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AHPBA Scientific Program

Thursday, April 14, 2005

AHPBA/SAGES Joint Symposium
Forum on Biliary Injuries

7:30 - 9:30 am

Moderators: W. Scott Helton, MD & Nathaniel Soper, MD

Description:

This panel will bring together experts in the field representing three societies to address the issue of biliary injuries. At the conclusion of the panel, there will be time for the audience to ask questions.

Objectives:

At the conclusion of this panel, the attendee will be able to:

Program Outline:
Avoidance:
Human Error Analysis Lygia Stewart, MD
Use of Cholangiography L. William Traverso, MD
Technical Considerations Mark P. Callery, MD
Recognition and Management:
Evaluation of suspected Injuries Keith D. Lillemoe, MD
Early vs. Late Repair Miguel Angel Mercado, MD
Management of Late Complications Eduardo de Santibañes, MD, PhD
Discussion

AHPBA Postgraduate Course
Technical Aspects of Laparoscopic Liver and Pancreas Surgery

10:00 AM - 5:00 pm

Chair: Theodore N. Pappas, MD

Course Description:

Recent advances in minimally invasive surgery techniques and technology have broadened the application of laparoscopy in hepatobiliary surgery. This course is designed to provide practicing surgeons technical strategies for applying laparoscopy to operations for the liver, pancreas, and bile duct. Speakers will use video presentations to facilitate understanding of the technical aspects and outcomes of laparoscopic: liver resections, hepatic ablation therapy, management of liver cysts, common bile duct exploration, pancreatic resections, management of pseudocysts, pancreatic debridement. The course will also address the strategy for endoscopic biliary treatment. Moderators will discuss benefits and pitfalls and emphasize key aspects of each procedure.

Objectives:

Laparoscopic Liver Surgery

Laparoscopic Pancreas Surgery

Laparoscopic Bile Duct Surgery

Program Outline:
Laparoscopic Liver Surgery
Moderators: Bryan M. Clary, MD, Jacques Belghiti, MD and Steven M. Strasberg, MD
10:00 - 10:20 AM Laparoscopic Left Lateral Segmentectomy Joseph F. Buell, MD
10:20 – 10:40 AM Laparoscopic Left Hepatic Lobectomy David A. Geller, MD
10:40 – 11:00 AM Laparoscopic Right Hepatic Lobectomy Nicholas O’Rourke, MD
11:00 – 11:30 AM Discussion All
11:30 - 12:30 PM Lunch on your own
Laparoscopic Liver Surgery (cont.)
12:30 – 12:50 PM Laparoscopic Liver Cyst Fenestration
Juan Pekolj, MD
12:50 – 1:10 PM Laparoscopic Hepatic Artery Infusion Pump Paul D. Hansen, MD
1:10 – 1:30 PM Laparoscopic Radiofrequency Ablation Anton J. Bilchik, MD, PhD
1:30 – 2:00 PM Discussion All
Laparoscopic Pancreas and Bile Duct
Moderators: Sean J. Mulvihill, MD, Theodore N. Pappas, MD, and Richard D. Schulick, MD
2:00 – 2:20 PM Laparoscopic Pancreatic Debridement Karen D. Horvath, MD
2:20 – 2:40 PM Bile Duct Stricture Management David Carr-Locke, MD
2:40 – 3:00 PM Laparoscopic Common Duct Exploration Eduardo de Santibañes, MD, PhD
3:00 – 3:30 PM Discussion All
3:30 – 3:50 PM Laparoscopic Enucleation of Neuroendocrine Tumor John G. Hunter, MD
3:50 – 4:10 PM Laparoscopic Pseudocyst Drainage Alejandro Manuel De la Torre, MD
4:10 – 4:30 PM Laparoscopic Pancreas Tail Resection Aurora D. Pryor, MD
4:30 – 5:00 PM Discussion All

 


AHPBA/SAGES Opening Reception in the Exhibit Hall

5:30 - 7:00 PM

Friday, April 15, 2005

Welcome and Presidential Address

C. Wright Pinson, MD, MBA

7:00 - 7:30 AM

Plenary Papers and Young Investigators Awards

7:30 - 9:20 AM
Moderators: Theodore N. Pappas, MD and C. Wright Pinson, MD, MBA

AHPBA/SAGES Joint Panel
Minimally Invasive Approaches to Pancreatic Disease

9:30 - 11:00 AM

Moderators: Fredrick J. Brody, MD & Mark P. Callery, MD

Description:
During this panel, faculty members will focus upon minimally invasive techniques for the management of pancreatic disease. Each lecture will include video to highlight the details of the various approaches. Faculty members from SAGES and AHPBA will participate in this panel.

Objectives:
At the conclusion of this panel, the attendee will be able to:

Program Outline:
  Laparoscopic Resections of Solid Lesions Sean Mulvihill, MD
  Endoscopic Ultrasound for the Evaluation of Cystic Masses of the Pancreas Kenneth Chang, MD
  Endoluminal Transgastric Pancreatic Drainage Gary Vitale, MD
  Laparoscopic Approaches for Pseudocyst Drainage Miguel Herrera, MD
  Laparoscopic Approaches for Pancreatic Debridement Karen Horvath, MD
  Discussion

Symposium
Politics, Ethics and Medical Evidence
Influencing Liver Transplantation for HCC

9:45 - 11:30 AM
Moderators: Paul D. Greig, MD and Andrew S. Klein, MD

Program Outline:
Restricted vs. Extended Milan Criteria for Cadaveric Liver Transplant Francis Yao, MD
Living Liver Transplant for HCC Myron E. Schwartz, MD
Cost-effective Decisions in Neoadjuvant Therapy for HCC Prior to Liver Transplant Michael M. Abecassis, MD
Liver Transplantation as Salvage Therapy Following Resection for HCC Jacques Belghiti, MD
Outcomes Following Modifications to MELD Priority Points Richard Freeman, MD

Competitive Liver Video Session:
Ex Vivo Liver Resection

11:00 - 12:00 PM

Moderators: Masao Tanaka, MD, David M. Mahvi, MD
In Situ Perfusion for Radical Liver Resection Alan W. Hemming, MD, MSc

State of the Art Address
TIPS vs DSRS: Results of the NIH Clinical Trial

11:30 - 12:00 PM

Introduction: Kaj Johansen, MD
Speaker: J. Michael Henderson, MD

Lunch on your own with Exhibit and Poster Viewing

12:00 - 2:00 PM

OR

Lunch Symposium: Anesthesia Challenges in Liver Transplantation: Problem Based Case Presentations

12:00 - 1:30 pm
Moderator: Alexandru Gottlieb, MD, FACA
Co-Moderators: Brian M. Parker, MD and Michael A.E. Ramsay, MD, FRCA

Topics:

Perioperative Management of OLT in a Patient with Elevated ICP Due to Fulminate Hepatic Failure

Porto-pulmonary Hypertension in a Patient for OLT-Evaluation, Contraindications and Treatment

Free Papers

2:00 - 3:30 PM

Liver

Moderators: Michele Molinari, MD & Jean-Nicolas Vauthey, MD

Pancreas/Biliary

Moderators: David Imagawa, MD, PhD and Charles M. Vollmer, Jr., MD

Debate Sessions

3:45 - 5:00 PM

Liver Program Outline:
Moderators: Stephen W. Chung, MD and Yaman Tekant, MD
Update on Internal Radiation Therapy for Liver Tumors Steven Meranze, MD
Cystadenomas of the Liver: Marsupilization Alan Koffron, MD
  Resection J. Michael Henderson, MD
Hepatic Adenomas < 3 cm: Observe Lilian Kow, MD, PhD
  Treat N. Joseph Espat, MD
Ablation for Liver Cancer Should be
a Reimbursed Procedure: 		Pro Michael Choti, MD
  Con Ravi S. Chari, MD

 

Pancreas/Biliary Program Outline:
Moderators: Jeffrey A. Drebin, MD and Jeffrey B. Matthews, MD
Update on TNF-rel for Unresectable Pancreatic Cancer Kenneth J. Chang, MD
Cost-Effective Management of Choledocholithiasis: Laparoscopic Approach Stanley James Rogers, MD
  Endoscopic Approach Jeffrey S. Barkun, MD
Cystic Pancreatic Neoplasms: Selective Observation Selwyn Vickers, MD
  Always Operate Alejandro Oria, MD
Patients with Biliary Malignancy Should Receive Adjuvant Therapy: Pro David M. Nagorney, MD
  Con Bryan M. Clary, MD

AHPBA Research Grant Presentation and Fellow’s Report

5:10 - 5:20 PM
Jean-Nicolas Vauthey, MD

AHPBA Business Meeting

5:20 - 5:50 PM
C. Wright Pinson, MD, MBA

AHPBA gratefully acknowledges Johnson & Johnson Wound Management, a Division of Ethicon, Inc. for their support of this program.

Don’t miss the AHPBA/SAGES Main Event

Beaches of the World, John U. Lloyd Beach State Park

Friday, April 15, 7:30 - 11:00 PM

Saturday, April 16, 2005

Invited Video Sessions

7:30 - 8:30 AM

Liver Program Outline:
Moderators: David A.Geller, MD and William C. Meyers, MD
Laparoscopic Hemihepatectomy Nicholas O’Rourke, MD
Laparoscopic Segmental Liver Resection Joseph F. Buell, MD
Laparoscopic RF Ablation of Metastatic Colon Cancer Paul D. Hansen, MD
Laparoscopic Management of Liver Cysts Juan Pekolj, MD

 

Pancreas/Biliary Program Outline:
Moderators: Jeffrey B. Mathews, MD and Miguel Angel Mercado, MD
Laparoscopic Choledocholithotomy Without T Tube Sergio Bustos, MD
Laparoscopic Bilateral Thoracoscopic Splanchnicectomy Thomas J. Howard, MD
Laparoscopic Partial Cholecystectomy and Top Down Cholecystectomy to Avoid Biliary Injury W. Scott Helton, MD
Laparoscopic Resection of Pancreatic Tumors Pedro A. Ferraina, MD

State of the Art Lectures

8:30 - 9:00 AM

Esophagogastric Devascularization for Bleeding Varices

Introduction: Thomas J. VanderMeer, MD
Speaker: Hector Orozco, MD

Management of Chronic Pancreatic Pain in Patients with Small Duct Disease

Introduction: Thomas J. Howard, MD
Speaker: Markus W. Büchler, MD

Free Papers

9:00 - 10:15 AM

Liver –

Moderators: Rowan W. Parks, MD, and Luca Cicalese, MD

Pancreas/Biliary –

Moderators: Surendra Kumar Mathur, MD, & L. William Traverso MD

IHPBA Address

10:30 - 11:00 AM

Introduction: C. Wright Pinson, MD, MBA, Speaker: Henry A. Pitt, MD

Gallbladder Cancer Discovered After Laparoscopic Cholecystectomy

11:00 AM - 12:30 PM

Program Outline:
Moderators: Ricardo Mondragon- Sanchez, MD and Henry A. Pitt, MD
Staging, and Patient Selection for Repeat Operation William R. Jarnagin, MD
Indications and Outcomes Following Radical Liver Resection Reid B. Adams, MD
What Do You Do When the Gallbladder Was Perforated? Ricardo F. Rossi, MD

AHPBA/SSAT Joint Symposium
Training in HPB Surgery: Past, Present, and Future

11:00 - 12:30 PM

Program Outline:
Moderators: Bernard Langer, MD and Keith D. Lillemoe, MD
The Importance of Training in Liver Transplantation: The University of Toronto Program Paul Greig, MD
The Value of Surgical Oncology Training: The Memorial Sloan Kettering Program Yuman Fong, MD
Combining HPB Training with Minimally Invasive Surgery: The UCSF Model Lawrence W. Way, MD
Accreditation of HPB Fellowship Programs John G. Hunter, MD

Lunch on your own with Exhibit and Poster Viewing

12:30 - 2:00 PM

OR

Lunch Symposium: Interventional Radiologic Management of Hepatobiliary Problems

12:30 - 2:00 PM
Moderator: S. Nahum Goldberg, MD

Topics:

Percutaneous Management of Hepatolithiasis and Biliary Strictures
Speaker: Chia Sing Ho, MB, BS, FRCPC

Maintaining Long-Term Patency of Biliary Stents: Advances in Stent Technology and Management Strategies
Speaker: Charles Owens, MD

Percutaneous RF- What Is and Is Not Possible
Speaker: Peter R. Bream, MD

SAGES/AHPBA/ACS Joint Symposium
Modern Management of Colon Cancer

2:00 - 5:00 PM

Description:
A multi-disciplinary comprehensive review of the diagnosis, management and the science of colon cancer. This world-class panel will discuss the latest in imaging, surgical techniques and research initiatives for the comprehensive care of the cancer patient. The modern and evolving role of genetic profiling will be discussed as well as the medical and surgical treatment for advanced and metastatic disease. The role that the current ACOSOG trials will be also be presented.

Objectives:
At the conclusion of this panel, the attendee will be able to:

Program Outline:
Moderators: Frederick Greene, MD & Steven Wexner, MD
2:00 Advances in Imaging Technology Dushyant Sahani, MD
2:20 The Role of Laparoscopic Colectomy for Curative Resection Colon Cancer Heidi Nelson, MD
2:40 Misorectal excision in rectal cancer - Is it worthwhile? James Fleshman, MD
3:00 Discussion
3:30 Medical Treatment of Colon Cancer, Advances in Chemotherapy Paulo M. Hoff, MD
3:50 Evaluation and Management of Liver Metastasis Yuman Fong, MD
4:10 Genetic Profiling in Determining Therapeutics Drew Pardoll, MD
4:30 Overview of ACSOG Clinical Trials Relative to Colon Cancer Metastasis to the Liver Mitchell C. Posner, MD
4:36 Discussion

SAGES gratefully acknowledges generous educational grants in support of this course from AutoSuture & Valleylab – Divisions of Tyco Healthcare, Karl Storz Endoscopy, and Olympus America.
AHPBA gratefully acknowledges a generous educational grant in support of this course from Sanofi-Synthelabo.

AHPBA/AASLD Joint Symposium
Organ Allocation Policy for Liver Transplantation

2:00 - 3:30 PM

Program Outline:
Moderators: Susan L. Orloff, MD and C. Wright Pinson, MD, MBA
Costs and Outcomes Following Liver Transplantation in Patients from Large and Small OPOs James Trotter, MD
View from UNOS Russell H. Wiesner, MD
View from the Big Center Ronald Busuttil, MD
View from the Little Center John McVicar, MD

Free Papers

4:00 - 5:30 PM

Liver Transplantation –

Moderators: Luis G. Podesta, MD and Giuliano Testa, MD

Sunday, April 17, 2005

Symposium: Ablation of Liver Tumors

6:30 - 7:30 AM

Program Outline:
Moderators: Charles Scudamore, MD and David A. Iannitti, MD
Cryotherapy: Current Use or Is It of Historical Interest? T. S. Ravikumar, MD
Radiofrequency Ablation: Past, Present, and Future Ken Tanabe, MD
Microwave Ablation of Liver Tumors: Hype or Hope? David Lloyd, MD
Ethanol Injection for HCC: A Cheaper and Yet Highly Effective Therapy Thomas C. Winter, III, MD

Competitive Pancreas/Biliary Video Session:

Moderators: David L. Bigam, MD and Pedro A. Ferraina, MD
Mesopancreatectomy Gerard V. Aranha, MD

Free Papers

7:30 - 9:30 AM

Liver

Moderator: Anton Bilchik, MD

Pancreas/Biliary

Moderators: D. Rohan Jeyarajah, MD, and W. Scott Melvin, MD

State of the Art Address

9:30 - 10:00 AM

Ethics, Safety and Efficacy of Implementing New Technologies in HPB Surgery

Introduction: W. Scott Helton, MD
Speaker: Steven M. Strasberg, MD

Symposia

10:00 - 11:30 AM

Strategies to Improve Outcomes in Patients Undergoing HPB Surgery

Program Outline:
Moderators: William C. Chapman, MD and Lawrence W. Way, MD
Evidence Based Practice Guidelines from PRCT and Markov Modeling Jeffrey S. Barkun, MD
Population Based Studies David R. Flum, MD
Regionalization Sean J. Mulvihill, MD
The Cancer Care Ontario Approach Bernard Langer, MD

Liver Transplantation in Latin/South America

Program Outline:
Moderators: Eduardo de Santibañes, MD, PhD and Juan Sanabria, MD
Cadaveric Liver Transplantation in Mexico: Problems and Solutions Carlos Chan, MD
Living Donor Liver Transplantation for Fulminant Liver Failure in Argentina O. Andriani, MD
Current Status of Liver Transplant in Central and South America Juan Hepp, MD

Closing Comments

11:30 AM - 12:30 PM

Theodore N. Pappas, MD
AHPBA President Elect