of the immune re- selected as a “Top Doctor” for States and 10 reconstructive SBU School of Medicine. sponse to trauma, in preparation inclusion in Castle Connolly’s Top surgeries, the girl has returned for subsequent clinical research. Doctors: New York Metro Area, home with a transformed face, a Dr. A. Laurie W. Shroyer, published in February. new ability to smile, and a future professor of surgery and vice Dr. Marc J. Shapiro, profes- with promise. chair for research, in April gave sor of surgery and anesthesiol- Dr. Tassiopoulos also was select- the following presentations at ogy, has again been selected as ed for inclusion in New York Dr. Dagum in April was program the U24 meeting of the National a “Top Doctor” for inclusion in Magazine’s Best Doctors issue co-director, with Fred Ferguson, Institute on Deafness and Other Castle Connolly’s Top Doctors: published in June. DDS, of the dental school, of the Communication Disorders on New York Metro Area, published successful Sixteenth Annual resources for mentorship of in February. The Stony Brook Vein Center in Cleft Palate-Craniofacial Cen- clinician scientists in hearing July was granted full accreditation ter Symposium, which took and balance disorders, held Upper Gastrointestinal and by the Intersocietal Accreditation place in the Stony Brook Health in Rockville, MD: General Oncologic Surgery Commission (IAC), which demon- Sciences Center. • Introduction to systematic Dr. Philip Q. Bao, assistant strates our commitment to provide reviews and meta-analyses professor of surgery, and • Designing and implementing a quality vein care to our patients. The morning-long program research project colleagues in April published their was designed to educate the • Introduction to clinical study comparing robot-assisted Our Vein Center is among only 12 community physicians, dentists, outcomes assessment minimally invasive pancreatico- in the United States and the two and numerous specialties on the • Overview: educator portfolios duodenectomy for periampullary in New York State to obtain IAC importance of a team approach to neoplasms with resection versus accreditation. the care of patients with cleft lip/ Also in April, Dr. Shroyer open surgery, in the Journal of palate and other defects affecting as mentor and co-principal Gastrointestinal Surgery. The center has opened an addition- the head and/or face. It is desig- investigator commenced al office in Sayville, NY. Together nated for a maximum of 3 AMA a three-year study titled They found that the minimally with the offices in East Setauket PRA Category 1 Credits™. “Exploring the Impact of invasive technique, which may and Smithtown, this new office will Post-Traumatic Stress result in decreased pain, fewer expand access to our vascular ser- For information about next Disorder (PTSD) upon wound complications, and vices and vein care specialists. year’s symposium, please call Advanced Stage Solid Cancer faster recovery, is feasible with Kristen Santos, coordinator of Patient Outcomes.” The study comparable technical success The Fifth Annual Venous Sympo- the Stony Brook Cleft Pal- is funded by the Research and outcomes to open surgery. sium—directed by Dr. Antonios ate-Craniofacial Center, at (631) Corporation of Long Island. In addition, they observed that P. Gasparis, professor of surgery, 444-8167. advanced skill is required. and Dr. Nicos Labropoulos, Dr. Shroyer in January gave the professor of surgery—was held in Dr. Dagum in March went on following presentation at the Vascular Surgery March in New York, NY, and was a another medical mission to annual meeting of the Society Our aortic specialists are great success with 400-plus health Ecuador where he did 19 sur- of Thoracic Surgeons, held now providing incisionless professionals in attendance from geries, mostly cleft lip and palate in Orlando, FL: “Off-Pump vs repair of abdominal aortic around the world. with some burn reconstruction On-Pump Impact on Diabetic aneurysms (AAAs), using the and congenital hand surgery. Patients’ Clinical Outcomes and new procedure called PEVAR. The Venous Symposium has estab- Costs” (authors: Shroyer AL, lished itself as one of the premier inter- Dr. Sami U. Khan, associ- Hattler B, Wagner TH, et al.). PEVAR—percutaneous national vein meetings, and provides all ate professor of surgery and endovascular aneurysm repair— specialists a complete program on the director of cosmetic surgery, is Trauma, Emergency Surgery, is the latest form of advanced current knowledge and management of one of three recipients of a 2014 and Surgical Critical Care minimally invasive treatment of venous disease. Participation provides , asso- Small Grant Award, announced Dr. Randeep S. Jawa AAAs. No surgical incision is used. a maximum of 22.75 AMA PRA ciate professor of surgery, has in June, for his research study Category 1 CreditsTM. titled “Multi-Institutional Eval- earned board certification Dr. David S. Landau, assis- uation of Predictors of Read- in neurocritical care by the tant professor of surgery, in Next year’s symposium will take mission after Post-Mastecto- United Council for Neurologic March at the Annual Family place on April 16-18, 2015, in New my Breast Reconstruction.” Subspecialties. Medicine Update here at Stony York. For more information, please Brook gave a presentation titled visit the symposium’s website: www. “Peripheral Vascular Disease: venous-symposium.com. 14 Stony Brook Medicine I DEPARTMENT OF SURGERY I Stony Brook University Stony Brook Medicine I DEPARTMENT OF SURGERY I Stony Brook University 15

Introducing John M. Hutter Our New Department Administrator CME credit through the School of Medicine

Surgical Grand Rounds Vascular Surgery Conference Our Surgical Grand Rounds The Vascular Surgery Conference of program—to resume in the Vascular Surgery Division offers September—offers CME credit CME credit through the School of through the School of Medicine Medicine of Stony Brook University. of Stony Brook University. This activity is designated for a This activity is designated for maximum of 2 AMA PRA Category 1 a maximum of 1 AMA PRA Credits™. Category 1 Credit™. The weekly conferences are The weekly Surgical Grand generally held on Wednesday Rounds lectures are generally morning, from 8:00 to 10:00 am, PHOTO: JEANNE NEVILLE held on Wednesday morning, in the Health Sciences Center in e are very pleased to Prior to Stony Brook, Mr. Hutter from 7:00 to 8:00 am, in the the surgery department classroom Wintroduce John M. Hutter, was director of ambulatory care Health Sciences Center (level 2, (level 19, room 025). MBA, MS, CMPE, who in April (2005-06), then director of lecture hall 1). joined our leadership team as the operations (2006-08) at St. Topics cover the full range of department administrator and Luke’s-Roosevelt Hospital in Topics cover the full range concerns related to the diagnosis also the business manager of New York, NY. He had held other of current surgical concerns, and management of vascular Stony Brook Surgical Associates. leadership and administrative focusing on clinical issues of disease, with case presentations. He had previously been our positions at Memorial Sloan- interest to practicing physicians Presentations are made by surgical interim administrator for more Kettering Cancer Center, and surgeons. Featured speakers residents, as well as the director of than three years, and knows well where he started his career in include distinguished visiting the non-invasive vascular lab and how to help us succeed. healthcare in 2002. professors from the nation’s top attending physicians. universities and medical centers. Mr. Hutter has been a healthcare A native Longer Islander, Mr. For more information, please call executive at Stony Brook Hutter received his MBA in For more information, please call (631) 444-2037/-2683. Medicine since 2008, when finance and MS in healthcare (631) 444-7875. he joined the Department management from St. of Pathology as its senior Joseph’s College in 2006. He administrative director. In subsequently earned board that position, among other certification as a certified accomplishments, he created a medical practice executive financial plan that is a model of (CMPE) from the Medical Group Selected 2014 Publications success. Management Association, the Continued from Page 11 nation’s leading association for Metildi CA, Kaushal S, Luiken GA, Reid CM, Kim DY, Mandel J, Smith “I am very excited and grateful to medical practice executives and Talamini MA, Hoffman RM, A, Talamini MA, Bansal V. have the opportunity to be a full- leaders. Bouvet M. Fluorescently labeled Impact of a third-year surgical time member of the Department chimeric anti-CEA antibody apprenticeship model: perceptions improves detection and resection and attitudes compared with of Surgery. I feel that along Mr. Hutter is a member of of human colon cancer in a patient- the traditional medical student with our chairman’s leadership the American College of derived orthotopic xenograft clerkship experience. J Am Coll and the support of our amazing Healthcare Executives, American (PDOX) nude mouse model. J Surg 2014;218:1032-7. faculty and staff, we will become College of Medical Practice Surg Oncol 2014;109:451-8. Telem DA, Rattner DW, Gee DW. Nchimi A, Cheramy-Bien JP, Gasser Endoscopic simulator curriculum one of the leading surgical Executives, Healthcare Financial TC, Namur G, Gomez P, Seidel improves colonoscopy departments in the country.” Management Association, L, Albert A, Defraigne JO, performance in novice surgical Medical Group Management Labropoulos N, Sakalihasan interns as demonstrated in Commenting on Mr. Hutter’s Association, and (since March) N. Multifactorial relationship a swine model. Surg Endosc between 18F-fluoro-deoxy-glucose 2014;28:1494-9. appointment, Mark A. Talamini, Association of Academic Surgical positron emission tomography Tran Cao HS, Lopez N, Chang DC, Lowy MD, professor and chairman of Administrators. signaling and biomechanical AM, Bouvet M, Baumgartner surgery, says: properties in unruptured aortic JM, Talamini MA, Sicklick JK. Prior to becoming a full-time aneurysms. Circ Cardiovasc Improved perioperative outcomes Imaging 2014;7:82-91. with minimally invasive distal “John has great familiarity with healthcare executive, Mr. Hutter Noorbakhsh A, Tang JA, Marcus LP, pancreatectomy: results from a the surgery department, as he was a professional musician for McCutcheon B, Gonda DD, population-based analysis. JAMA was our interim administrator nearly a decade (he plays guitar, Schallhorn CS, Talamini MA, Surg 2014;149:237-43. along with his full-time position bass, drums, piano, and sings), Chang DC, Carter BS, Chen CC. Zenati MA, Gaziano JM, Collins JF, Gross-total resection outcomes Biswas K, Gabany JM, Quin JA, as pathology’s administrator. and earned a bachelor’s degree in an elderly population with Bitondo JM, Bakaeen FG, Kelly This speaks to his incredible in music education from Five glioblastoma: a SEER-based RF, Shroyer AL, Bhatt DL. work ethic. It also gives John Towns College. analysis. J Neurosurg 2014;120:31-9. Choice of vein harvest technique a huge head start in terms of Poulikidis KP, Gasparis AP, for CABG: rationale and design of Labropoulos N. Prospective the REGROUP trial. Clin Cardiol familiarity with our department, analysis of incidence, extent and 2014;37:325-30. and the great opportunities that chronicity of lower extremity lie ahead.” venous thrombosis. Phlebology 2014;29:37-42. DEPARTMENT OF SURGERY SCHOOL OF MEDICINE Nonprofit Organization STONY BROOK MEDICINE U.S. Postage Stony Brook, NY 11794-8191 PAID Stony Brook University Permit #65

OFFICE LOCATIONS Surgical Care Center 37 Research Way East Setauket, NY 11733 (631) 444-4545 (tel) (631) 444-4539 (fax) Cancer Center / Carol M. Baldwin Breast Care Center 3 Edmund D. Pellegrino Road www.StonyBrookPhysicians.com Stony Brook, NY 11794 (631) 638-1000 (tel)

PHOTO: DANIEL GOODRICH PHOTO: DANIEL (631) 444-6348 (fax)

BARIATRIC SURGERY GENERAL SURGERY PODIATRIC SURGERY Plastic & Cosmetic Surgery Center (631) 444-2274 (tel) (631) 444-4545 (tel) (631) 444-4545 (tel) 24 Research Way, Suite 100 East Setauket, NY 11733 (631) 444-6176 (fax) (631) 444-6176 (fax) (631) 444-4539 (fax) (631) 444-4666 (tel) Gerald J. Gracia, MD Gerald J. Gracia, MD Valerie A. Brunetti, DPM (631) 444-4610 (fax) Caitlin A. Halbert, DO Caitlin A. Halbert, DO Bernard F. Martin, DPM Aurora D. Pryor, MD Michael F. Paccione, MD Vein Center Dana A. Telem, MD Aurora D. Pryor, MD TRAUMA/SURGICAL 24 Research Way, Suite 100 Daniel N. Rutigliano, DO CRITICAL CARE East Setauket, NY 11733 BREAST SURGERY Steven Sandoval, MD (631) 444-4545 (tel) and (631) 638-1000 (tel) Marc J. Shapiro, MD (631) 444-6176 (fax) 222 Middle Country Road, Suite 209 (631) 638-0720 (fax) Mark A. Talamini, MD Randeep S. Jawa, MD Smithtown, NY 11787 and Dana A. Telem, MD Michael F. Paccione, MD Martyn W. Burk, MD, PhD 160 Middle Road, Suite 3 Patricia A. Farrelly, MD James A. Vosswinkel, MD Daniel N. Rutigliano, DO Sayville, NY 11782 Brian J. O’Hea, MD Steven Sandoval, MD (631) 444-VEIN (8346) (tel) Christine R. Rizk, MD OTOLARYNGOLOGY-HEAD Marc J. Shapiro, MD (631) 444-8824 (fax) AND NECK SURGERY (ENT) James A. Vosswinkel, MD BURN CARE (631) 444-4121 (tel) Smithtown Office (631) 444-4545 (tel) (631) 444-4189 (fax) UPPER GASTROINTESTINAL 222 Middle Country Road, Suite 209 (631) 444-6176 (fax) Mark F. Marzouk, MD AND GENERAL ONCOLOGIC Smithtown, NY 11787 Steven Sandoval, MD Melissa M. Mortensen, MD SURGERY (631) 444-4545 (tel) (631) 444-4539 (fax) Marc J. Shapiro, MD Elliot Regenbogen, MD (631) 638-8086 (tel) Ghassan J. Samara, MD (631) 444-6348 (fax) Peconic Bay Office CARDIOTHORACIC SURGERY David A. Schessel, MD, PhD Philip Q. Bao, MD 31 Main Road (631) 444-1820 (tel) Riverhead, NY 11901 (631) 444-8963 (fax) PEDIATRIC SURGERY VASCULAR SURGERY (631) 444-1820 (tel) Thomas V. Bilfinger, MD, ScD (631) 444-4545 (tel) (631) 444-4545 (tel) (631) 444-8963 (fax) Harold A. Fernandez, MD (631) 444-8824 (fax) (631) 444-8824 (fax) Sandeep Gupta, MD Thomas K. Lee, MD Morad Awadallah, MD Outpatient Services Center Allison J. McLarty, MD Richard J. Scriven, MD Antonios P. Gasparis, MD 225 West Montauk Highway Angela A. Kokkosis, MD Hampton Bays, NY 11946 Frank C. Seifert, MD (631) 723-5000 (tel) James R. Taylor Jr., MD PLASTIC AND David S. Landau, MD (631) 723-5010 (fax) RECONSTRUCTIVE SURGERY Shang A. Loh, MD COLON AND RECTAL SURGERY (631) 444-4666 (tel) Apostolos K. Tassiopoulos, MD Eastern Suffolk Cardiology (631) 638-1000 (tel) (631) 444-4610 (fax) 951 Roanoke Avenue Duc T. Bui, MD Riverhead, NY 11901 (631) 444-4545 (tel) The State University of New York at Stony (631) 444-6348 (fax) Alexander B. Dagum, MD (631) 727-7773 (tel) Brook is an equal opportunity/affirmative (631) 727-7832 (fax) Roberto Bergamaschi, MD, PhD Jason C. Ganz, MD action educator and employer. This Marvin L. Corman, MD Mark A. Gelfand, MD publication can be made available in an and Paula I. Denoya, MD Tara L. Huston, MD alternative format upon request. 676 County Road 39A Arnold R. Leiboff, MD Steven M. Katz, MD Southampton, NY 11968 (631) 283-2070 (tel) William B. Smithy, MD Sami U. Khan, MD Please visit the Department of Surgery website at www.medicine. (631) 283-5927 (fax) stonybrookmedicine.edu/surgery