CONTROVERSIES IN SURGERY PROGRAM June 11-13, 2015 WESTIN HOTEL ANNAPOLIS, MARYLAND Letters of Welcome Governor of Maryland.............................................................................................................................................4 Mayor of Annapolis.................................................................................................................................................5 ICS World President .................................................................................................................................................6 United States Section President ..............................................................................................................................7 Leadership International Board of Governors............................................................................................................................8 United States Section Executive Council and Past Presidents..................................................................................8 Board of Regents and Alliance Board of Directors ..................................................................................................10 US Section Planning Committee .............................................................................................................................11 Continuing Medical Education Course Sponsor.......................................................................................................................................................10 Overall Course Objectives.......................................................................................................................................10 Disclosure Policy......................................................................................................................................................10 Accreditation...........................................................................................................................................................10 Credit Designation ..................................................................................................................................................10 T United States Section President -Elect..........................................................................................................12 ABLE OF In Memoriam.......................................................................................................................................................13 Scientific Program The Dr. Andre Crotti Award Recipient’s Lecture ......................................................................................................14 Keynote and Endowed Lectures .............................................................................................................................15 Annual Research Scholarship Competition .............................................................................................................16 Opening Ceremony ...............................................................................................................................................16 Surgical Research Education Debate and Panel Discussion....................................................................................17 Global Surgery Summit ...........................................................................................................................................17 Cardiothoracic and Vascular Surgery ......................................................................................................................18 C Trauma and Acute Care Surgery .............................................................................................................................19 Neurological ad Orthopaedic Surgery ....................................................................................................................20 ONTENTS The Dr. Andre Crotti Lecture ...................................................................................................................................20 Keynote Lecture Sponsored by AANOS ..................................................................................................................20 The Latest Update in Hepato-Pancreatic-Billary (HPB) Surgery ..............................................................................21 Bariatric and General Surgery..................................................................................................................................22 Colorectal Surgery Symposium ...............................................................................................................................22 Neurological ad Orthopaedic Surgery ....................................................................................................................23 Dr. Arno A. Roscher Endowed Lecture....................................................................................................................24 Open Forum—Free Paper Presentation ..................................................................................................................25 Social Activities ..................................................................................................................................................26 John C. Scott Surgical Endowment Fund...............................................................................................................27 With our Thanks......................................................................................................................................................28 Scientific Abstracts ............................................................................................................................................30 78th Annual Surgical Update Announcement........................................................................................................44 General Meeting Information .................................................................................................................................45 Moderator and Presenter Index...............................................................................................................................36 Annapolis Westin, Floor Plans.........................................................................................................Inside Back Cover Schedule at a Glance ...............................................................................................................................Back Cover 3 4 GOVERNOR’SWELCOME DearFriends, IampleasedtowelcomeyoutoAnnapolisfortheInternationalCollegeofSurgeonsͲUnitedStates Section,77thAnnualSurgicalUpdate.Asyougathertoshareyoursurgicalknowledgeandexpertisewith otherprominentsurgeonsfromacrossthenation,Iencourageyoutoenjoythesurroundingbeautyof Annapolis. WhileyouwillbediscussingcuttingͲedgesurgicaltechniques,Ihopeyouwillalsofindsometimeduring yourvisittoexploresomeotherhealthyoptionsthathavebeenknowntobeeffectiveinrelieving nervoustensionandstress. M JustwalkoutofyourhoteltoWestStreetandcontinuetothetopofhistoricMainStreet,whereboating shoes and wing tips share the same sidewalks that George Washington and Thomas Jefferson walked AYOR along.EnjoythefreshaircomingupfromCityDock,asyoucontinuedownMainStreetpoppinginand outofouruniqueshops,restaurantsandpubs. EndupatEgoAlleywherevesselsfromaroundtheworldanchorforthedayastheycomeonshoreto enjoy hearing a United States Naval Academy Band concert and watch the sailboats race back and forth ’ infrontofSusanCampbellPark.Whilesittingatthedockenjoyinganoldfashionedicecreamcone, S yourheartwillbelighterandyourburdensfewer,asacolonialguidedressedinperiodclothingpasses bycallingout“MeLordsandMeLadies”. W WhileI’mnotsuretheseoptionscanbeusedinanydiscussionsregardingsurgicaltechniques,Ihighly ELCOME recommendthemtoyouasouresteemedvisitors,andsincerelyhopeyoufindtimetorelaxandenjoy yourstayinAnnapolis. Sincerely, MichaelPantelides Mayor 5 Dear Colleagues, On behalf of all Fellows in the International College of Surgeons (ICS) in over 100 countries of the world, I welcome you to the 77th Annual Surgical Update of the United States Section. The theme “Controversies in Surgery” is very appropriate at this time. The Scientific Program is very well thought out and includes many well recognized and renowned international experts in their respective fields. Hence, it is indeed my privilege and honor to be a participant in this meeting. I congratulate United States Section President Dr. Uretz Oliphant, his organ- izing committee and all other Fellows of the United States Section for organizing this scientific meeting in such an excellent manner.This year, we will be celebrating our 80th anniversary of success as a global general surgical society and much of this must be attributed to the collaboration and support from our important United States Section. It is only through such active support and participation that we will continue to thrive to achieve our goals with meaningful impact upon the international community. The theme of my two year administration as World President of the International College of Surgeons is humanitarian surgery. While the world has known for a very long time that the need for humanitarian surgery is universal and ur- gent, in the past two years, worldwide opinion has come together in a more unified support of and keen interest in humanitarian surgery.