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Scientific Sessions: Tuesday, April 25

The Role of Laparoscopic Colectomy in the General Surgery Practice—GS23
Follow-Up Regimens for Resected Gastrointestinal Malignancies—GS24
Tricks of the Trade in Laparoscopic Resection of Solid Organs—GS25
Advanced Operative Techniques in Trauma for the Community General Surgeon—GS26
Update on Parenteral Nutrition—GS27
Crisis in Cancer Care: The Role of the American College of Surgeons in Evaluating and Improving the Quality of Cancer Care—GS28
Upgrading Your General Surgery Practice—GS29
Introduction of the ACS Web Portal for the Practicing General Surgeon—GS30
Management of the Trauma Patient in the Iraq Theater—GS33

 

 

The Role of Laparoscopic Colectomy in the General Surgery Practice—GS23
8:00–9:30 am
Moderator:
Eugene F. Foley, MD, FACS, Charlottesville, VA

This session will discuss the present role and indications for laparoscopic colon resections. Additionally, it will debate the controversy about what training is necessary for surgeons to be competent to perform these procedures.

Laparoscopic Colectomy in 2006: Prevalence, Indications, and Outcomes
Charles M. Friel, MD, Charlottesville, VA

Who Should be Doing Laparoscopic Colectomy? Training Standards and Maintenance of Competency
James W. Fleshman, Jr, MD, FACS, St. Louis, MO 

Barriers to Starting Laparoscopy in a General Surgical Practice
Thomas E. Read, MD, FACS, Pittsburgh, PA

The Future Direction of Laparoscopic Colectomy: Where Will It Be in 2015?
Peter W. Marcello, MD, FACS, Burlington, MA 

Panel Discussion

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Follow-Up Regimens for Resected Gastrointestinal Malignancies—GS24
8:00–9:30 am
Moderator:
E. Christopher Ellison, MD, FACS, Columbus, OH

Attendees will learn the best and most cost-effective methods of following patients who have resection of Colorectal cancer, pancreatic endocrine tumors, primary hepatomas, pancreatic and biliary cancers, and gastric cancer. The speakers will focus on endoscopic surveillance, imaging, including PET, and serum tests. The session will close with a panel discussion on following patients with resected gastrointestinal malignancies.

Colon and Rectal Cancer
Dennis Rousseau, MD, San Antonio, TX

Pancreatic and Biliary Adenocarcinoma
Peter Muscarella II, MD, FACS, Columbus, OH

Pancreatic Endocrine Tumors
Dhiresh R. Jeyarajah, MD, FACS, Dallas, TX

Hepatoma
Philip G. Thomas, MB, BS, FACS, Galveston, TX

Gastric Cancer
Paul F. Mansfield, MD, FACS, Houston, TX

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Management of the Trauma Patient in the Iraq Theater—GS33
8:00-10:00 am
Moderator: Michael J. Sutherland, MD, Vacaville, CA
Room: Metropolitan Ballroom 

This session will look at the current management of surgical patients in the Iraq Area of Operations.  Overview of the trauma system in place as well as a specific look at the treatment of patients in the austere environment will be discussed.  Speakers will track injured patients from the battlefield injury through the different hospitals in Iraq and then on to the care received en-route to and in Germany. 

Overview of Medical Operations in Iraq
Donald H. Jenkins, MD, FACS, San Antonio, TX 

Trauma Surgery in a Forward Surgical Hospital
Brian D. Peyton, MD, FACS, Aurora, CO 

Care of the Trauma Patient at the Balad Theater Hospital, Iraq,
and Landstuhl Regional Medical Center, Germany
Jon Perstein, MD, FACS, Vacaville, CA 

Questions and Answers

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Tricks of the Trade in Laparoscopic Resection of Solid Organs—GS25
10:00–11:30 am
Moderator:
Leena Khaitan, MD, FACS, Atlanta, GA

During this session, minimally invasive approaches to surgery on the liver, spleen, adrenal gland, and pancreas will be discussed. By the end of this session, attendees will be well aware of which pathologic conditions may be amenable to minimally invasive solid organ surgery. They will learn the "tricks of the trade" and leave with a surgical armamentarium for solid organ surgery.

Tricks to Approaching Laparoscopic Surgery of the Spleen
Fredrick J. Brody, MD, FACS, Chevy Chase, MD

Tricks to Laparoscopic Adrenalectomy
Michael D. Holzman, MD, FACS, Nashville, TN

Tricks to Minimally Invasive Approaches to the Liver
Juan M. Sarmiento, MD, Atlanta, GA

Tricks to Minimally Invasive Approaches to the Pancreas
Ginal L. Adrales, MD, Lebanon, NH

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Advanced Operative Techniques in Trauma for the Community General Surgeon—GS26
10:00–11:30 am
Moderator:
Andrew B. Peitzman, MD FACS, Pittsburgh, PA

The trauma session will focus on challenges for the community general surgeon in trauma care. Operative approaches to abdominal injuries, thoracic, neck, and extremity vascular injuries will be discussed. Management based on available resources and expertise, definitive operative repair, and damage control concepts will be reviewed.

Challenges for the Community Surgeon Providing Trauma Care
Charles F. Rinker II, MD, FACS, Bozeman, MT

Operative Management of Abdominal Injuries
Stephen M. Cohn, MD, FACS, San Antonio, TX

Operative Management of Extraabdominal Injuries
Larry M. Gentilello, MD, FACS, Dallas, TX

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Update on Parenteral Nutrition—GS27
1:30–3:00 pm
Moderator:
Danny O. Jacobs, MD, FACS, Durham, NC

This session, targeted toward the practicing surgeon, will review the latest information available regarding nutritional support of surgical patients. Presenters will review indications for use of parenteral therapies including decision-making and the latest data on efficacies. Insights and summaries of important research advances that may affect patient care in the near future will also be presented.

Use of Parenteral Nutrition in Surgical Patients
Malcolm K. Robinson, MD, FACS, Boston, MA

What Surgeons Should Know About the Use of Parenteral Nutrition
Thomas R. Ziegler, MD, Atlanta, GA

Future Therapies: The Implications of Current Research — What We Can and Cannot Yet Do
W. Scott Helton, MD, FACS, Chicago, IL

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Crisis in Cancer Care: The Role of the American College of Surgeons in Evaluating and Improving the Quality of Cancer Care—GS28
1:30–3:00 pm
Moderator:
Steven B. Edge, MD, FACS, Buffalo, NY

Variations and disparities in the quality of cancer care that affect outcomes are widely documented. Surgery remains a cornerstone of cancer care, and a large body of evidence shows that variation in the quality of surgical care is a major issue. The improvement of the quality of cancer care for all Americans has become a national priority. The Commission on Cancer of the American College of Surgeons has long defined standards for hospital cancer care programs including standards for maintaining and using registries to monitor cancer care. The Commission on Cancer has recently undertaken a major re-organization to enhance its programs to improve the quality of cancer. New programs leverage the cancer registry network and the National Cancer Database for quality improvement. This session will examine the scope of the problem in quality improvement, the role the surgeon plays in contributing to and solving the problem, and the quality improvement activities of the Commission on Cancer, including presenting the results of three major quality initiatives.

Quality Crisis: The Role of the Surgeon
Clifford Y. Ko, MD, MPH, FACS, Los Angeles, CA

Defining and Measuring Quality
Rodger J. Winn, MD, Washington, DC

The Commission on Cancer: Focus on Quality
Frederick L. Greene, MD, FACS, Charlotte, NC

Quality Measurement with the NCDB: The Stage III Colon Cancer Project
David P. Winchester, MD, Evanston, IL

Quality Measurement with the NCDB: Applying Quality Measures in Prostate Cancer
Benjamin A. Spencer, MD, New York, NY

Re-engineering the Cancer Registry for Quality: Results of Prospective Quality Assessment in Approved Programs
Stephen B. Edge, MD, FACS, Buffalo, NY

Challenge to the Surgeon for Quality
Thomas R. Russell, MD, FACS, Chicago, IL

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Upgrading Your General Surgery Practice—GS29
3:30–5:00 pm
Moderator:
Nathalie M. Johnson, MD, FACS, Portland, OR

This forum is designed to help attendees gain some insight into the ways to objectively evaluate practice performance. It will review ways to evaluate overhead and take steps to control it. There will be information on forecasting and planning for the future of one's practice and guidance on how to access resources to help accomplish this. In addition, the session will review technologic upgrades like electronic medical records and transcription technologies that can streamline cost in these areas and decrease workload.

Evaluating Your Practice and Forecasting the Future
Judy Bee, La Jolla, CA

Practical Applications of Technology and Implementation of Practice Changes
James J. Peck, MD, FACS, Hillsboro, OR

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Introduction of the ACS Web Portal for the Practicing General Surgeon—GS30
3:30–5:00 pm
Moderator:
Richard J. Finley, MD, FACS, Vancouver, BC

The attendees will learn how to use the new ACS Web Portal to gain access to ACS resources that are specific to the needs of themselves and their patients.

Introduction
George F. Sheldon, MD, FACS, Chapel Hill, NC

How to Use the Web Portal
Jerry Schwartz, Chicago, IL

Online Clinical References and Clinical Tools
Ronald B. Hirschl, MD, FACS, Ann Arbor, MI

ACS Resources, the Portal, and Case Activity
M. Michael Shabot, MD, FACS, Los Angeles, CA

The ACS Web Portal and E-Learning
Ajit K. Sachdeva, MD, FRCSC, FACS, Chicago, IL

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