16TH SLS ANNUAL MEETING AND ENDO EXPO 2007
SEPTEMBER 5-8, 2007 • SAN FRANCISCO, CALIFORNIA
SCIENTIFIC ABSTRACTS
To see larger view, click on image
Supplement to JSLS, Volume 11, Number 2
GENERAL SESSIONS
Best of Laparoscopy Updates
Multidisciplinary Plenary Sesssions
Future Technology Session
CALL FOR ABSTRACTS:
16TH SLS ANNUAL MEETING AND ENDO EXPO 2007
SEPTEMBER 5-8, 2007 • SAN FRANCISCO, CALIFORNIA, USA
Early Bird Registration Opens: March 2007 • Closes: July 5, 2007
Online Registration Closes: August 22, 2007
Make Your Hotel Reservations by August 13, 2007 for Discounted Conference Rates
For more information about the city of San Francisco visit www.MustSeeSanFrancisco.com
EDUCATIONAL METHODS AND OBJECTIVES
The 16th SLS Annual Meeting and Endo Expo 2007 employs a variety of educational formats including topical general sessions, the presentation of scientific papers, open forums, posters, and original videos offered in small specialty-specific breakout sessions, and informal gatherings of participants and expert faculty.
The increasing complexity of minimally invasive diagnostics and therapy requires a continuous educational process. The exchange of knowledge and expertise among the physicians taking part in this conference contributes to the continuation of excellence in minimally invasive surgery.
Upon completion of the conference, participants will be
able to:
• Increase comprehension of the basic and fundamental principles of laparoscopic, endoscopic, and minimally invasive techniques, enhancing the participant's understanding of these techniques;
• Understand the recent advances in laparoscopic, endoscopic and minimally invasive techniques;
• Determine the appropriate use of laparoscopic, endoscopic and minimally invasive equipment as part of a treatment plan in the care of patients;
• Comprehend the developing technologies that will be available in the future to enhance the standard of patient care; and
• Acquire educational information within the physician's specialty, which will enhance their professional development and patient care.
EXHIBIT HALL EVENTS
Welcome Reception: Kick off the conference at an informal reception open to all registrants in the Exhibit Hall. Meet old and new friends, and get a preliminary look at the technical exhibits.
SLS Cyber Café: While away, stay in touch. Check your E-mail, surf the Net, participate in an educational program, or go wireless at the SLS WiFi station. Educational programs will be scheduled throughout the day.
SLS Innovations of the Year: Come see what and how many innovative devices have been developed over the past year. The SLS Innovations of the Year will be recognized at the 16th SLS Annual Meeting and Endo Expo 2007. It is not necessary for a company to exhibit or advertise to be eligible for this recognition. SLS encourages all commercial entities to enter their most innovative product for consideration. Contact SLS for details: Tel. 305.665.9959, Tollfree 1.800.446.2659, Fax. 305.667.4123, Conferences@SLS.org
New Product Presentations by Exhibitors: SLS invites all exhibitors to share information about new products, technology, and developments during the New Product Presentation Session. Exhibitors who submit new product information will be allowed a one-minute presentation during the mid-day break, Friday, September 7, 2007. Note: each exhibitor will be allowed to present only one product that must have been developed within the past year. Contact SLS for details: Tel. 305.665.9959, Tollfree 1.800.446.2659, Fax. 305.667.4123, Conferences@SLS.org
Top Gun: It's High Noon-Are You Ready for a Shoot Out? It doesn't matter whether you're right-handed or left-handed. In this shootout, you use your non-dominant hand. See who's fastest on the draw or stitch in this entertaining, but challenging, training exercise in minimally invasive surgical procedures. See if you will take home the trophy in ‘07 and be named the “fastest draw” in SLS' Top Gun Laparoscopy Shoot Out!
PRELIMINARY PROGRAM
Conference Program Directors
Harrith M. Hasson, MD
William E. Kelley, Jr., MD
TUESDAY, SEPTEMBER 4, 2007
3:00pm-6:00pm MASTER’S CLASSES REGISTRATION
WEDNESDAY, SEPTEMBER 5, 2007 • MASTER'S CLASSES, OPENING CEREMONY, WELCOME RECEPTION
7:00am-9:00am MASTER’S CLASSES REGISTRATION / Complimentary Coffee & Bakery Items (Master's Classes Attendees Only)
6:45am-7:45am SLS BOARD MEETING
9:00am-4:30pm CONCURRENT MASTER’S CLASSES see each course for detailed times
12:00pm-1:00pm Complimentary Light Snacks and Refreshments
2:30pm-3:00pm Refreshment Break
9:00am-12:00pm
Half Day
#1 Master’s Class in the Prevention and Management of Laparoscopic and Endoscopic Surgical Complications
Raymond J. Lanzafame, MD, MBA, Director / Carl J. Levinson, MD, Co-Director / Lawrence C. Biskin, MD / Ceana Nezhat, MD / Howard N. Winfield, MD
1:00pm-4:30pm
Half Day
#2 Master’s Class in Laparoscopic Treatment of Adhesions for the General Surgeon, Gynecologist, and Urologist, Including Abdominal and Pelvic Pain
Harry Reich, MD, Director / Michael P. Diamond, MD, Co-Director / Maurice K. Chung, MD / Joseph Petelin, MD / Douglas E. Ott, MD, MBA
8:00am-4:30pm
Full Day
#3 Master’s Class in Laparoscopic Suturing in the "Vertical Zone"
Charles Koh, MD, Director / Randy Haluck, MD, Co-Director / Keith Isaacson, MD / David M. Boruta, II, MD / Jeremy M. Carver, SA / Tommaso Falcone, MD
9:00am-2:45pm
Half Day
#4 Master’s Class in Robot-Assisted Laparoscopic
Surgery – Jointly with the Minimally Invasive Robotic Surgery
Association (MIRA)
Santiago Horgan, MD, Director / William E. Kelley, Jr., MD, Co-Director / Garth Ballantyne, MD / Richard Satava, MD / Arnold Byer, MD / Joseph Petelin, MD / Howard Winfield, MD / Tommaso Falcone, MD / Yulun Wang, PhD
8:00am-4:30pm
Full Day
#5 Master's Class on Hands-On Gynecologic Endoscopic Surgery- Jointly with the American Association of Gynecologic Laparoscopists (AAGL)
Farr Nezhat, MD, Director / Ceana Nezhat, MD, Co-Director / Andrew Brill, MD / Harry Reich, MD / Tommaso Falcone, MD / Michael Diamond, MD / Wm. Leroy Heinrichs, MD, PhD / William E. Kelley, Jr., MD / Timothy B. McKinney, MD, PhD / Camran Nezhat, MD / Steven F. Palter, MD / Howard Winfield, MD / Robert Zurawin, MD
9:00am-4:30pm
Full Day
#6 Master’s Class in Laparoscopic General Surgery – Jointly with the Society of Gastrointestinal Endoscopic Surgeons (SAGES)
Michael S. Kavic, MD, Director / W. Peter Geis, MD, Co-Director / Phillip P. Shadduck, MD, Co-Director / Santiago Horgan, MD / Morris E. Franklin, Jr., MD / William E. Kelley, Jr., MD / Raymond J. Lanzafame, MD, MBA / Joseph B. Petelin, MD / Titus Duncan, MD
8:00am-4:30pm
Simulation Practice Center- Supporting Masters Classes #3, 4, 5 & 6
Wm. Leroy Heinrichs, MD, PhD, Director / Harrith Hasson, MD, Co-Director
Laboratory Faculty
Jose Benito Abraham, MD
Geoffrey Box, MD
Shoma Datta, MD
Randy Haluck, MD
Senzan Hsu, MD
Radmila Kazanegra, MD
Madeleine Lemyre, MD
Ali Mahdavi, MD
Jaime Ocampo, MD
Naghmeh Salamat Saberi, MD
Ricardo Santos, MD
Mark Smith, MD, PhD
Maria Terry, MD
James Watson, MD
Simulator Companies:
BioCompCenter
Immersion Medical
Medical Education Technologies, Inc.- METI
Mimic Technologies
Symbionix
Surgical Science
Verefi Technologies
12:00pm-6:00pm CONFERENCE REGISTRATION
5:00pm-6:30pm OPENING CEREMONY
Opening Entertainment
Opening Ceremony Remarks
Paul Alan Wetter, MD
Introduction of Benefactors and Corporate Members
5:20pm-5:30pm Presentation of Award Winning Scientific Papers and Videos
Session Director: Paul A. Wetter, MD
Co-Director: Harrith Hasson, MD
5:30pm-5:40pm Introduction of President
Raymond J. Lanzafame, MD, MBA
5:40pm-6:10pm Presidential Address
Harrith Hasson, MD
6:10pm-6:30pm Honorary Chair Presentations
Session Director: Paul Alan Wetter, MD
Introduction: Paul Alan Wetter, MD
Honorary Chair: Mark Erian, MD
Presentation: "The Society of Laparoendoscopic Surgeons and the Future of Endoscopic Surgery Worldwide"
Introduction: Maurice K. Chung, MD
Honorary Chair: Yan Liu, MD
Presentation: "The Economy and Culture of Shanghai and Its Development in Endoscopic Surgery in Gynecology"
6:30pm-8:30pm WELCOME RECEPTION IN EXHIBIT HALL
Recognition of SLS Benefactors & Corporate Members
Innovations of the Year
CYBER CAFE
Raymond J. Lanzafame, MD, MBA- Director / Alex Gandsas,
MD– Co-Director
THURSDAY, SEPTEMBER 6, 2007
6:30am-5:00pm CONFERENCE REGISTRATION
6:45am-7:00am Moderator Briefing
Raymond J. Lanzafame, MD, MBA / Carl J. Levinson, MD
7:00am Exhibits Open
7:00am-7:30am Complimentary Coffee and Bakery Items
7:30am-8:30am General Session: Best of Laparoscopy Updates
Laparoscopy Updates presented by SLS Specialty Interest Group Committee Members highlighting the newest developments and future expectations of surgical and diagnostic procedures.
Session Director: William E. Kelley, Jr., MD / Session Co-Director: Harrith M. Hasson, MD
Speakers/Topics:
7:30am-7:45am
Urology Committee: Howard Winfield, MD - The Winners and Losers: Urologic Update in Minimally Invasive Surgery 2007
7:45am-8:00am
Abdominal/Pelvic Pain/Adhesions Committee: Maurice K. Chung, MD - Does Adhesion Cause Pain? Should We Perform Adhesioloysis for Treatment of Pelvic Pain?
8:00am-8:30am
Keynote Speaker: Thomas Russell, MD- Director of the American College of Surgeons- ACS
8:30am-9:30am MULTI-DISCIPLINARY PLENARY SESSION (Gyn, General Surgery, Urology)
Improving Practice Performance and Quality
Session Director: Gustavo Stringel, MD / Session Co-Director: Alex Gandsas, MD
8:30am-8:35am Gustavo Stringel, MD: Introduction
8:35am-8:50am Gustavo Stringel, MD: Safety Quality and Improving Operating Room Performance
8:50am-9:05am Alex Gandsas, MD: Pay for Performance and Transparency
9:05am-9:20am Raymond J. Lanzafame, MD, MBA: Financial Aspects of Surgical Care - Past, Present and Future
9:20am-9:30am Questions to Panel
9:30am-10:00am Refreshment Break/Visit Exhibits
10:00am-11:00am MULTI-DISCIPLINARY PLENARY SESSION (Gyn, General Surgery, Urology)
How to Bring a New Surgical Idea to the Bedside
Session Director: Camran Nezhat, MD
10:00am-10:20am Thomas J. Fogarty, MD: Bringing Your Surgical Idea to Reality- What Gets in the Way?
10:20am-10:40am Mike Henson: Invention to Commercialization...and Beyond
10:40am-11:00am John Savarese, MD (Montreux Equity Partners): Clinically Driven Entrepreneurships: Bench to Bedside...to Bucks
11:00am-12:00pm MULTI-DISCIPLINARY PLENARY SESSION (Gyn, General Surgery, Urology)
New Directions in Simulation Training and Credentialing
Session Director: Harrith M. Hasson, MD / Co-Director: Richard Satava, MD
11:00am–11:15am Ajit Sachdeva, MD: The ACS Accredited Educational Institutes – The Beginning of the Revolution of Certification of Training Centers
11:15am–11:30am Mika Sinanan, MD: Applying for Certification – Do's and Don'ts
11:30am-11:45am Richard M. Satava, MD: The Consortium of ACS Accredited Educational Institutes – One Solution to Standardization
11:45am-12:00pm Questions and Answers Session
12:00pm-1:00pm Poster Townhall
Best graded Posters will participate in the Oral Poster Session
Directors:
Harrith M. Hasson, MD
William E. Kelley, Jr., MD
Jaime Landman, MD
Raymond J. Lanzafame, MD, MBA
Douglas E. Ott, MD, MBA
Gustavo Stringel, MD
12:30pm-1:45pm Complimentary Light Snacks and Refreshments/Visit Exhibits
1:45pm-5:30pm CONCURRENT SESSIONS: Scientific Papers/Videos/Open Forum Presentations/Laparoscopy Updates
Directors:
Maurice K. Chung, MD
Carl J. Levinson, MD
A. Elizabeth Martin, MD
Farr Nezhat, MD
2:00 pm Exhibits Close
2:00pm-4:00pm Coffee Available in Designated Areas
2:00pm-2:15pm Exhibitor's Meeting
2:15pm-3:00pm Briefing Meeting– AsianAmerican Summit III- February 2008
3:00pm-3:45pm Briefing Meeting– EuroAmerican Summit IV- February 2009
4:15pm-5:00pm SLS Corporate Council Meeting
5:30pm Adjourn for the Day
6:30-9:00pm SLS Group Event- Conservatory of Flowers (Ticket Required)
FRIDAY, SEPTEMBER 7, 2007
6:30am-5:00pm CONFERENCE REGISTRATION
7:00am Exhibits Open
7:00am-7:30am Complimentary Coffee and Bakery Items
7:00am-8:00am SLS Past Presidents Council Meeting
7:30am-8:30am MULTI-DISCIPLINARY PLENARY SESSION (Gyn, General Surgery, Urology)
Next Generation New Technologies for the Laparoendoscopic Surgeon
Session Director: Richard Satava, MD / Co-Director: Alex Gandsas, MD
7:30am-7:45am Timothy Broderick, MD: Telesurgery with a UAV
7:45am-8:00am Jaime Landman, MD: Ablative Technology
8:00am-8:15am Farr Nezhat, MD: Gynecology Technology
8:15am-8:30am Dmitry Oleynikov, MD: General Surgery Technology
8:30am-11:30am LIVE TELESURGERIES
Session Director: Camran Nezhat, MD / Co-Director: William E. Kelley, Jr., MD
Procedure: Laparoscopic Partial Nephrectomy/Radical Nephrectomy for Renal Tumor
Surgeon: Thomas H.S. Hsu, MD
Procedure: Laparoscopic Treatment of Endometriosis Including Segmental Colon Resection and Utereroneocystonomomy with Psoas Hitch
Surgeon: Camran Nezhat, MD
Procedure: Kidney and/or Lung Transplant
Surgeon: Stephan Busque, MD
10:30am-11:00am Refreshment Break/Visit Exhibits
11:30am-12:30pm Complimentary Light Snacks and Refreshments in Exhibit Hall
12:00pm-12:30pm New Product Presentation by Exhibitors
Session Director: Harrith M. Hasson, MD /Co-Director: Francis J. Podbielski, MD
12:30pm-12:45pm Presentation of Best Poster and Presentation of Resident Award-Winning Paper ($1,000 Award for Best Paper)
Directors:
William E. Kelley, Jr., MD
Raymond J. Lanzafame, MD, MBA
Douglas E. Ott, MD, MBA
Gustavo Stringel, MD
Awards Session Director:
Paul Alan Wetter, MD
Co-Director:
Harrith M. Hasson, MD
12:45pm-1:45pm THE EXCEL AWARD LECTURE
Session Director:
Paul Alan Wetter, MD
Introduction:
Ralph Clayman, MD
Recipient:
Elspeth M. McDougall, MD
Presentation: The Future of Surgery is Education
1:45pm-5:30pm CONCURRENT SESSIONS: Scientific Papers/Videos/Open Forum Presentations/ Laparoscopy Updates
Directors:
Maurice K. Chung, MD
Carl J. Levinson, MD
A. Elizabeth Martin, MD
Farr Nezhat, MD
2:00pm Exhibits Close
2:00pm-4:00pm Refreshments Available in Designated Areas
5:30pm Adjourn for the Day
SATURDAY, SEPTEMBER 8, 2007
7:00am-11:15am CONFERENCE REGISTRATION
7:30am-8:00am Sit-down breakfast with spouses/guests
8:00am-9:00am Keynote Speaker
John Kenagy, MD, MBA
Topic: Adaptive Innovation
9:00am-10:30am FUTURE TECHNOLOGY SESSION
"The Edge of Innovation in Surgery, Space and Business"
Session Director: Richard M. Satava, MD
Faculty:
Timothy Broderick, MD - NEEMO Mission
Joseph Bruner, MD - Fetal Surgery
10:30am-10:45am Closing Ceremony – Passing of the Presidential Gavel
President: Harrith M. Hasson, MD
To President Elect: William E. Kelley, Jr., MD
10:45am-11:15am SLS Business Meeting
11:15am-12:15pm SLS Committee Meetings & Post Conference Evaluation
Complimentary Light Snacks and Refreshments
ACCREDITATION
The
Society of Laparoendoscopic Surgeons (SLS) is accredited by the
Accreditation Council for Continuing Medical Education to provide
continuing medical education for physicians.
DESIGNATION
The Society of Laparoendoscopic Surgeons designates this educational activity for a maximum of 26 AMA PRA Category 1 Credit(s) ™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
Half-Day Master’s Classes: 3 credits
Full-Day Master’s Classes: 6 credits
16th SLS Annual Meeting & Endo Expo: 3 days: 20 credits
CONFERENCE FEES
Conference Registration opens: February 5, 2007
Early Bird Registration Deadline: July 5, 2007
SLS Members- Register Online at www.SLS.org before July 5, 2007 and save $100 on your registration!
Online Registration Deadline: August 13, 2007
Conference $595
Also
includes admission to exhibit hall, welcome reception, 1 ticket to
breakfast with keynote speaker, and future technology session
Master’s Classes
1 half-day class $195
2 half-day classes $295
1 full-day class $295
SCHOLARSHIPS TO ANNUAL MEETING
Residents,
Fellows-in-Training, Nurses, and Affiliated Medical Personnel are
eligible for a $300 scholarship towards the full Conference Registration
fee.
TRAVEL INFORMATION
For negotiated airline discount rates contact Steve at The Store For Travel, toll free at 1.800.284.2538. Outside the United States call 305.251.6331. E-mail: so@sft.webmail.com. Please be sure to mention you are attending the SLS conference in San Francisco, California.
For those attending the conference who require special assistance (accessibility, dietary, etc.), please contact SLS no later than August 13, 2007 with special requests.
Local Transportation
Lorries Shuttle provides door-to-door service between SFO Airport and the Hyatt from 4:30am-11:00pm for $14.00 per person, one way. At the airport, look for Lorrie's red and yellow vans in the shuttle pick up area. Reservations are required. For reservations visit http://www.myhotelshuttle.com. For more information call 415.334.9000.
Super Shuttle Van Service provides door-to-door service between SFO Airport and the Hyatt 24 hours per day, 7 days a week for $15.00 per person, one way. From the Airport, go to the upper level (median strip or courtesy island) and look for the blue and yellow Super Shuttle van. For reservations, call 415.558.8500.
Taxi rides from the SFO airport to the Hyatt are between $35.00 and $45.00.
DESTINATION INFORMATION
Always at the top of everyone's list of favorite travel destinations, San Francisco offers a remarkable number of cultural attractions and world famous landmarks set against a background of extraordinary natural beauty. From boutiques, megastores, and outlets carrying top designers, to purveyors of unique art, crafts, souvenirs, and California bounty products, San Francisco shopping offers something for everyone.
Exciting theme parks, unique museums, historical landmarks, and wild rides are some of the attractions around the Bay Area guaranteed to be amazing, amusing, and fun for the whole family. Take a walking tour, or hop on a cable car and visit some of the most renowned attractions in the world such as Golden Gate Bridge, Pier 39, Fisherman’s Wharf, and Chinatown.
Visit http://www.mustseesanfrancisco.com for more information on tours, sites, shopping, etc.
SPECIAL EVENTS
SPOUSE/GUEST WINE TOUR
Thursday, September 6, 2007
9:30am—4:30pm
Hosted by Patricia Kavic, Marcia Kelley and Lina Guertin
Make your reservations now
Give
us an hour and we will whisk you away to the most spectacular
wine-producing region on the continent. On our way out of San
Francisco, we'll go over the world famous Golden Gate Bridge with a
stop at the view point for a photo op of Alcatraz Island, San Francisco
Bay and everyone's Favorite City.
First stop, Benziger Family Winery.
It's been more than two decades since Mike and Mary Benziger first
drove up Sonoma Mountain and saw the overgrown ranch that would become
Benziger Family Winery.
Their dream to craft wines of uncommon
character with a distinct sense of place has come true and grown in to
one of the most well-known and respected labels in the Valley. At
Benziger, the team is a family, and their passion is Sonoma Mountain
winegrowing.
Today, you’ll take a close look at the vines, learn about the
site-specific farming practices and enjoy the breathtaking scenery. The
Sonoma Mountain winery tour includes a visit to their underground
estate caves and, of course, a tasting of Benzinger’s wines.
Next stop, historic Sonoma Square.
Sonoma's central plaza is the largest of its kind in California. The
plaza was originally surveyed in 1834, and it was dedicated as a
National Historic Landmark on September 24, 1961.
Sonoma Square
boasts numerous historic buildings, quaint boutique shopping, cuisine
to satisfy every palate, and numerous opportunities for wine, cheese
and local produce tastings. Here, you’ll have ample time to enjoy
shopping and lunch before our next destination.
Finally, it’s time to “toast” at lovely Domaine Carneros Sparkling
Winery. The chateau at Domaine Carneros is considered one of the most
beautiful wineries in North America. Designed after the Chateau de la
Marquetterie in Epernay, France, a property of Domaine Carneros
principal founder, Champagne Taittinger, the Domaine Carneros Chateau
is a landmark of the region. You will enjoy a taste of their wines as
well as a tour of their wine-making and bottling facility.
This
concludes our lovely day in Wine Country! Now, it’s time to return to
the hustle and bustle of the City, back to San Francisco!
Ticket Required: $117.00 per person.
Space is limited. Make your reservations now!
A COMPLIMENTARY SAN FRANCISCO NORDSTROM EXPERIENCE FOR SPOUSES/GUESTS
Friday, September 7, 2007
Nordstrom Conference Room A, 865 Market Street.
There will be complimentary shuttle service from the Hyatt to Nordstrom’s.
Get a season fashion trend preview, enjoy morning pastries, coffee, tea, waters, and soft drinks plus receive a Nordstrom exclusive gift certificate for the Nordstrom Bistro—merchandise or food—a
Bonus Book and Tote Bag.
Reservations for Spa Nordstrom, personal stylist (complimentary to SLS spouses/guests), and makeover should be made in advance RSVP to the Concierge Desk: Tel 415-977-5104.
SLS EVENING WITH FACULTY AT THE CONSERVATORY OF FLOWERS
Thursday, September 6, 2007
6:30pm–8:30pm
Conservatory of Flowers
San Francisco, California, USA
Prominently situated near the eastern end of the Golden Gate Park, the Conservatory of Flowers is a gem of Victorian architecture. The Conservatory opened in 1879; and fully restored in September 2003, it is North America’s oldest existing public conservatory. With almost two thousand plant species represented in its exhibits and floral displays, the Conservatory joins a distinctive circle of modern American horticultural museums that are on the cutting edge of botanical interpretation and conservation education. 
The Conservatory of Flowers is a spectacular museum of rare and beautiful tropical plants including palms, orchids, bromeliads, carnivorous plants and much more. This impressive museum of living plants and immersing displays in five galleries engages visitors physically, intellectually, and emotionally. These splendid displays not only delight, but also deliver a moving message about the rapid changes in tropical habitats worldwide and efforts currently underway to conserve these special places.
Join us for an evening of visual splendor, entertainment, and “Food Among the Flowers.”
Photo Credit: © The Conservatory of Flowers/Friends of Recreation and Parks.
EXCEL AWARD PRESENTATION AND LECTURE
Friday, September 7, 2007
12:45 pm – 1:45 pm
Recipient: Elspeth M. McDougall, MD
Established in 1991, the Excel Award has been presented to 22 surgeons deemed by the SLS Advisory Board to have made outstanding contributions to laparoscopy, endoscopy, and minimally invasive surgery. These outstanding surgeons are from various specialties and various nationalities.
Elspeth M. McDougall, MD, the 2007 recipient of this prestigious award, is internationally recognized for her laboratory and clinical research in urologic laparoscopic surgery and for teaching courses on fundamental and advanced endourological and laparoscopic techniques. She completed her medical training at the University of Calgary and the University of Ottawa in Canada, and then undertook a fellowship in endourology and extracorporeal shock wave lithotripsy (ESWL) with Dr. Clayman at Washington University School of Medicine. She joined the faculty at Washington University Medical School in 1991, where she spent nine years in academic urology. Subsequently, she developed the Endourology/Laparoscopic Urology Program at Vanderbilt University in Nashville, Tennessee, during her tenure there as Professor of Urologic Surgery.
Dr. McDougall joined the University of California, Irvine Department of Urology faculty in 2002 to continue her clinical and research work in minimally invasive urologic surgery and assist in the development of a minimally invasive surgery education center. She is a Fellow of the Royal College of Surgeons of Canada (Urology) and certified with the American Board of Urology. Dr. McDougall has published more than 132 peer-reviewed journal articles and numerous book chapters. She is the co-editor of two textbooks on laparoscopic surgery.
Dr. McDougall was chairperson for the Ad Hoc Surgical Simulation Committee and a member of the Laparoscopic Training Committee of the American Urological Association. She is on the editorial boards of the Journal of Endourology and the Journal of the Society of Laparoendoscopic Surgeons. She is Past President of the Society of Laparoendoscopic Surgeons and is a member of the Surgical Simulation Committee of this society. She is a member of the World Congress of Endourology's Scientific Meeting Advisory Committee. She was recently elected to the prestigious American Association of Genitourinary Surgeons.
Dr. McDougall is Director of the Yamanouchi Center for Urological Education at UCI and developed the ongoing, five-day mini-residency training program in minimally invasive urologic surgery for post-graduate urologists.
CONCURRENT SCIENTIFIC SESSIONS THURSDAY, SEPTEMBER 6, 2007 AND FRIDAY, SEPTEMBER 7, 2007
Over 200 Scientific Papers, Open Forum Presentations, Videos, and Posters will be presented by SLS members and colleagues from around the world. Laparoscopy Updates: Current Status, newest developments and future expectations of surgical and diagnostic procedures. Preliminary listing.
LAPAROSCOPY UPDATES
Presented by SLS Special Interest Group Committees
Abdominal / Pelvic Pain / Adhesions
Dan Martin, MD
Endometriosis / Ovarian: Endometriosis and Ovarian Cancer, Is There Any Correlation?
Farr Nezhat, MD
Fertiloscopy / Transvaginal Endoscopy: The Current Status of Transvaginal Hydro-Laparoscopy
Duncan J. Turner, MD
Fibroids
Herbert Goldfarb, MD
Future Technologies
Dmitry Oleynikov, MD
Gastroesophageal Reflux Disease: GERD- Endoluminal Therapies
Phillip Shadduck, MD
Hysterectomy: The Role of Laparoscopy and Robotics in Hysterectomy
Ceana Nezhat, MD
Hernia
Lawrence Biskin, MD
Infertility / Fertility
Grace Janik, MD
Robotic Surgery
James F. Carter, MD
Urology: Update on Urologic Surgery
Thomas H.S. Hsu, MD
GENERAL SURGERY
Laparoscopic Open Appendicectomy: A Single Centre Experience, Simon T. Adams MBChB MRCS
The Laparoscopic Approach in Abdominal Emergencies: A Single-Center Review of a 15-Year Experience, Ferdinando Agresta MD
Laparoscopic Cholecystectomy with Three Trocars and 5 mm Optic Instruments, Ferdinando Agresta MD
Other Psychosocial Impact of Laparoscopic Donor Nephrectomy: Long Term Impressions, Andrew Michael Altman MD
Laparoscopy Versus Observation in Acute Abdominal Pain: Controlled Randomized Trial, Karim Al-Araji MD
Long-term Outcome of Laparoscopic Approach for Duodenal Switch with Sleeve Gastrectomy as a Single Bariatric Procedure, Ghiath A. Alshkaki MD
Laparoscopic Management of Interstitial Pregnancy in our Institution, Yasuyuki Asakawa MD PhD
Two-Step Abdominal Inflation and Scopy- Trocar Insertion Method, Yonghae Baik Prof Dr Med
The Importance of Haptic Feedback in Laparoscopic Suturing Training and the Additive Value of Virtual Reality Simulation, Sanne MBI Botden MSc
Endoscopicly Obtained Bile Aspirate is an Accurate Adjunct in the Diagnosis of Symptomatic Gallbladder Disease, Kerrey B. Buser MD
Laparoscopic General Surgery in the Pregnant Patient: Results and Recommendations from One Surgeon's Experience with 36 Cases in a Rural Hospital, Kerrey B. Buser MD
Nitinol Clips Versus Prolene Suturing Technique for Adjustable Gastric Banding Procedures, Thomas Y. Chua MD
Laparoscopic Management of Small Bowel Intussception in a 16 Year Old with Peutz-Jeghers Syndrome, Benjamin Clapp MD
Preoperative Embolization of Adrenal Pheochromocytoma, Osvaldo Contarini MD
Laparoscopic Colon Resection with High Dexterity Instrumentation, Paul G. Curcillo II MD
The Effects of Race on Weight Loss After Bariatric Surgery, Titus D. Duncan MD
Gastrojejunostomy Strictures After Laparoscopic Gastric Bypass Using the Transabdominal 21mm Circular Stapler, Ward J. Dunnican MD
Virtual Reality Laparoscopic Simulator with Tactile Feedback: Does it Improve Performance?, Dan Eisenberg MD
Laparoscopic Repair of Recurrent Incisional Hernia in Cardiac Transplant Patients, Dan Eisenberg MD
Other Thymoma: Minimally Invasive Transthoracic Approach, Brian C. Fallon MD
Laparoscopic Colon Surgery: The New Gold Standard, Michael E. Fenoglio MD
An Uncommon Situation of Massive Haematemesis - A Really Strange Situation, José M.M. Ferreira-Coelho Prof Dr Med
Other Percutaneous Computer Tomography-Guided Radio Frequency Ablation of Lung Tumors: Case Report and Review of the Literature, Jacques P. Fontaine MD
The Fixation of Hiatal Meshes with Fibrin Sealant in an Experimental Model in Pigs, Rene H. Fortelny MD
Laparoscopic-Assisted Colonoscopic Polypectomy: Long Term Results, Morris E. Franklin MD
The Use Of Small Porcine Bowel Submucosa Mesh in the Treatment of Gastroesophagic Reflux: Long Term Results at the Texas Endosurgery Institute, Morris E. Franklin MD
Laparoscopic Biliary Bypass Procedures: Review of the First 14 Years, Morris E. Franklin MD
Clipless Laparoscopic Cholecystectomy, Roberta Gelmini MD
Robotic Nissen Fundoplication: An Excellent Training Procedure, Monika Hagen MD MBA
Impressions of Inexperienced Individuals and Laparoscopic Surgeons in Their First Use of the da Vinci Surgical System, Monika Hagen MD MBA
Robotic Swenson Pull-Through for Hirschsprung's Disease in Infants, Andre Hebra MD
Applying Ultracision Long Sheers Reduces Operation Time in Transanal Endoscopic Microsurgery, Pleun EA Hermsen MD
Robot Assisted Laparoscopic Distal Gastrectomy with D2 Lymph Node Dissection, Woo Jin Hyung MD PhD
The Effects of Different Surgical Approaches on Systemic Inflammatory Response After Gastrectomy, Woo Jin Hyung MD PhD
Unusual Mechanisms of Failure After Antireflux Surgery: Report of Two Cases, Atif Iqbal MD
Development of Breast Ductoscopy and its Future Perspective, Volker R. Jacobs MD PhD
Laparoscopic Spleen Sparing Distal Pancreatectomy, Uthaiah P. Kokkalera MD
Other Jejunojejunostomy Stricture with Gastric Remnant Perforation After Laparoscopic Roux-en-Y Gastric Bypass, John S. Koppman MD
Other Anastomotic Leaks Following Laparoscopic Gastric Bypass, John S. Koppman MD
Laparoscopic Gastric Bypass for Mobidity Obesity: Prospective Study with Two Gastro-Jejunum Anastomosis Techniques, Jose L. Leyba MD
Early Experiences with Laparoscopic-Assisted Colectomy for Colon Cancer, Rockson C. Liu MD
Bowel Injuries During Laparoscopic Surgery: Benenden Experience, Kiran M. Lodha MD
Sentinel Node Biopsy (SNB) and Extracapsular Extension of the Surgical Treatment of Breast Cancer, Sinisa Maksimovic MD PhD
Laparoscopic Cholecystectomy: Our Experiences After 2000 Patients, Sinisa Maksimovic MD PhD
Our Experience in Laparoscopic Ventral and Incisional Hernia Repair, Lombardi Marco Prof Dr Med
Laparoscopic vs. Open Colectomy for Non Metastatic Colorectal Cancer: A Prospective Study of Long Term Survival, Muhammad S. Mirza MD
Robotic-Assisted Colorectal Surgery: Initial Experience, Philippe Morel Prof Dr Med
Harmonic Scalpel Use in Thoracoscopy and Pulmonary Resection, John Morrison MD
Building a Laparascopic Colorectal Mentoring Program at a Community Hospital: A 3-Year Experience, Prashanth S. Navaran MD
Technique for the Salvage of Infected Mesh Prosthesis without Re-Operation or Mesh Removal: A Case Report, Prashanth S. Navaran MD
Total Laparoscopic Esophagus-Gastrectomy, Salvador A. Navarrete MD
Validity of the Magnetic Resonance Cholangio-Pancreatography (MRCP) Before the Videolaparocholecystectomy (VLC) in Patients with Mild Acute Biliary Pancreatitis, Vincenzo Neri MD
Laparoscopic Total Colectomy and Ileorectal Anastomosis for Colon Cancer, Joseph W. Nunoo-Mensah MD
Laparoscopic Repair of Spiegel's Hernia, Francisco A. Obregon MD
All Laparoscopic Graspers are Known Crushing Systems: Is This a Product Design Defect and Product Liability?, Douglas E. Ott MD MBA
Laparoscopic Adrenalectomy Via Lateral Transperitoneal Approach (1997-2006), Maciej Otto Prof Dr Med
A Novel Technique for Radio Frequency Ablation of Hepatic Dome Neoplasms Using Iatrogenic Hydrothorax, Francesco Palazzo MD
Laparoscopic Resection of Osler-Weber-Rendu Lesion, John Park MD
The Beginning Experiences in Treatment of Ventral Hernias with Composite Mesh, Veroljub Pejcic MD
Therapeutic Evaluation of Laparoscopic Hernioplasty for Inguinal Hernia in Elderly Males, Haifeng Peng MD
Fibrin Sealant for Fixation of cPTFE Meshes in Experimental IPOM Repair- Impact on Adhesion Formation and Reduction of Perforating Fixation Devices, Alexander H. Petter-Puchner MD
The Assessment of the Quality of Life in Laparoscopic Hernia Repair- Suggestions for the Development of Standards Within the SLS, Alexander H. Petter-Puchner MD
Minilaparotomy for GERD Treatment, Juan G. Quiroz MD
Laparoscopic Splenectomy Following Embolization for Blunt Trauma, Kenneth Joe Ransom MD
Transaxillary Endoscopic Parathyroidectomy: Our Initial Series, Qammar N. Rashid MD
Near Total Thyroidectomy Using a Transaxillary Endoscopic Approach, Qammar N. Rashid MD
Metanalysis of Recurrence After Laparoscopic Repair of Paraesophageal Hernia, Munir A. Rathore FRCS
A Novel Technique in Diagnosing a Leak in the Lap Band System, Kurt E. Roberts MD
The Effect of Videogame “Warm-up” on Performance of Laparoscopic Surgery Tasks, James C. Rosser, Jr. MD
Ureteral Clipping During Laparoscopic Donor Nephrectomy Improves Operative Fieled Visibility and Does Not Affect Recipient Outcome, Kamran Sajadi MD
Laparoscopic Surgery for Colorectal Carcinoma: Costs and Benefits in the Europe Region, Lukas Sakra MD PhD
Early Post-Operative Results Comparing Restrictive Procedures in the Massively Super Obese, David L. Schumacher MD
Minimally Invasive Repair of Congenital Diaphragmatic Hernias: A Review of Our Experience, Sohail R. Shah MD
Laparoscopic vs. Laparotomic Approach for Colorectal Carcinoma, Jiri Siller MD PhD
Laparoscopic Adrenalectomy: Transperitoneal or Retroperitoneal Approach, Gintaras Simutis MD PhD
Laparoscopic Transabdominal Hernia Repair for Incarcerated Groin Hernias, Uz Steinhilper Dr Med
Laparoscopic Hernia Repair, Martin Susewind MD
A Laparoscopic Approach to the Surgical Management of Gastrocutaneous Fistula Following Gastrostomy Tube Removal, Nicholas A. Tarola MD
Unusual Delayed Complication Following Laparoscopic Adjustable Gastric Banding, Michael B. Tempel MD
Laparoscopic Hernia Repair: A Two Port Technique, Katerina Theodoropoulou MD
Major Bile Duct Injuries After Laparoscopic Cholecystectomy: Factors That Influence the Results of Treatment, Konstantinos George Tsalis Prof Dr Med
The Effect of Intraperitoneal and Intraincisional Application of Local Analgesic on Pain After Laparoscopic Abdominal Surgery, Ali Uzunkoy Prof Dr Med
Laparoscopic Evaluation for Chronic Post Operative Abdominal Pain, Amir Vejdan Dr Med
Laparoscopic Management of the Upper GI Benign Diseases, Yue Dong Wang MD
Laparoscopic Splenectomy and Azygoportal Disconnection for Bleeding Varices with Hypersplensm, Yue Dong Wang MD
Does the Rate of Achieving Competency on Simulated Laparoscopy Training Programs Predict Actual Skill in Performing Laparoscopic Cholecystectomy?, Warren D. Widmann MD
Technical Aspects of Laparoscopic Splenic Marsupialization, James Briscoe Wooldridge MD
Laparoscopic Ileal Flap for Colpopoiesis, Jixiang Wu MD
Advantages of Laparoscopic Approach Perforated Peptic Ulcers, Bulent Yaycioglu MD
GYNECOLOGY
Diagnostic Performance of Office Hysteroscopy to Detect Endometrial Pathologies in Women with Hereditary Predisposition to HNPCC Syndrome: Results of a Prospsective Study, Anne-Sophie Bats MD
Staging of Advanced Ovarian Cancers: Interest of Thoracoscopy, Anne-Sophie Bats MD
Comparison of Different Approaches in Surgical Management of Endometrial Cancer, Anne-Sophie Bats MD
Removal of Abdominal Cerclage Laparoscopically: A Case Report, James F. Carter MD
Day Surgery Laparoscopic Subtotal Hysterectomy: A Multicentered Study with 500 Patients in Greece and the UK, Stefanos Chandakas MD PhD
Laparoscopic Subtotal Hysterectomy Using the Laploop System: A New, Safe and Time Efficient Technique for Daycase Procedures, Stefanos Chandakas MD PhD
Mega Uterus: Overview of a Technique for Laparoscopic Hysterectomy and Outcome, Leroy Charles MD MBA
Incidence of Pelvic Pain Dyspareunia and Vaginal Spotting After Outpatient Laparoscopic Intracervical Subtotal Hysterectomy (LISH), Maurice K. Chung MD
Endoscopic Treatment of a Chronic Cornual Ectopic Pregnancy, M. Shoma Datta MD
A Comparison of Total Robotic vs. Laparoscopic Radical Hysterectomy and Pelvic Lymphadenectomy for Gynecologic Malignancy Treatment in a Fellowship Training Program, M. Shoma Datta MD
A Clinical Analysis of 112 Cases: Laparoscopic and Hysteroscopic Intrafascial Hysterectomy, Weijie Du MD
The Hidden Risk of Natural Herbs in Gynaecological Surgery, Mark Erian MD
Robotic Surgery in the Gynecologic Oncology Setting: First 120 Cases, Ricardo E. Estape MD
Symptom Severity and Disability in Chronic Pelvic Pain Worsens When an Increasing Number of Pain Diagnoses are Present, Bradford W. Fenton MD PhD
Roboric Sacrocervicocolpopexy in Women at Risk for Future Loss of Vaginal Support, Robert F Flora MD MBA
Robot Assisted Paravaginal Defect Repair, Dobie Giles MD
Adolescent Women with Failed Treatment for Endometriosis and Continued Chronic Pelvic Pain: Consider Interstitial Cystitis, Stephen A. Grochmal MD
Laparoscopic-Assisted Vaginal Hysterectomy for a Term-Size, Myoam Lim Woh Koh MD
Viable Cornual Pregnancy Treated Laparoscopically, Lim Woh Koh MD
Laparoscopic Radical Hysterectomy and Lymphadenectomy for Invasive Cervical Cancer: Techniques, Results and Oncological Outcome in 343 Consecutive Cases, Zhiqing Liang Prof Dr Med
Laparoscopic Sacrospinous Ligament Fixation for Uterovaginal and Vault Prolapse, Zhiqing Liang Prof Dr Med
Mistletoe Therapy in Recurrent Endometriosis Patients, Yong-Taik Lim MD
Laparoscopic Supracervical Hysterectomy: The Learning Curve, Christopher Lindeken DO
The Feasibility of Using Nitinol-U Clips with the daVinci Surgical System to Treat Distal Fallopian Tubal Disease, David McLaughlin MD
Cervical Remnant in CISH Hysterectomy: Short and Long Term Issues, John E. Morrison MD
Laparoscopic Debulking of a Left Pelvic Sidewall Mass in a Patient with Recurrent Ovarian Cancer, Nimesh P. Nagarsheth MD
Incisional Hernia on the Trocar Port Site After Laparoscopy: Prevention, Recognition and Management, Camran Nezhat MD
Laparoscopic Cytoreduction in Primary Advanced or Recurrent Ovarian Carcinoma, Farr R. Nezhat MD
Laparoscopic Intraperitoneal Paraaortic Lymphadenectomy: Our Experience in a Fellowship Training Program, Farr R. Nezhat MD
Laparoscopic Assisted Myomectomy, Mario Nutis MD
Laparoscopic Amputation of a Noncommunicating Uterine Horn, Jaime Ocampo MD
The Advantages of Mini-Laparoscopic Surgery Compared to Conventional Laparoscopic Surgery for Early Stage Endometriosis, Sung-Tack Oh MD PhD
Alternatives to Hysterectomy, Jonathan Y. Song MD
Laparoscopic Hysterectomy for the Enlarged Uterus, Jonathan Y. Song MD
Comparison of Two Transobturator Techniques Regarding Operative Time, Recovery, Complications, and Clinical Efficacy, Radha Syed MD
Case Presentation of Failed Essure Cases- Etiology, Diagnosis, and Corrective Procedures, Radha Syed MD
Laparoscopic Management of Benign Pelvic Masses, Alberto Valero Prof Dr Med
A Case of Large Urachal Cyst Treated by Laparoscopic-Assisted Surgery, Takashi Yamada MD PhD
Hydrodistension for Interstitial Cystitis Consistently Provides Improvement in Properly Selected Patients, Bradford W. Fenton MD PhD
Development of a Method for the Consistent Creation of Experimental Pelvic Adhesions in a Swine Model, Bradford W. Fenton MD PhD
Laparoscopic Diagnosis of a Rare Cause of Abdominal Pain, Atif Iqbal MD
UROLOGY
The Role of Stent Placement in Laparoscopic Ureteroureterostomy, Ronney Abaza MD
A Novel Technique for Laparoscopic Partial Nephrectomy, Ronney Abaza MD
LapED 4-in-1 Silicone Training Aid for Practicing Laparoscopic Skills and Tasks: An Evaluation, Jose Benito Aguila Abraham MD
Comparative Review of Laparoscopic and Robotic-Assisted Radical Cystectomy with Ileal Conduit Urinary Diversion, Jose Benito Aguila Abraham MD
Correlation of Laparoscopic Surgical Experience with Videogame Performance, Reza Alipanah BS
Does Age Affect the Safety and Efficacy of Potassium-Titanyl-Phosphate (KTP) Laser Photoselective Vaporization Prostatectomy (PVP)?, Motoo Araki MD PhD
Catheter Free Potassium-Titanyl-Phosphate (KTP) Laser Photoselective Vaporization Prostatectomy (PVP): Patient Characteristic Analysis, Motoo Araki MD PhD
Management of the Large Median Lobe During Robotic Assisted Radical Prostatectomy, Jeff Bejma MD
Pure Laparoscopic Partial Nephrectomy: The First 50 Cases After Fellowship, Sam B. Bhayani MD
Impact of 3-Dimensional Visualization and Articulating Needle Driver Use on Time and Accuracy of Simulated Laparoscopic Suturing and Knot Tying, James G. Bittner IV MD
In Vivo Lymphatic Sealing Capability in the Porcine Thoracic Duct Comparing LigaSure V, Gyrus Trissector, Harmonic ACE Scalpel, EnSeal, and Monopolar Scissors, Geoffrey N. Box MD
Laparoscopic Pyelo-Ureterolithotomy: Re-Emerging Role in the Management of Complex Stone Disease, Daniel I. Brison MD
Assessment of the Impact of 6 Months of Laparoscopic Radical Prostatectomy (LRP) Fellowship Training Upon the Learning Curve During Initiation of LRP into a Lower Volume Prostatectomy Practice, James A. Brown MD
Robotic-Assisted Radical Cystectomy, Erik P. Castle MD
Robotic-Assisted Radical Cystectomy with Orthotopic Neobladder, Erik P. Castle MD
Paravertebral Blocks for Pain Control in Patients Undergoing Hand-Assisted Laparoscopic Nephrectomy, Steven R. Clendenen MD
Laparoscopic Partial Nephrectomy: Six Degrees of Hemostasis, Leslie Allan Deane MD
Robotic Versus Standard Laparoscopic Partial/Wedge Nephrectomy: A Comparison of Intra- and Peri-Operative Results from a Single Institution, Leslie Allan Deane MD
Sutureless Laparoscopic Heminephrectomy: Safety and Efficacy in the Porcine Model, Ithaar H. Derweesh MD
Preliminary Experience with Sutureless Laparoscopic Partial Nephrectomy for Renal Tumors with Collecting System Entry: Technique and Results, Ithaar H. Derweesh MD
Laparoscopic Management of a 12 cm Adrenal Cyst, Caner Dinlenc MD
Laparoscopic Vas Salvage After Mesh Hernia Repair, Caner Dinlenc MD
Laparoscopic Donor Nephrectomy: A Review of the Last 282, Grant I.S. Disick MD
The Escape™ Nitinol Stone Retrieval Basket Facilitates Laser Fragmentation and Extraction of Ureteral and Renal Calculi: Initial Experience, Grant Disick MD
Endoscopic Management of Ureteral Obstructive in Patients with Bladder Extrophy Diverted by Ureterosigmoidostomy, Michael L. Eisenberg MD
Endoscopic Management of Retained Renal Foreign Bodies, Michael L. Eisenberg MD
Results of Laparoscopic Radical Prostatectomy (LRP), Genoa G. Ferguson MD
Is a Closed Suction Drain Required After Robotic-Assisted Laparoscopic Radical Prostatectomy?, Carl K. Gjertson MD
Bilateral Laparoscopic Ureterolysis, Carl K. Gjertson MD
Rhabdomyolysis Following Laparoscopic Nephrectomy: Case Reports and Review of Literature, Deborah Glassman MD
Radiation Resistant Prostate Cancer: A Single Institution Experience with Laparoscopic and Robotic Salvage Prostate Cancer Surgery, Mark H. Kawachi MD
Evaluation of Laparoscopic Vascular Clamps Using a Load-Cell Device: Are All Clamps the Same?, Hak J. Lee MD
SutureLock: Adjustable Laparoscopic Knotting Clip, Keith L. Lee MD
Laparoscopic Nephrectomy with Autotransplantation for Ureteral Stricture Disease and Renal Tumors: Differences in Perioperative Morbidity and Hospitalization, Keith L. Lee MD
Complications of Hand-Assisted Renal Surgery, Timothy LeRoy MD
Robotic-Assisted Radical Cystectomy in the Female Patient, Richard Matern MD
Robotic-Assisted Sacrocolpopexy, Richard Matern MD
Cryoablation Does Not Adversely Impact Renal Function of Those Patients Who Present with Renal Insufficiency, Joe Miller MD
Introduction of a Robotic Skills Laboratory into a Urology Curriculum, Joe Miller MD
A New Novel Laproscopic Pyeloplasty: Kerithy Technique Minimal Invasive Surgery for the Management of Ureteripelvic Junction (UPJ) Obstruction, Al kerithy Mohammed MD PhD
Will Robotic-Assisted Radical Prostatectomy Become the New Surgical Standard? - United States Trend Mirrors the Trend at Hackensack University Medical Center (2001-2006), Ravi Munver MD
The Impact of Minimally Invasive Technology on Localized Prostate Cancer Practice Patterns at a Single Institution: Robotic-Assisted Radical Prostatectomy vs. Radiation Therapy vs. Cryosurgery, Ravi Munver MD
Novel Technique for Hemostatic Hydrodissection of the Neurovascular Bundles (HYNEB) During Laparoscopic Radical Prostatectomy: Early Potency and Continence Outcomes, Sijo Joseph Parekattil MD
Hemostatic Hydrodissection of the Neurovascular Bundles (HYNEB) During Laparoscopic Radical Prostatectomy: Early Potency and Continence Outcomes, Sijo Joseph Parekattil MD
Robot Assisted Radical Prostatectomy: Histopathologic Data of 1200 Cases, Vipul R. Patel MD
Is the Learning Curve Endless? One Surgeon's Experience with Robotic Prostatectomy, Vipul R. Patel MD
Laparoscopic Radical Nephrectomy for Large Renal Tumors (Greater than 7 cm): Intermediate Oncologic Outcomes, Jay D. Raman MD
Increasing Body Mass Index (BMI) Negatively Impacts Outcomes Following Robotic Radical Prostatectomy, Jay D. Raman MD
Increased Cancer Yield and Decreased Non-Diagnostic Results When Three Cores are Taken Rather Than One Prior to Renal Cryoablation, Bradley F. Schwartz DO
Robotic Radical Prostatectomy: Peri-Operative Outcomes of 1200 Cases, Ketul K. Shah MD
Robot Assisted Radical Prostatectomy: Complication Data of 1200 Cases, Ketul K. Shah MD
Robot Assisted Laparoscopic Pyeloplasty: Tricks of the Trade, Ketul K. Shah MD
Bilateral Hand-Assisted Laparoscopic Renal Surgery in the Supine Position: An Assessment of Efficacy and Complications, Kashif Siddiqi MD
Laparoscopic Radical Nephrectomy with Hilar Lymphadenectomy in Patients with Advanced Renal Cell Carcinoma, Matthew N. Simmons MD PhD
Decreased Complications of Contemporary Laparoscopic Partial Nephrectomy: Use of a Standardized Reporting System, Matthew N. Simmons MD PhD
An Innovative Medical Student Clinical Clerkship in Advanced Urologic Laparoscopy: A Preliminary Experience, Chandru Sundaram MD
Medical Student Satisfaction Following Laparoscopic Skills Testing, Chandru Sundaram MD
Laparoscopic Radical Cystectomy c Extracorporeal Ileal Conduit: Dong-A University Hospital Experience After 20 Cases, Gyung Tak Sung MD PhD
Radiofrequency Ablation of Renal Tumors: Technique and Outcome, Rahul K. Thaly MD
Prospective Comparison of Perioperative and Early Pathologic Outcomes Between Robotic and Open Radical Cystectomy, Gerald J. Wang MD
Transurethral Microwave Dilatation of the Prostate for Management of Symptomatic Benign Prostatic Hypertrophy, Alexei Wedmid MD
Robotic Assisted Laparoscopic Sacrocolpopexy: Technique and Experience, Christopher Whelan MD
Robotic Assisted Laparoscopic Sacrocolpopexy: A New Approach in the Treatment of Vaginal Vault Prolapse, Christopher Whelan MD
Decreased Efficiency of Potassium-Titanyl-Phosphate (KTP) Laser Photoselective Vaporization Prostatectomy (PVP) with Long-Term 5a- Reductase Inhibition Therapy: Is It True?, Carson Wong MD
120 W Lithium Triboride (LBO) Laser Photoselective Vaporization Prostatectomy (PVP) for Symptomatic Benign Prostatic Hyperplasia (BPH), Carson Wong MD
Effect of Tumor Size on Intra-Operative and Peri-Operative Outcomes in Patients Undergoing Laparoscopic Partial Nephrectomy with Hilar Occlusion, Michael Woods MD
Robotic Assisted Ureteral Reimplant, Michael Woods MD
MULTISPECIALTY
Experimental Studies of Peroral Transgastric Abdominal Surgery: Tubectomy, Hysterectomy: Is it the Next Minimally Invasive Approach?, Stefanos Chandakas MD PhD
Painful Bladder Syndrome/Interstitial Cystitis in Patients with Abdominal and Pelvic Adhesion, Maurice K. Chung MD
Damage at the Grasper-Tissue Interface in Minimally Invasive Surgery, Smita De
The Evolution Of Clip-free Laparoscopic Adrenalectomy: A Comparative Evaluation of Electrocautery, Ultrasonic, and Bipolar Energy Sources, Grant Disick MD
Emerging Endoscopic Imaging Technology: A Disposable, Distal Tip CMOS Sensor Endoscope, Stephen A. Grochmal MD
Creaton of a Neovagina by the Vechietti Procedure in a Patient With Corrected High Imperforate Anus (A Case Report), Paul B. Miller MD
Simultaneous Laparoscopic Hysterectomy & Cholecystectomy, Khusen B. Narzullaev MD PhD
Playing an Instrument Has Significant Impact on Surgical Skills Performance, Arup Saha MD
Minilaparoscopy: As a Safer Entry for Natural Orifice Peritoneoscopy, Daniel A. Tsin MD
PRE-CONFERENCE MASTER'S CLASSES WEDNESDAY, SEPTEMBER 5, 2007
Half-Day Courses (3 AMA PRA Category 1 Credits): 9:00am–12:00pm; 1:00pm–4:30pm
Full-Day Courses (6 AMA PRA Category 1 Credits): 9:00am–4:30pm
#1 Master’s Class in the Prevention and Management of Laparoscopic and Endoscopic Surgical Complications
Half-Day (9:00am–12:00pm)
All abdominal and pelvic MIS procedures carry an inherent risk of complications. This interactive course will present a philosophy for the prevention and management of complications during minimally invasive surgery of the abdomen and pelvis. Video segments and case presentations will be used to demonstrate principles and stimulate discussion. Source material will be obtained from students’ “real world” experiences and supplemented with materials selected by the faculty panel and customized based on pre-conference information obtained from registrants. An interactive student and faculty discussion format will be utilized. This course will discuss management paradigms to prevent, recognize, and treat complications appropriately. Careful, methodical assessment and strategies for appropriate action will be stressed. Topical presentations based on student input will highlight detailed surgical anatomy, sound surgical principles and careful technique. Participants are strongly encouraged to submit video or other case material (anonymously) to maximize topical relevance for their individual practice and needs.
Objectives: Recognize and decrease the risk of complications in laparoendoscopic surgeries; Identify and discuss specific conditions affecting appropriate patient selection; Discuss indications, contraindications and limitations of MIS procedures and technologies; Understand relevant surgical anatomy and potential technical pitfalls; Develop management paradigms to prevent and treat complications; Describe the rationale and timing of conversion to open procedures.
Agenda:
• Introduction/Disastrous Case
• Detailed Anatomy of Selected Anatomic Sites Based on Audience Preconference Questionnaire
• Case videos and Discussions
• Selected Video Cases/Disasters/Highlights Selected by Faculty
FACULTY
Raymond J. Lanzafame, MD, MBA, Director
Carl J. Levinson, MD, Co-Director
Lawrence C. Biskin, MD
Ceana Nezhat, MD
Howard N. Winfield, MD
#2 Master’s Class in Laparoscopic Treatment of Adhesions for the
General Surgeon, Gynecologist, and Urologist Including Abdominal and
Pelvic Pain
Half-Day (1:00pm–4:30pm)
This Master’s Class for the advanced, experienced laparoscopist will demonstrate innovative laparoscopic techniques to enter the peritoneal cavity and release omental, small bowel, large bowel, and pelvic adhesions. The faculty will discuss the outer limits about these laparoscopic procedures, including major complication management. Closure of enterotomies by resection or simple suture and repair of ureter and bladder injuries will be addressed. Indications for surgery and prevention of the novo and recurrent adhesions will be discussed.
Objectives: To discuss the causes and frequency of adhesion related disorders (ARD) and whether or not symptoms possibly related to adhesions should be treated surgically or expectantly; To learn more about the role and availability of advanced laparoscopic techniques to release and reduce recurrence of peritoneal cavity adhesions; To describe laparoscopic techniques to excise endometriosis and adhesions involving the cul-de-sac and rectum; To learn the methods of laparoscopic and/or hand-assisted bowel repair or resection during enterolysis cases; To learn the treatment of adhesions found in conjunction with other laparoscopic abdominal surgery, i.e. at the time of Roux-en-Y gastric bypass, colon resection, Nissen fundoplication, hysterectomy, etc.
Agenda:
• Introduction and SCAR Study
• Why is the Surgical Treatment of Patients with Chronic Abdominal Pain from Intraabdominal Adhesions so Controversial?
• What Causes Adhesions? Do Adhesions Cause Pain?
• Abdominal and Pelvic Pain
• The Role of Laparoscopic Adhesiolysis and Adhesion Reduction Adjuvants in Gynecology and Infertility
• What About Acute Bowel Obstruction?
• Laparoscopic Entry Techniques After Multiple Laparotomies
• How Laparoscopy Effects the Peritoneum: Its Effect on Adhesion Formation and Methods of Reduction
• Laparoscopic Adhesiolysis—Surgical Plan and Techniques
• Deep Cul-De-Sac Dissection For Adhesions Involving Fibrotic Endometriosis, Including a Simple Technique to Repair Rectal Enterotomies
• Intraoperative Treatment of Bowel Injuries at the Time of Laparoscopy—Recognition, Repair, Resect, Hand-Assist, Open
• What’s Coming Next in Adhesiolysis and Adhesion Reduction Adjuvants
FACULTY
Harry Reich, MD, Director
Michael P. Diamond, MD, Co-Director
Maurice K. Chung, MD
Douglas E. Ott, MD, MBA
#3 Master’s Class • A Hands-On Course on Laparoscopic Suturing in the “Vertical Zone”
Full-Day (9:00am–4:30pm)
The algorithm for laparoscopic suturing as described in the “Vertical Zone” has been tested over many years nationally and internationally. Proficiency with intracorporeal knotting in less than 3 minutes has been achieved by over 80% of attendees in past courses. This includes practicing gynecologists, residents, and fellows. This result is also mirrored in international courses. Concurrent validity is excellent with the technique described, as the relative hand positions and movements are immediately transferable from the trainer to the O.R. That laparoscopic suturing is essential for today’s laparoscopies would be an understatement. This course equips all attendees with improved suturing skills and insight into applications during surgery.
Objectives: Understand ergonomics, theory and rationale for reproducible laparoscopic suturing; Applications of skills learned in relevant surgical situations; Prevention and management of bowel, bladder and ureteral complications by appropriate suture repair; Pre-test and post-test to demonstrate improvement in skills.
Agenda:
• Introduction, Orientation and Description of Lab Process
• Lecture: Ergonomics, Theory, Construct Validity of the Vertical Zone Technique
• Pretest: Intracorporeal Knot Tying
• LAB I: Drills, Intracorporeal Suturing with ‘Smiley’ needle technique
• Lecture: Expert Knotting, Continuous Suturing, Cinch Knot.
• Applications in surgery including Managing Complications by Suturing
• LAB II: Expert Knotting, Continuous, Cinch
• Posttest: Intracorporeal Knot Tying
FACULTY
Charles H. Koh, MD, Director
Randy Haluck, MD, Co-Director
Keith Issacson, MD
David M. Boruta, II, MD
Jeremy M. Carver, SA
Tommaso Falcone, MD
#4 Master’s Class in Robot-Assisted Laparoscopic Surgery Jointly with the Minimally Invasive Robotic Surgery Association (MIRA)
Half-Day (9:00am–2:45pm)
Leading practitioners in the fields of general, gynecologic, urological and vascular MIS will discuss their experiences with robot-assisted surgery. The advantages and disadvantages of robot-assisted vs. traditional MIS will be discussed and debated, as well as future applications of robotics for each surgical discipline. Gynecology topics will include general as well as fertility surgery. Urological sessions will include treatment of both benign and malignant urological conditions. General surgery topics will include foregut, colorectal, bariatric and vascular applications. Remote tele-presence surgery, remote physician-patient interaction by robot interface, and remote teleconferencing by robot over the internet will be discussed in detail. One presentation will be conducted via remote, transcontinental telepresence.
Objective: To increase participants’ knowledge and understanding of robotics and of the applications of robotics for minimally invasive surgery from the perspective of outstanding practitioners who were and are instrumental in developing and perfecting these techniques.
Participants will have the opportunity to participate in an afternoon laboratory session with a hands-on training session on simulation and metrics for assessing competency in laparoscopic surgery. This session will be included at no extra cost as part of the half-day Robotics PG course.
This course will be presented in cooperation between the Society of Laparoendoscopic Surgeons (SLS) and the Minimally Invasive Robotic Surgery Association (MIRA).
Agenda:
• Telerobotic General Surgery
• Telerobotic Colorectal Surgery
• Telerobotic Gyn Surgery
• MIRA Update
• Telerobotic Urologic Surgery
• Telerobotic Vascular and Cardiac Surgery
• Mobile Teleconferencing with a Robot Over the Internet
• The Future of Surgical Robotics
FACULTY
Santiago Horgan, MD, Director
William E. Kelley, Jr., MD, Co-Director
Garth Ballantyne, MD
Arnold Byer, MD
Tommaso Falcone, MD
Joseph Petelin, MD
Richard M. Satava, MD
Yulun Wang, PhD
Howard Winfield, MD
#5 Master’s Class • Hands-On Gynecologic Endoscopic Surgery Jointly with the American Association of Gynecologic Laparoscopists (AAGL)
Full-Day (9:00am–4:30pm)
This hands-on Master’s Class is designed for advanced gynecologic and other endoscopic surgeons who desire to expand and update their knowledge and surgical skills in diagnosis and endoscopic management of the most common gynecological and pelvic disorders. Also, it will serve to familiarize the participants with the most recent advancements in this discipline of surgery.
Faculty will present updated information on the most common pelvic disorders such as endometriosis, myomas, pelvic floor diseases, gynecologic malignancies, ovarian cysts, laparoscopic evaluation of chronic pelvic pain, etc. The role of laparoscopy in robotics, simulation, adhesion formation, and fertility will be discussed as well.
Indications, contraindications and different techniques for performing laparoscopic assisted vaginal hysterectomy (LAVH), total and supracervical laparoscopic hysterectomy will be presented. Gastrointestinal, urological and vascular complications during laparoscopic pelvic surgery will be discussed.
Time has been allotted in the program to rotate the participants through the Simulation Laboratory to provide hands-on experience with the simulation systems.
Objectives: To give participants up-to-date knowledge of the role of the laparoscope and hysteroscope for the management of pelvic disorders for the Advanced Gynecologic laparoscopist; To give participants the opportunity to practice hands-on with new available instrumentation.
Agenda:
• Safe Abdominal Entry Complications and Management
• Laparoscopy and Infertility: Is There Any Role?
• Role of Simulation in Advanced Operative Endoscopy
• Laparoscopy and Gynecological Malignancy: Where We Are and Where We Are Going
• Role of Laparoscopy in Hysterectomy: LAVH, TLH or Supracervical?
• Adhesion Prevention, Current and Upcoming Agents
• Update in Hysterectomy, Ablations and Sterilization Techniques
• How Can We Progress to Perform More and More Minimally Access Surgeries? Are Robots the Answer?
• Update in Energy Sources and Electrosurgery
• Pelvic Reconstructive Surgery and Prolapse: How to Match the Two Correctly
• Evaluation and Management of Bowel Injuries
• New Horizons in Myoma Management
• Urologic Complications and Management
• Hands-On Laboratory: New Instruments
FACULTY
Farr Nezhat, MD, Director
Ceana Nezhat, Co-Director
Andrew Brill, MD
Michael Diamond, MD
Tommaso Falcone, MD
Wm. Leroy Heinrichs, MD, PhD
William E. Kelley, Jr., MD
Timothy B. McKinney, MD, PhD
Camran Nezhat, MD
Steven F. Palter, MD
Harry Reich, MD
Howard Winfield, MD
Robert Zurawin, MD
#6 Master’s Class in Laparoscopic General Surgery Jointly with the Society of Gastrointestinal Endoscopic Surgeons (SAGES)
Full-Day (9:00am–4:30pm)
Leading practitioners in individual areas of general surgery will discuss advanced laparoscopic interventions and, in selected instances, will contrast open and laparoscopic approaches. Morning presentations will review NOTES (natural orifice transluminal endoscopic surgery); endoscopic and laparoscopic options for GERD; the right prosthetic for inguinal and ventral hernia repair; and laparoscopic management of complex and recurrent hiatal hernia.
The afternoon session will be devoted to cutting edge issues in general surgery covering such topics as: laparoscopic strategies for biliary tract disease; robotics and laparoscopic surgery; laparoscopic gastric banding/ laparoscopic bypass for bariatric patients, laparoscopic splenectomy and adrenalectomy; laparoscopic management of achalasia; laparoscopic management of benign and malignant colonic disease.
Objective: To increase participants’ knowledge of the following areas of minimally invasive surgery from the perspective of outstanding practitioners who were and are instrumental in developing and perfecting these techniques: (1) NOTES—natural orifice transluminal endoscopic surgery (pipedream or the future?); (2) inguinal and ventral hernia repair—the appropriate prosthetic; (3) endoscopic techniques available for GERD; (4) laparoscopic management of complex and recurrent hiatal hernia; (5) robotic technology in an era of laparoscopic surgery; (6) laparoscopic management of biliary tract disease; (7) laparoscopic management of adrenal and splenic disease; (8) laparoscopic management of colonic disease, benign and malignant.
Agenda:
• NOTES: Progress to Date
• Prosthetics for Hernia Repair—Choosing the Right Material and Techniques
• Endoscopic Treatment for Thyroid Disease
• Hiatal Hernia and GERD Management
• Achalasia—Best Options
• Robotics: What’s Hot, What’s Not
• Bariatric Surgery—Bypass or Band
• Laparoscopic Solid Organ Surgery—New Vistas
• Biliary Tract Surgery—The Tough Issues
• Laparoscopic Colon Surgery—Part I
• Laparoscopic Colon Surgery—Part II
FACULTY
Michael S. Kavic, MD, Director
W. Peter Geis, MD, Co-Director
Phillip P. Shadduck, MD, Co-Director
Titus Duncan, MD
Morris E. Franklin, Jr., MD
Santiago Horgan, MD
William E. Kelley, Jr., MD
Raymond J. Lanzafame, MD, MBA
Joseph B. Petelin, MD
Simulation Practice Center
Full-Day (8:00am–4:30pm)
Participants of Master’s Classes #3, #4, #5 and #6 will have the opportunity to practice their laparoscopic skills in the Simulation Laboratory. Time has been allotted in these classes to rotate participants through the Simulation Laboratory to provide hands-on experience with the simulation systems.
Participants of Master’s Class #3 - A Hands-On Course on Laparoscopic Suturing in the “Vertical Zone” will be pre- and post-tested using augmented and virtual reality simulation machines as part of the program. These simulators have embedded assessment metrics capable of measuring various aspects of the suturing task. Thus it will be possible to quantify the amount of skill improvement experienced by tested participants as a result of this Master’s Class.
This will be the first time that the value of a postgraduate course involving laparoscopic skills is measured with detailed objective means.
FACULTY
Faculty
Wm. Leroy Heinrichs, MD, PhD, Director
Harrith M. Hasson, MD, Co-Director
Jose Benito Abraham, MD
Geoffrey Box, MD
Shoma Datta, MD
Randy Haluck, MD
Radmila Kazanegra, MD
Madeleine Lemyre, MD
Ali Mahdavi, MD
Jaime Ocampo, MD
Naghmeh S. Saberi, MD
Mark L. Smith, MD, PhD
Maria Terry, MD
James Watson, MD
INVITED SIMULATOR COMPANIES:
Immersion Medical
Medical Education Technologies, Inc.
Mimic Technologies
National Biocomputation Center – Stanford – SUMMIT
Simbionix
Surgical Science
Verefi Technologies
MULTIDISCIPLINARY PLENARY SESSIONS
IMPROVING PRACTICE PERFORMANCE AND QUALITY
Thursday, September 6, 2007
8:30am–9:30am
Health care has seen a growing emphasis on Quality, Safety and Performance in recent years. There have been efforts by health care groups like the AMA and The Institute of Medicine to define quality in health care as, “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes that are consistent with current professional knowledge.” The delivery of high quality care has been centered on health outcomes and the expectations of patients and other customers of health care.
Quality, Safety and Performance are an integral part of the new culture of health care. Traditionally the blame has been placed on the individual for the lack of quality and safety that cause errors. The new culture of safety analyzes systems that are conducive to poor quality; system failures are identified as opportunities to improve safety and quality.
Pay for Performance systems link compensation to measures of work quality or goals. At the present time, Medicare pays providers for services delivered, regardless of the quality of care. Medicare has various Pay for Performance ("P4P") initiatives in offices, clinics and hospitals, seeking to improve quality and avoid unnecessary health care costs. The Centers for Medicare and Medicaid Services (CMS) have several demonstration projects underway offering compensation for improvements. There is no question that Pay for Performance is here to stay. The government, health insurance companies and other private organizations are actively developing Pay for Performance models. It is important for surgeons to learn and understand this system and its possible impact on their practices.
The new changes in health care have created financial pressures on hospitals. Previously lucrative surgical services are now facing financial challenges. The costs of materials and services continue to increase while the reimbursement for services has remained the same or in many cases has decreased. Many institutions have resorted to increasing their volume of patients, while others have tried to increase the number of lucrative cases. The institutions that have survived have implemented effective changes through improved processes to increase their efficiency and lower their costs.
FACULTY AND PRESENTATIONS
Gustavo Stringel, MD, Director
Alex Gandsas, MD, Co-Director
Gustavo Stringel, MD
Safety Quality and Improving Operating Room Performance
Alex Gandsas, MD
Pay for Performance and Transparency
Raymond J. Lanzafame, MD, MBA
Financial Aspects of Surgical Care: Past, Present and Future
HOW TO BRING A NEW SURGICAL IDEA TO THE BEDSIDE
Thursday, September 6, 2007
10:00am–11:00am
Physician innovators and researchers have made the world a better place. However, these experts by nature lack the experience and the know-how to bring an idea to reality. During this session, the renowned panel will address how to bring an idea to reality for the benefit of the patients. To bring an idea to fruition involves research, patent protection and business dimensions. This session will guide participants one step closer to bringing their dream of innovation to reality for the benefit of mankind.
FACULTY AND PRESENTATIONS
Camran Nezhat, MD, Director
Thomas Fogarty, MD
Mike Henson, MD
Fred Moll, MD
John Savarese, MD
NEW DIRECTIONS IN SIMULATION TRAINING AND CREDENTIALING
Thursday, September 6, 2007
11:00am–12:00pm
The American College of Surgeons (ACS) has taken a bold new step in surgical education by agreeing to become a certifying body for new training centers, referred to as ACS Certified Educational Institutes. This new model will help to ensure the quality of education as well as help to standardize training methodologies, which should serve as an inspiration for other major societies (such as Urology, OB/Gyn, Cardiothoracic, etc.) to follow. This session will summarize the role of the centers, the application process (and the dos and don'ts of applying) and the new consortium of training centers which will begin the process of standardization of training.
FACULTY AND PRESENTATIONS
Harrith M. Hasson, MD, Director
Richard M. Satava, MD, Co-Director
Ajit Sachdeva, MD
The ACS Accredited Educational Institutes–The Beginning of the Revolution of Certification of Training Centers
Mika Sinanan, MD
Applying for Certification–Do’s and Don’ts
Richard M. Satava, MD
The Consortium of ACS Accredited Educational Institutes–One Solution to Standardization
NEXT GENERATION NEW TECHNOLOGIES FOR THE LAPAROENDOSCOPIC SURGEON
Friday, September 7, 2007
7:30am–8:30am
Surgeons are always looking for the next new technology to add to their practice. This session will focus on updating this armamentarium. Some are practical and can be added today, such as Ablation and new gynecologic procedures, while others are still in the research phase, such as miniature intra-abdominal robots and remote telesurgery.
FACULTY AND PRESENTATIONS
Richard M. Satava, MD, Director
Alex Gandsas, MD, Co-Director
Timothy Broderick, MD
Telesurgery with a UAV
Jaime Landman, MD
Ablative Technology
Farr Nezhat, MD
Gynecology Technology
Dmitry Oleynikov, MD
General Surgery Technology
HOTEL ACCOMMODATIONS AND MEETING SITE
Hyatt Regency San Francisco
5 Embarcadero Center
San Francisco, California 94111
USA
Reservations
Toll Free within USA: 1-800-720-0049
Tel: 1-415 788-1234
Fax: 1-415-398-2567
www.sanfranciscohyattregency.com
Overlooking the pristine Bay and its dynamic neighborhood, the Hyatt Regency San Francisco is the only luxury hotel directly on the Embarcadero waterfront. This gleaming choice of downtown San Francisco California hotels showcases a captivating array of shopping, dining, and sightseeing adventures. Hallmark features of our downtown San Francisco hotel accommodations include 802 rooms and suites featuring Hyatt’s Grand Bed, and a revolving rooftop restaurant and lounge. Immerse yourself in the culture, energy, and majestic beauty of "Everyone’s Favorite City" at our luxury hotel in downtown San Francisco, California.
Hotel Rates (USD per night)
Single $175.00; Double $195.00; Triple $213.00; and Quad $238.00
These rates are subject to appropriate state, local and occupancy taxes and do not include meals. The SLS room block will be released after August 3, 2007. After this date, rooms will be on a space available basis only. Rates are applicable 3 days before and after the conference based on availability.
In order to qualify for the special rate, you must make reservations by August 3, 2007, and mention that you are attending the “SLS conference.”
Please make reservations early!
16TH ANNUAL MEETING AND ENDO EXPO 2007 SCIENTIFIC ABSTRACTS
7101 General Surgery
An Uncommon Situation of Massive Hematemesis: A Really Strange Situation
Jose M.M. Ferreira-Coelho
Introduction: The treatment procedures for patients with malignant biliary obstruction are challenging, with strategies involved for all specialists.
Case Report: The patient was a 63-year-old male with a chronic severe narrowed distal common duct without a diagnosis of cancer as the cause. Four successive renewable plastic stents in the lower biliary tract and finally a self-expanding metal stent (SEMS) were deployed. Four months later, the patient experienced 2 episodes of severe hemorrhagic shock. Upper gastrointestinal endoscopy revealed severe hemobilia. Open “life saving” surgery was performed by using sphincterotomy. The distal part of the metal stent was removed by stripping and the proximal part by a hepatico incision. The perfect metal stent was removed. The technique of repair was Roux-en-Y-loop hepatico-jejunostomy.
Results: The pathologic analysis of the specimen showed an invasive cholangiocarcinoma of the terminal bile duct. The patient remained clinically stable after complementary radiotherapy planned for a 5-month period, but he died 2 months later with severe caquexia.
Discussion: The cost effectiveness analysis for treatment of stent occlusion for plastic stents (TT) versus metal stents (SEMS) indicates that SEMS have better patency rates than TT stents do.
Conclusion: It is very important to be aware of the vascular anatomy of the main biliary duct with specific angiographic and micro-angiographic patterns with a strange metal stent in place. Fistulas and hemorrhages are potential occurrences to keep in mind.
7102 General Surgery
Laparoscopic vs Open Colectomy for Nonmetastatic Colorectal Cancer: A Prospective Study of Long-term Survival
Mirza MS, Longman RJ, Farrokhyar F, Sheffield JP, Kennedy RH
Introduction: Long-term data on the safety and efficacy of minimally invasive surgery for treating colorectal cancer remain scarce. We conducted a nonrandomized, prospective comparison of laparoscopic colorectal cancer surgery (LS) with open surgery (OS) to evaluate long-term survival.
Methods: Patients (n=233) with nonmetastatic colorectal cancer underwent either laparoscopic (n=116) or open (n=117) potentially curative resection. Almost all patients between July 1996 and December 2002 were randomized within 2 consecutive trials; however, before this a significant proportion of patients received open surgery. The primary end points were overall survival, disease-free survival, and cumulative disease recurrence. Analysis was by intention to treat.
Results: Median follow-up was 40 months for the LS and 58 months for the OS group. No statistically significant difference was found between LS and OS groups regarding overall survival (P=0.603 colon cancer, P=0.841 rectal cancer), disease-free survival (P=0.684 colon cancer, P=0.625 rectal cancer), and overall recurrence (P=0.383 colon cancer, p=0.166 rectal cancer). Cumulative recurrence rate in colon cancer favored OS (P=0.018). In rectal cancer, this did not differ between the 2 treatment modalities (P=0.965). Perioperative mortality in LS was also no different from that in OS (P=0.644 30-day mortality, P=0.692 in-hospital mortality).
Conclusion: Long-term survival data support laparoscopic surgery as a safe and effective alternative to conventional surgery for treating potentially curative colorectal cancer.
7104 Gynecology
Laparoscopic Management of Benign Pelvic Masses
Alberto Valero, Prof Dr Med; Eduardo Torreblanca, Martin Castillo, Edith Cervantes, Rafael Solano
Incidence: Benign ovarian tumors are most common in women between 20 and 44 years of age. Malignant tumors occur most frequently in women between 45 and 60 years of age. Benign pelvic masses are cysts, semisolid, solid, and hemorrhagic lesions, which could be congenital in origin, neoformations, from ectopic tissues, or benign and malignant masses. Their volume depends on their histological root and on the elapsed time.
Symptoms: The most common symptoms are dyspareunia, dysmenorrhea, polymenorrhea, abdominal distension, infertility, bowel malfunction, and urine troubles. Tumor characteristics are determined by looking at direct mechanical influence (compression of the surrounding organs), blockage of the “cul de sac” by tumor growth, bleeding activation of macrophages, activation of cytokines, and immune system resistance. Ovarian tumors sometimes are complicated by torsion, rupture, bleeding, infection, malignant transformation with ascites, anemia fibrinogen changes, and others. The histological classifications of epithelial ovarian tumors are serous, mucinous, endometrioid, mesonephroid (clear cels), Brenner, mixed, undifferentiated carcinomas, unclassified tumors. The highest incidence of malignant ovarian tumors is in Scandinavian countries and North America, as much as 15 per 1,000,000. The next highest rates occur in central and east Europe and the lowest rates are in Asia, with the least rates in Japan of 5 per 1,000,000.
Diagnosis: Manual delimitation by palpation, hyperpolymenorrhea associated with normocytic and normochromic anemia, elevated serum levels of erythropoietin, tumoral blood markers CA 125, carcinoembryonic antigen, and hCG levels. Abdominal plain films reveal the mass; HSG reveals deformation of the uterine cavity; urography splits the ureters by the mass; and barium enema reveals external compression; abdominal or vaginal sonography reveals cystic, semicystic or solid tumors; Doppler shows neoformation vessels; and finally MRI reveals masses of ≥1cm in diameter. Endoscopic diagnosis and treatment procedures (hysteroscopy & laparoscopy) are the best management tools and can rule out any close organs dysfunction, such as in the ovary, rectum, endometrial dysfunction, pelvic abscess, endometriomas, malignant disease, mesonephric remnants, bladder disease, pregnancy, hyperstimulation syndrome control, pelvic congestion (Taylor syndrome).
Management: Expectant management depends on age, tumor size, symptoms, and pregnancy status. Conservative management is medical (6 weeks before surgery using a goserelin acetate 3.65-mg subdermal implant). Postoperative management depends on the type of pelvic mass (myomas, luteal cyst, endometriomas) and could comprise endocrine inhibition with <30 pg of estradiol E2. Corrective management includes endoscopic, reconstructive, and laparotomy approaches. Treatment can include neurovegetative support, psychoemotional swings, hormonal replacement therapy to avoid bone loss, and painkillers.
7105 General Surgery
Laparoscopic Resection of Osler-Weber-Rendu Lesion
John Park MD, Brian Ellis MD, Christopher Juergens MD
Introduction: Osler-Weber-Rendu (OWR) is a hereditary disease characterized by telangiectasias, arteriovenous malformations (AVM), and aneurysms involving the cutaneous, gastrointestinal, pulmonary, and central nervous systems. OWR is treated endoscopically with electrocautery and pulse dye laser to destroy cutaneous and accessible mucosal lesions. This report describes a combinatorial approach using laparoscopic and intraoperative endoscopy to perform a partial gastric resection of a bleeding AVM.
Case Report: A 70-year-old Caucasian female with a history of bleeding from OWR disease presented complaining of hematemesis. Her vital signs were unstable and she was immediately resuscitated with IV fluids and transfusions. She had previous hospitalizations requiring transfusions and electrocauterizations of her gastric AVM, but had refused surgery until this point.
Results: Intraoperatively, a single lesion was identified along the posterior aspect of the greater curvature of the stomach by using intraoperative endoscopy. Surgical resection margins were identified with metallic clips along the greater curvature of the stomach proximal and distal to the lesion. This allowed the gastric resection to be minimized as much as possible. The blood supply was taken down with a LigaSure and gastric resection with a 60-mm Echelon stapler. Pathology report confirmed the complete res