RN SURGICA TE L ES CO W N H G T ND R U MT E ID S O SD S S WY • • NE NV UT KS MO CA CO OK AR THE SOUTHWESTERNAZ NM SURGICAL CONGRESS TX HI OR 48 GANIZED 19 FINAL PROGRAM 2014 Annual Meeting April 13 – 16, 2014 Westin Kierland Resort | Scottsdale, AZ THANK YOU The Southwestern Surgical Congress would like to thank the following companies for their generous support of our meeting through educational grants: American College of Surgeons – Division of Education LifeCell Corporation The Southwestern Surgical Congress gratefully acknowledges the support of the following exhibiting companies: American College of Surgeons – Division of Education American College of Surgeons – Division of Member Services American College of Surgeons Foundation Baxter Biosurgery Covidien Davol, Inc., A Bard Company Edwards Lifesciences KARL STORZ Endoscopy-America, Inc. LifeCell Corporation StarSurgical Simbionix USA Corp. TEI Biosciences TEM Systems, Inc. W. L. Gore & Associates, Inc. Special thanks to the SWSC 2014 Program Committee: Shanu N. Kothari - Chair Kevin Reavis Brian Eastridge Randy Smith Ernie Gonzalez Kenric M. Murayama – President Laura Moore Courtney Scaife – Recorder John Myers Michael Truitt – CME Chair TABLE OF CONTENTS 2 Letter from the President 4 Officers,tate S Councilors & Representatives 6 Past Presidents & Meeting Locations 10 Educational Objectives 13 General Information 14 Presidential Address 15 Guest Speakers 21 Awards 23 Special Sessions 27 In Memoriam 28 New Members 29 Program Schedule 35 Scientific rogramP 57 Scientific aperP Abstracts 91 Quick Shot Abstracts 151 Top 5 Poster Abstracts 157 Poster Abstracts 215 Constitution 219 Bylaws 231 Notes See inside back cover for future meetings. April 13 – 16, 2014 | Westin Kierland Resort, Scottsdale, AZ 1 LETTER FROM THE PRESIDENT On behalf of the Southwestern Surgical Congress, it my pleasure to welcome you to the 66th annual meeting at the Westin Kierland Resort and Spa in Scottsdale, Arizona. The Program Committee under the leadership of Dr. Shanu Kothari has assembled an outstanding educational program. As many of you know, the Southwestern Surgical Congress has a long tradition of providing outstanding science in a collegial environment with family- oriented activities. The Westin Kierland Resort and Spa is located in the heart of Scottsdale and provides numerous options for activities including challenging golf on three world-class courses, a tranquil spa, tennis courts, and fitness facilities. The property offers a spectacular outdoor pool complex with a sand beach, waterslide, and a 900-foot lazy river. The meeting is organized to maximize the educational opportunities for attendees. There will be two parallel postgraduate courses on Sunday, April 13th, both free of charge. “Current Management of Hernias” will be co-directed by Dr. Dean Mikami and Dr. Kristi Harold, internationally recognized experts in the latest treatments for hernias, and an excellent faculty. Dr. Peter Angelos has organized an outstanding faculty for the second postgraduate course, “Updates in Endocrine Surgery”. Our meeting begins officially in the afternoon on Sunday, April 13th with the opening plenary session. As in years past, we will have morning Quick Shot sessions and the traditional outstanding competition for the Jack Barney Award for the best resident paper. The debate this year will be titled, “Taking Call: Pay to Play”, during which Dr. Thomas White and Dr. Ronald Stewart will debate the rationale for being paid for taking call or not. Last year was the inaugural Partners in Practice Luncheon and we will have a similarly excellent lunch program this year. The graduate medical education luncheon will feature a panel presentation on “Practice Models in Surgery” moderated by our GME Chair, Dr. Daniel Vargo. 2 Southwestern Surgical Congress | 66th Annual Meeting LETTER FROM THE PRESIDENT (continued) Th e invited lectures will feature Dr. Peter Angelos, Dr. Daniel Margulies, and Dr. Shanu Kothari. As has become a tradition of sorts, the American College of Surgeons will present two panels on Monday morning. Th e fi rst will be the annual update from the American College of Surgeons, “Aff ordable Care Act Repeal of the Sustainable Growth Rate” and the second panel will focus on the new “Transitions to Practice in General Surgery” program. We are honored that Dr. Don Nakayama, President of the Southeastern Surgical Congress, will be participating in our meeting as one of the panelists. For our families, the resort off ers an outstanding program, Th e Kierland Mining Co. Guests can pick up a copy of the Kierland Pathfi nder, a daily Resort guide with all of the exciting activities happening during their stay including presentations from the Phoenix Zoo, “Kids in the Kitchen,” Adventure Water Park pool activities, Cardio Tennis, Poolside Movies, Digital Kids Zone, Arizona s ’mores, and much more. Additionally, we have organized several activities including a cooking demonstration, horseback riding, and athletic yoga. I look forward to seeing all of you and hope you enjoy the program and social activities. I will be on site for the entire time so please feel free to stop me and let me know how we can increase value to our membership. With Warm Regards, Kenric M. Murayama, MD, FACS President, Southwestern Surgical Congress April 13 – 16, 2014 | Westin Kierland Resort, Scottsdale, AZ 3 OFFICERS, STATE COUNCILORS & REPRESENTATIVES EXECUTIVE STATE OFFICERS COUNCILORS PRESIDENT ARIZONA NEVADA Kenric M. Murayama, MD James Warneke, MD Shawn Tsuda, MD Abington, PA ARKANSAS NORTH DAKOTA PRESIDENT-ELECT Anne Mancino, MD Wayne Anderson, MD Ronald Stewart, MD San Antonio, TX CALIFORNIA OKLAHOMA (SOUTHERN) Gary Dunn, MD VICE PRESIDENT Daniel Margulies, MD John R. Potts, III, MD SOUTH DAKOTA Chicago, IL CALIFORNIA Lars Aanning, MD (NORTHERN) Christine Cocanour, MD TEXAS (NORTHERN) SECRETARY- Michael Truitt, MD TREASURER COLORADO Clay Cothren Burlew, MD John Moore, MD TEXAS (SOUTHERN) Denver, CO Ernie Gonzalez, MD HAWAII RECORDER Whitney Limm, MD UTAH Courtney Scaife, MD Ute Gawlick, MD Salt Lake City, UT KANSAS Michael Moncure, MD WISCONSIN EXECUTIVE Shanu Kothari, MD DIRECTOR MISSOURI James A. Edney, MD Richard Pennell, MD WYOMING Omaha, NE Sara Smith, MD MONTANA Glenn Winslow, MD NEBRASKA Rudy Lackner, MD 4 Southwestern Surgical Congress | 66th Annual Meeting OFFICERS, STATE COUNCILORS & REPRESENTATIVES (continued) COMMITTEES CONGRESS REPRESENTATIVES BUDGET AND MEMBERSHIP NEVADA FINANCE CHAIR CHAIR AMERICAN COLLEGE Shawn Tsuda, MD James Edney, MD S. Rob Todd, MD OF SURGEONS - Omaha, NE New York, NY BOARD OF NORTH DAKOTA GOVERNORS Wayne Anderson, MD CME CHAIR NOMINATING S. Rob Todd, MD Michael Truitt, MD CHAIR New York, NY OKLAHOMA Dallas, TX Robert McIntyre, MD Gary Dunn, MD Denver, CO AMERICAN COLLEGE CONSTITUTION OF SURGEONS - SOUTH DAKOTA & BYLAWS CHAIR PROGRAM ADVISORY COUNCIL Lars Aanning, MD Daniel Margulies, MD COMMITTEE FOR SURGERY Los Angeles, CA CHAIR Alicia Mangram, MD TEXAS (NORTHERN) Shanu Kothari, MD Phoenix, AZ Michael Truitt, MD CORPORATE La Crosse, WI RELATIONS CHAIR AMERICAN BOARD TEXAS (SOUTHERN) James Edney, MD PUBLICATIONS OF SURGERY, Ernie Gonzalez, MD Omaha, NE AND RESEARCH ADVISORY CHAIR REPRESENTATIVE UTAH GRADUATE Courtney Scaife, MD Roxie Albrecht, MD Ute Gawlick, MD MEDICAL Salt Lake City, UT Oklahoma City, OK EDUCATION CHAIR WISCONSIN Daniel Vargo, MD THE AMERICAN Shanu Kothari, MD Salt Lake City, UT JOURNAL OF SURGERY - WYOMING EDITORIAL HISTORIAN ADVISORY BOARD Sara Smith, MD William F. Sasser, MD Courtney Scaife, MD St. Louis, MO Salt Lake City, UT April 13 – 16, 2014 | Westin Kierland Resort, Scottsdale, AZ 5 PAST PRESIDENTS & MEETING LOCATIONS 1949 1958 *Walter Stuck, MD *Kenneth C. Sawyer, MD Shamrock Hotel, Houston, Texas Shamrock Hotel, Houston, Texas 1950 1959 *Thomas G. Orr, MD *Lewis M. Overton, MD Shirley Savoy, Denver, Colorado Brown Palace Hotel, Denver, Colorado 1951 1960 *Leo J. Starry, MD *Fred H. Krock, MD Hotel Jefferson, St. Louis, Missouri Riviera Hotel, Las Vegas, Nevada 1952 1961 *Michael E. DeBakey, MD *Howard D. Cogswell, MD Baker Hotel, Dallas, Texas Chase Park Plaza, St. Louis, Missouri 1953 1962 *Louis P. Good, MD *Charles M. O’Leary, MD Hotel Utah, Salt Lake City, Utah Western Skies Hotel, Albuquerque, New Mexico 1954 *Philip B. Price, MD 1963 Skirvin Hotels, Oklahoma City, *Edgar J. Poth, MD Oklahoma Maria Isable Hotel, Mexico City, Mexico 1955 1964 *Lawrence P. Engel, MD *Eugene M. Bricker, MD Hotel Muehlebach, Granada Hotel, San Antonio, Texas Kansas City, Missouri 1965 1956 *Wayne C. Bartlett, MD *Charles R. Rountree, MD Velda Rose Towers, Hot Springs, Pioneer Hotel, Tucson, Arizona Arkansas 1957 1966 *John V. Goode, MD *O. Ernest Grua, MD Broadway Hotel, Wichita, Kansas Flamingo Hotel, Las Vegas, Nevada 6 Southwestern Surgical Congress | 66th Annual Meeting PAST PRESIDENTS & MEETING LOCATIONS (continued) 1967 1976 *John A. Growdon, MD *John B. Gramlich, MD Del Webb-Town House, Hyatt Regency Hotel, Houston, Texas Phoenix, Arizona 1977 1968 *Howard T. Robertson, MD *Robert B. Howard, MD Princess Hotel, Acapulco, Mexico Brown Palace Hotel, Denver, Colorado 1978 1969 *Cyril Costello, MD *John H. Clark, MD Riviera Hotel, Palm Springs, California Sahara Tahoe Hotel, Lake Tahoe, Nevada 1979 1970 *MacDonald Wood, MD *Jean C. Gladden, MD Caesars Palace Hotel, Las Vegas, Nevada Sheraton-Dallas Hotel, Dallas, Texas 1980 1971 Gilbert S. Campbell, MD *J. Robert Spencer, MD Broadmoor Hotel, Colorado Springs, Caesar’s Palace Hotel, Las Vegas, Nevada Colorado