P A C I F I C C O A S T S U R G I C A L A SSOCIATION Scientific Program 81S T ANNUAL M EE T IN G FEBRUARY 13–16, 2010 RITZ-CARLTON, KAPALUA HOTEL MAUI, HI Jointly Sponsored by the American College of Surgeons and the Pacific Coast Surgical Association TABLE OF CONTENTS P A C I F I C C O A S T S U R G I C A L A SSOCIATION 8 1 S T A N N U A L M E E T I N G Scientific Program FEBRUARY 13–16, 2010 Ritz-CaRlton, Kapalua Hotel • Maui, Hi Ta BLE OF CONTENTS Arrangements/Program Committee .....................................................................2 Council officers, Members, and Representatives ................................................3 General Information ..................................................................................................4 Program Information ................................................................................................5 Scientific Program .....................................................................................................6 industry Support Displays .......................................................................................7 evening activities ......................................................................................................8 optional activities .....................................................................................................9 program agenda ......................................................................................................11 Scientific Session agenda .......................................................................................13 2009 president’s address .......................................................................................17 Scientific Sessions 1–27 .........................................................................................28 E-Poster Presentations A–C ..................................................................................85 Founders ...................................................................................................................165 past presidents and Meetings .............................................................................165 new Members .........................................................................................................168 in Memorandum .....................................................................................................172 Membership list ....................................................................................................181 Constitution .............................................................................................................219 Bylaws .......................................................................................................................223 Future Meetings .....................................................................................................227 . 1 . ARRANGEMENTS, PROGRAM COMMITTEE ARR A NGE M E N T S C O mm ITTEE PRESIDENT AND SpOUSE James and Joan Peck VICE-PRESIDENT Nathalie Johnson PROGRam CHAIR Jonathan Hiatt LOcaL CHAIRPERSON Daryl Kurozawa INDUSTRY SUppORT Vince Reger FUND RaISING John Payne, Jr. NEW MEMBERS’ DINNER Joe Frankhouse PAST PRESIDENTS’ DINNER William Johnson GOLF TOURNamENT David Cook TENNIS TOURNamENT Roger Alberty and Alan Cheung FUN RUN/ WaLk Joe Frankhouse and Whitney Limm SpOUSAL HOSPITALITY Joan Peck, Julie Frankhouse, and Barbara Alberty REGISTRATION DESK HOSPITALITY Susan Orloff,L ivi and Linda Wong, Peter and Julie Barcia PROGR am C O mm ITTEE PROGRam CHAIR AND RECORDER Jonathan Hiatt PRESIDENT James Peck SECRETARY-TREASURER James Holcroft INCOMING SECRETARY-TREASURER Quan-Yang Duh WaSHINGTON/BRITISH COLUMBIA /ALASK A Robert Sawin NORTHERN CALIFORNIA CAUCUS Steven Stanten SOUTHERN CALIFORNIA CAUCUS GeoffreyS tiles OREGON/HaWAII CAUCUS John Vetto . 2 . COUNCIL OFFICERS, MEMBERS, REPRESENTATIVES COUN C I L O FFI C E R S James Peck, President (2010) Portland, OR James Atkinson, President-Elect (2011) Los Angeles, CA Nathalie Johnson, Vice-President (2010) Portland, OR Roger Alberty, Historian Portland, OR James W. Holcroft, Secretary-Treasurer (2010) Sacramento, CA Quan-Yang Duh, Secretary-Treasurer-Elect (2016) San Francisco, CA Jonathan Hiatt, Recorder (2015) Los Angeles, CA COUN C I L M E M B E R S President, President-Elect, Vice-President, Historian, Secretary-Treasurer, Secretary-Treasurer-Elect, Recorder Sherry Wren, Councilor (2014) Northern California Clifford Deveney, Councilor (2011) Oregon/Hawaii Lawrence D. Wagman, Councilor (2012) Southern California Mika Sinanan, Councilor (2013) Washington/British Columbia/Alaska Orlo Clark, Immediate Past President (2009) Northern California COUN C I L R E P RESENTATI V E S Mika N. Sinanan, Seattle, WA (10/2011) Board of Governors, American College of Surgeons William P. Schecter, San Francisco, CA (6/30/2010) American Board of Surgery Kenneth Waxman, Santa Barbara, CA (12/31/2011) Advisory Council for General Surgery, American College of Surgeons . 3 . GENERAL INFORMATION G ENER A L I NFOR maTION REGISTRATION Registration is open to all PCSA members and invited guests of PCSA. MEMBER $565 RETIRED MEMBER $440 GUEST PHYSICIAN $635 RESIDENT/FELLOW $350 MEMBER/NONMEMBER AccOmpaNY PERSON $250 RESIDENT/FELLOW AccOmpaNY PERSON $100 REGISTRATION FEES INCLUDE: Member and Retired Member z All scientific sessions and panels, President’s Address,R esidents’ Forum, and E-Poster Presentations and Reception z Industry Support Displays z Welcome and New Members’ Reception and Dinner, and Past Presidents’ Reception and Dinner z All continental breakfasts and refreshment breaks z Membership Business Meeting Guest Physician and Resident Fellow z All scientific sessions and panels, President’s Address,R esidents’ Forum, and E-Poster Presentations Reception z Industry Support Displays z Welcome and New Members’ Reception and Dinner, and Past Presidents’ Reception and Dinner z All continental breakfasts and refreshment breaks Spouse or Guest z President’s Address, “Ecstasy: My Life as an Artist,” Hawaii’s Humpbacks, President’s Forum, and Historical Vignette z Welcome and New Members’ Reception and Dinner, and Past Presidents’ Reception and Dinner z All continental breakfasts and Industry Support Displays z Spouse Hospitality (Saturday–Monday) . 4 . PROGRAM INFORMATION PROGR am I NFOR maTION OvERALL GOAL OF CME AccREDITATION THE PROGRam This activity has The goal of the program is to furnish an been planned and educational program for members of implemented in the PCSA. Members are academic and accordance with community surgeons from the western the Essential Areas part of the United States. Membership is and Policies of the Accreditation very competitive. Attendees represent American College of Surgeons the leaders of their medical community. Council for Continuing Medical Division of Education Education (ACCME) through the joint LEARNING OBJECTIVES sponsorship of the American College The objectives are to provide the of Surgeons and the Pacific Coast attendees with up-to-date information Surgical Association. The American regarding clinical practice and College of Surgeons is accredited by research in the field of surgery. the ACCME to provide continuing medical education for physicians. LEARNING OUTCOMES DISCLOSURE This meeting will provide high-quality, up-to-date information involving In compliance with ACCME regulations, those areas covered under general the American College of Surgeons, as surgery, including vascular surgery, the accredited provider of this activity, plastic surgery, cardiothoracic surgery, must ensure that all individuals who are and transplant surgery. Attendees will in a position to control the content of learn, from leaders in their field, the the educational activity have disclosed most recent developments in the field all relevant financial information of surgery. After each presentation, pertaining to commercial interests. All time will be provided for questioning reported conflicts are managed by a of the speakers by the audience in designated official to ensure a bias-free order to clarify specific points of the presentation. Please see the on-site presentation. Moderators will facilitate handout for a complete disclosure list. discussion and oversee sessions. DISCLAIMER CME CREDIT Attendees voluntarily assume all risks The American College of Surgeons involved in travel to and from the designates this educational activity for Annual Meeting and in attendance of a maximum of 16.5 AMA PRA Category and participation in the program. PCSA 1 Credits™. Physicians should only claim and ACS Association Management credit commensurate with the extent Services shall not be liable for any loss, of their participation in the activity. injury, or damage to person or property resulting directly or indirectly from any acts of God, acts of government or other authorities, civil disturbances, acts of terrorism, riots, thefts, or from any other similar causes. 5 . SCIENTIFIC PROGRAM Sc IENTIFI C P R O G R am PRESIDENT’S FORUM: ETHICS IN CLINIcaL SURGIcaL HUmaNITARIANS SURGERY This year’s President’s Forum will focus Mary McGrath, MD, FACS, from the on “Surgical Humanitarians” and will University of California, San Francisco, feature PCSA members Sherry Wren, will give her insights into surgical ethics. MD, FACS, Chief of General Surgery, Monday, February 15 • 8:40–9:20 am Palo Alto Veteran Health Care System; Edward E. Cornwell III, MD, FACS, FCCM, Surgeon-in-Chief of Howard RESIDENTS’ FORUM University Hospital and Chair