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CR04
Locally Advanced Rectal Cancer: Strategies for Success (1.5 CME credits)
Moderator: Robert D. Fry, MD, FACS
Despite improvement in screening and prevention of colon and rectal cancer, a sizable number of patients continue to present with locally advanced rectal tumors. The value of preoperative chemoradiation seems evident, but the need for diversion, stenting, and/or laser recanalization is often controversial. Additionally, the therapeutic decision making for a patient with locally advanced disease and evidence of distant metastases is challenging. This panel will look at these and other issues surrounding a clinically challenging problem.
GS09
Practice-based Learning and Improvement: What Every Surgeon Needs to Know (2 CME credits)
Moderator: Ajit K. Sachdeva, MD, FACS, FRCSC
Practice-based learning and improvement is a core competency identified by the American Board of Medical Specialties and the Accreditation Council for Graduate Medical Education for maintenance of certification and residency education. This competency is pivotal in the continuing professional development of surgeons and in enhancing the quality of surgical care. The panel presentation will describe activities of the American College of Surgeons Education Task Force on Practice-based Learning and Improvement; outline the experience of the Royal College of Physicians and Surgeons of Canada in addressing this competency; highlight plans of the American Board of Surgery to include this competency in the process of maintenance of certification; and provide information on the perspective of the Federation of State Medical Boards in considering this competency for maintenance of licensure. The panel presentation will provide guidance to surgeons regarding efforts they may undertake to address this competency and will highlight the use of portfolios and personal learning projects.
GS16
Contemporary Management of Benign Breast Diseases (2 CME credits)
Moderator: Wiley W. Souba, MD, FACS
This session will review management of chronic breast pain, nipple discharge, severe fibrocystic disease, and the radiologic follow-up.
GS23
Barrett's Esophagus/Nissen Fundoplication and Its Role in the Prevention of Cancer (2 CME credits)
Moderator: Carlos A. Pellegrini, MD, FACS
This panel discussion will develop the topic of the relationship between the development of Barrett's esophagus and the presence of abnormal gastroesophageal reflux. The pathogenesis will be discussed, the different components of the refluxate that are responsible for the development of Barrett's epithelium and its evolution into dysplasia and cancer will be dissected, and the role of antireflux procedures, endoscopic approaches, and operations to restore the competency of the cardia on the evolution of Barrett esophagus will be examined. Participants will learn the pathogenesis of Barrett's esophagus and its relationship to gastroesophageal reflux disease; the effect of antireflux medications on the decrease of acid secretion by the stomach in the evolu-tion of Barrett's esophagus; the current endoscopic techniques available to ablate Barrett's esophagus in combination with antireflux medications; and the effect of operations (such as Nissen fundoplication, duodenal diversion, and gastric resection) on the evolution of Barrett's esophagus.
GS30
Management of Malignant/Benign Biliary Strictures (2.5 CME credits)
Moderator: Michael G. Sarr, MD, FACS
A 60-year-old man enters the hospital with jaundice (serum bilirubin of 4.5 mg/dL). His medical history is significant for 20 years of ulcerative colitis; 10 years previously, he under-went a laparoscopic cholecystectomy that was complicated by a postoperative bile leak, requiring admission for 10 days. Transabdominal ultrasonography shows dilated intrahepatic biliary ducts, but the hepatoduodenal ligament could not be seen owing to overlying gas—What are the diagnosis and treatment? This panel will discuss the management of benign and malignant biliary strictures from an etiologic standpoint and workup standpoint, and will also address medicolegal issues involved with injuries to the biliary tree after laparoscopic cholecystectomy. The panel will consist of surgeons, an interventional gastroenterologist, and an interventional radiologist. Both operative and nonoperative methods will be discussed and reviewed.
GS32
Safety in the Operating Room: Lessons Learned from Aviation and Other Systems (2 CME credits)
Moderator: Julie Ann Freischlag, MD, FACS
This panel will discuss teamwork strategies used in the aviation industry that have enhanced safety and prevented accidents. These systems and others will be discussed in relation to the operating room environment. Viewpoints from both anesthesia and surgery will be presented and discussed.
GS40
Cutting-Edge Trauma Surgery: What's Proven, What's Not (3 CME credits)
Moderator: George C. Velmahos, MD, PhD, FACS
The session will include the latest advances in trauma surgery. The existing evidence on cutting-edge diagnostic and therapeutic techniques will be explored. New methods on evaluation, resuscitation, and bleeding control are emerging and will influence the way we treat trauma patients in the immediate future. Topics related to techniques of controlling bleeding, repairing thoracic and vascular injuries, diagnosing extremity compartment syndrome, and managing the open abdomen will be presented. These topics are useful to all surgeons caring for trauma patients.
GS51
Breast Surgery: Has the Knife Lost Its Edge? (2.5 CME credits)
Co-Moderators:
Edgar D. Staren, MD, PhD, FACS
Darius S. Francescatti, MD, FACS
The purpose of the session is to provide an overview of newer methods in the treatment and diagnosis of breast cancer. Topics will include ablative techniques in the treatment of breast cancer (radiofrequency, laser, cryoablation, microwave); impact of novel imaging modalities and of percutaneous excisional techniques on breast disease management; and microarrays for gene expression and breast cancer diagnosis and prognosis. Evidence regarding the efficacy of these diagnostic and therapeutic modalities will be presented, and the participants will also be informed if such data are not available.
PL03
Management of the BRCA-Positive Patient (3 CME credits)
Moderator: S. Eva Singletary, MD, FACS
This session will discuss the BRCA-positive patient, including the initial diagnosis, genetic transmission, and evaluation of family members. Surgical treatment, both in the presence and absence of confirmed malignancy, will be discussed from both a general surgical and gynecologic perspective. Reconstructive options will be examined, with special emphasis on consideration of future disease in the contralateral organ. The benefits of psychological support will be examined.
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