58th Annual Meeting - Puerto Rico Chapter - American College of Surgeons February 21-23, 2008 to be held at La Concha Resort in San Juan PROGRAM Thursday February 21, 2008 7:00 – 7:45 am Registration and continental breakfast 7:45 – 8:00 am Welcoming Remarks Ricardo López Martínez, MD, FACS President Moderator: Ramón K. Sotomayor, MD, FACS Program Chairman 8:00 - 8:30 am The future of radiofrequency energy: New generation of surgical systems based on energy Charles D. Allen, BSBME, MBA 8:30 -9:00 am Laparoscopic bariatric gastric band Luis Betances, MD 9:00 – 9:30 am Update in pediatric surgery Humberto Lugo Vicente, MD, FACS 9:30 -10:00 am Common bile duct injuries in Puerto Rico Diego Solís, MD 10:00 – 10:30 am Coffee Break 10:30 – 11:00 am Imaging of breast cancer Eva Cruz Jové, MD 11:00 – 11:30 am Preoperative chemotherapy therapy for breast cancer Edith Pérez, MD 11:30 am – 12:00 pm Update on the use of sentinel node technology in breast cancer Arthur Lerner, MD, FACS 12:00 – 12:30 pm Management of gastrointestinal stromal tumors Ernest Rosato, MD 12:30 – 1:00 pm Understanding the urgency in the treatment of surgical patients with severe sepsis: Case presentation Erick Barquist, MD 1:00 – 2:00 pm Lunch 2:00 – 5:00 pm 28th Raffucci Memorial Lecture and Surgical Research Forum Guest Speaker: Enrique Vázquez Quintana, MD, FACS Topic: Parathyroid 5:00 – 6:00 pm Cocktail Reception sponsored by Tyco Healtcare Friday February 22, 2008 7:00 – 8:00 am Registration and continental breakfast Moderator: José Sorrentino, MD, FACS ACS Puerto Rico Chapter Governor 8:00 - 8:30 am Laparoscopic ventral hernia surgery: When to operate patients with adhesions Jay Redan, MD 8:30 -9:00 am Radiofrequency ablation principles: Indications and Results Marcelo Ribeiro, MD, Ph.D, FACS 9:00 – 9:45 am Modern management of acute and chronic intestinal ischemic syndromes Bruce Gewertz, MD, FACS 9:45 -10:15 am Laparoscopic and robotic surgery in GYN Oncology Pedro Escobar, MD 10:15 – 10:45 am Coffee Break 10:45 – 11:30 am KEY NOTE LECTURE Can we Improve Outcomes for Pancreatic Cancer? Charles Yeo, MD 11:30 am – 12:00 pm Complicated intra abdominal infections Robert Sawyer, MD 12:00 – 12:30 pm Natural orifice transendoscopic surgery Jay Redan, MD 12:30 – 1:00 pm Urologic Topic TBA 1:00 – 2:00 pm Lunch 2:00 – 3:30 pm Human factors and the evolution of Surgery Bruce Gewertz, MD, FACS Discussion of Poster Presentation Saturday February 23, 2008 7:00 – 8:30 am Registration and continental breakfast 8:00 – 8:05 am Welcome Moderator: Manuel Espinosa, MD 8:05 – 8:35 am Imaging studies in staging and management of colorectal cancer Janio Szklaruk, MD 8:35 – 9:05 am What is different and what is similar in results and management of colon cancer in Puerto Rico Ignacio Echenique, MD, FACS 9:05 – 9:35 am Management of the patient with liver metastasis from colorectal cancer Steven Curley, MD, FACS 9:35 – 10:05 am Adjuvant chemotherapy for stage II-III and for metastatic colorectal cancer Thierry Andre, MD 10:05 – 10:20 am Coffee Break Moderator: José Lozada, MD 10:20 – 10:50 am Prognostic factors and management results with rectal carcinoma in Puerto Rico Fernando Cabanillas, MD 10:50 – 11:20 am New strategies and recent results using radiation therapy for rectal cancer Bruce Minsky, MD 11:20 – 11:50 am Management of rectal cancer at Thomas Jefferson Gerald Isenberg, MD 11:50 am – 12:20 pm New strategies and recent results in management of rectal Cancer José Guillem, MD 12:20 – 12:50 pm Case Presentation and Discussion Moderator: Gerardo Quevedo, MD 1:00 – 2:30 pm Lunch Business Meeting for ACS Fellows Guest speaker: Paul Collicott, MD, FACS Goal The goal of this conference is to provide the practicing surgeon with state of the art information on modern surgical theory, problems and techniques. The program will include lectures by leaders in their field, from major educational institutions, with ample time provided for discussion with the audience. Research papers will be presented in the Rafucci Surgical Research Forum and in the form of poster presentations. A multidisciplinary symposium on colorectal cancer will take place on Saturday’s morning. Educational objectives 1. Bring practical information on biliary surgery, pediatric surgery, bariatric surgery and electrosurgical instruments. 2. Provide information on modern imaging and management of breast cancer and gastrointestinal tumors. Provide information on management of sepsis, and intraabominal infections. 3. Provide updated information on new laparoscopic surgery technology. 4. Discuss management of chronic intestinal ischemic syndromes and outcomes in pancreatic cancer surgery. 5. Provide up to date discussion on multidisciplinary management of colorectal cancer. Target Audience This meeting will be beneficial to practicing surgeons, urologists, gynecologists as well as all specialists treating gastrointestinal conditions. Evaluation A meeting evaluation will be provided at the end of each day for the participants to comment on the value of the program and quality of presentations. ADDRESS PO BOX 363196 SAN JUAN PR 00936-3196 TEL - 787-277-0674 FAX - 787-277-0783 EMAIL - genteinc@prtc.net 28th F.L. RAFFUCCI RESEARCH FORUM TWENTY-EIGHTH F.L. RAFFUCCI HONORED LECTURE Thursday February 21, 2008 Reynold López-Enríquez, M.D. Chairman 2:00 PM “The History of Parathyroid Surgery in Puerto Rico” Enrique Vázquez Quintana, M.D. Pavia Hospital, San Juan, Puerto Rico Moderator: Norma I. Cruz-Korchin, M.D. 28th F.L. RAFFUCCI RESEARCH FORUM Results of the Malpractice Survey in San Juan. Norma I. Cruz, MD. Plastic Surgery Div., Surgery Dept., UPR. Role of Surgeon-Performed Ultrasound in Predicting Malignancy in Patients with Indeterminate Thyroid Nodules. William Méndez, MD, John I. Lew, MD, Steven Rodgers MD, George L. Irvin, MD, and Carmen C. Solórzano, MD. Surgery Dept., UPR and Endocrine Surgery Div., Surgery Dept., University of Miami Miller School of Medicine. Is There an Increased Occurrence of Breast Cancer in Diabetics in Puerto Rico? Arlene Garcia, MS4, Yaysa Román MS, Rosa Perez-Perdomo, PhD, Erick Suarez, PhD, Edna Mora, MD. School of Public Health, UPR, Surgery Dept. the Comprehensive Cancer Center, UPR. The Role of Non-Invasive Imaging Studies in the Diagnosis of Right Blunt Diaphragmatic Rupture: A Case Series and Review of Literature. Suhein D. Galloza, MD, Pablo Rodriguez, MD, Quirico Canario, MD, Emmanuel Agosto, BSE, Gori Ballester, MD, Wilma Rodriguez, MD, Fernando Joglar, MD. Trauma Section, Surgery Dept., UPR. Carotid Endarterectomy under Regional Anesthesia: Our Experience at the Puerto Rico Veteran’s Administration Hospital. Luis Rodriguez-Escolá, MD, Gustavo De Jesús-Gómez, MD, Carlos Calimano, MD, Norma Santiago-Rivera, MD, Ernesto Rivé-Mora, MD. Dept. of Surgery, Veterans Administration Hospital San Juan, Puerto Rico. Pediatric Brain Tumors in Puerto Rico. Manuel F. Saavedra, MD, Juan Vigo Prieto, MD, Iván Sosa, MD, Lincoln Jiménez, MD, Indira De Jesús Alvelo, MD. Neurosurgery Div., Surgery Dept., UPR and Pediatric Hospital PRMC. Surgical Incidence of Central Nervous System Tumors in Puerto Rico. Gisela Muray, MD, Lincoln Jiménez, MD, Frankie Báez, MD, Liliam Colón, MD, Ricardo H. Brau, MD. Neurosurgery Div. and Pathology Dept., UPR. Distal Fragmented Port Catheter: Case Report and Review of Literature. Norman E. Colón-Casasnovas, MS3, Humberto Lugo-Vicente, MD. Pediatric Section, Surgery Dept. UPR. Tracheostomy Decannulation: A Retrospective Chart Review. Fernando Joglar, MD, Pablo Rodriguez, MD, Quirico Canario, MD, Guillermo Rivera, BS, Laura Santos, MD, Marian Baez, MD, Suhein D. Galloza, MD, Ada Lebrón, MS. Trauma Section, Surgery Dept., UPR. Anterior Skull Base Cerebrospinal Fluid Fistula in Puerto Rico: Treatment and Outcomes. Yadiel Alameda, MD, Juan Carlos Portela, MD, Jose Busquets, MD. Otolaryngology Head and Neck Surgery Div., Surgery Dept. UPR. The General Surgeon in Puerto Rico: An Endangered Species? Suhein D. Galloza, MD, Emmanuel Agosto, BS, Fernando Joglar, MD. Trauma Section, Surgery Dept., UPR.