Canadian Surgery Forum 201801. Laparoscopic splenectomy with management of intraoperative hemorrhage02. Incisional hernia after midline versus transverse specimen extraction incision: a randomized trial in patients undergoing laparoscopic colectomy03. Spleen-preserving distal pancreatectomy in trauma04. Injuries sustained during contact with law enforcement: an analysis from US trauma centers05. The combined utility of EFAST and CXR in blunt thoracic trauma06. Factors associated with surgeons’ perception of distraction in the operating room07. Impact of distractions on intraoperative adverse events during laparoscopic general surgery08. Non-technical skills and device-related interruptions in minimally invasive surgery09. The safety of outpatient stoma closure: On the verge of a paradigm shift?10. Electronic databases may be an efficient and valuable method of increasing accrual to gastrointestinal randomized clinical trials11. Mesenteric cysts revisited: an ever-intriguing issue12. Implementation and adoption of advanced care planning in the elderly trauma patient13. The effect of peripherally acting μ opioid receptor antagonists (PAMORAs) on opioid induced bowel dysfunction: a systematic review and meta-analysis14. Systematic review of surgical postoperative adverse outcome grading systems15. Development and implementation of a Gastrografin protocol in patients presenting with uncomplicated adhesive small bowel obstruction: a preliminary review16. Effect of PET-CT on disease recurrence and its management in patients with potentially resectable colorectal cancer liver metastases. The long-term results of a randomized controlled trial17. Factors affecting efficiency of operating theatre utilization in Kenyatta National Hospital, Nairobi, Kenya18. Surgery tutor for assessment of technical proficiency in soft-tissue tumour resection19. Laparoscopic Nissen fundoplication: a step-by-step educational video20. Incidence of splanchnic vein thrombosis following abdominal surgery: a systematic review and meta-analysis21. An ounce of prevention is worth a pound of cure: the total cost associated with complications of general surgery procedures at the Toronto General Hospital22. A systematic review of economic evaluations of intraoperative perfusion assessment using indocyanine green immunofluorescence angiography23. A curious inguinal hernia24. The burden of surgical disease at a remote referral hospital in Southeastern Liberia25. Laparoscopic paraesophageal hernia repair: 1-year quality of life and pulmonary function outcomes, a single-centre experience26. Canadian general surgery residents need formal curricula and objective performance assessments in gastrointestinal endoscopy training: a program director census27. Laparoscopic duodeno-jejunostomy for SMA syndrome28. POEM29. Withdrawn30. Surgeon attitudes toward point-of-care ultrasound for biliary disease31. Geographic variation in appendiceal perforation rates in Canada: a population-based cohort study32. Coaching for skill acquisition and refinement among practising surgeons — a systematic review33. Frailty in emergency general surgery patients: comparison of Fried’s criteria and Modified Frailty Index34. Overall and disease-free survival in colorectal cancer patients receiving adjuvant chemotherapy with a biologic agent: a systematic review and meta-analysis35. Patterns of complex emergency general surgery in Canada36. Surgical skill and complications after colorectal surgery37. The use of imaging studies and the effect on surgical delays and complications in patients with acute appendicitis: a population study38. Relationship between preoperative patient-reported outcomes and hospital length of stay: a prospective cohort study of general surgery patients in Canada39. No association found between wait time for elective cholecystectomy and postsurgical patient-reported outcomes40. A comparative study of skills using Basic Endoscopic Skills Training (BEST) Box and Fundamentals Of Laparoscopic Surgery (FLS) Training Box41. Geographic and socioeconomic predictors of perforated appendicitis: a national Canadian cohort study42. Surgical needs and wait times for low socioeconomic status Canadians43. Enhancing the human elements of telementoring – a scoping review of the literature44. Inventory of residents’ perspectives on acute care surgery in Canada45. Surgeon and patient adherence to a standardized pain management bundle: a prospective non-inferiority study to reduce opioids in outpatient general surgical procedures46. Withdrawn47. Are group practices the way of the future for surgery? A scoping review48. Withdrawn49. Timing of CT for adhesive small bowel obstructions50. Laparoscopic sigmoid colectomy for diverticulitis with transanal extraction51. Characterization and compliance of tranexamic acid (TXA) administration to trauma patients in a regional trauma centre52. Changes in practice patterns and timeliness of care for women diagnosed with invasive breast cancer in Manitoba53. Does perioperative nutritional optimization decrease the incidence of postoperative complications in surgical patients with gastrointestinal cancer? A systematic review and meta-analysis54. Impact of the surgeon on the outcomes of acute appendicitis: a population-based analysis55. Early operative management is a cost-effective strategy in patients with adhesive small bowel obstruction: a population-based, retrospective cost-effectiveness analysis56. Cancer Care Ontario quality indicators for gastric cancer: total gastrectomy increased lymph node retrieval and increased 30-day mortality at a single institution57. Citywide mass casualty exercise — from the field into the operating room and beyond58. Social determinants of the need for emergency surgery in patients presenting with an inguinal hernia59. Hidradenitis suppurativa: wide excision of advanced disease with full thickness skin removal to healthy subcutaneous fat60. A strategy for prospective surveillance in emergency general surgery61. Intra-operative injuries during abdominopelvic surgery: an analysis of national medico-legal data62. Influence of adjuvant antibiotics on fistula formation following incision and drainage of anorectal abscesses: a systematic review and meta-analysis63. Does medical school anatomy exposure affect surgical residency applications? An analysis of the Canadian residency match data64. Withdrawn65. Laparoscopic and endoscopic approach to large bowel intussusception in the adult patient: a case report66. What am I training for? An analysis of surgical trainees’ educational and employment expectations in Canada67. The educational role of autonomy in medical training: a scoping review68. Optimal timing of emergency cholecystectomy for patients with acute cholecystitis: a systematic review and meta-analysis69. Impact of the acute care surgery model on resident operative experience in emergency general surgery70. Is there a gender bias in the advancement to the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) leadership?71. Acute appendicitis and biliary disease outcomes in the paradigm of acute care surgery: a systematic review and meta-analysis72. Costs of complications in general surgery: Are we adhering to the best practice bundles?73. Gender is associated with promotion among Canadian academic surgeons74. Laparoscopic sigmoid colectomy with hand-sewn end to end anastomosis75. A national study of in-residency research productivity among Canadian academic surgeons76. Adhesive small bowel obstruction is associated with high short- and long-term mortality: a population-based analysis of 22 197 patients77. Withdrawn78. The inter-rater reliability of technical skills assessment and retention of rater training79. What are the odds of colorectal polyps or cancer in patients with abnormal fecal occult blood tests? Results from a population-based screening program80. Cost-effectiveness analysis of laparoscopic vs. open subtotal gastrectomy for gastric adenocarcinoma81. Accuracy of published appropriateness indications for predicting use of damage control during emergent laparotomy for trauma82. A novel, evidence-based smoking cessation program in an outpatient colorectal surgery clinic: 16-month outcomes83. Sleep deprivation and medication errors in surgery: a prospective observational study84. The use of a novel smartphone application for the delivery of bowel preparation instructions: a pilot feasibility trial85. Exclusion criteria and adverse events in perioperative trials using tranexamic acid: a systematic review86. Adenoma detection rates and educational interventions: a systematic review87. Assessment of conflicts of interest in robotic surgical studies: validating author’s declarations with the Open Payments database88. Cost-effectiveness of extended thromboprophylaxis in patients undergoing colorectal surgery from a Canadian health care system perspective89. Use of in situ simulation to identify latent safety hazards during introduction of a massive transfusion protocol90. Validating a uniform system for measuring disease severity in acute appendicitis91. Nonoperative management of complicated appendicitis: short-term benefits with potential long-term risks92. Impact of robotic assistance on mental workload and cognitive performance of surgical trainees performing a complex minimally invasive suturing task93. The role of antibiotics in acute uncomplicated diverticulitis: a systematic review and meta-analysis94. Predictive factors associated with unplanned readmission following colorectal surgery95. Duodenal strictures: rates of malignancy and difficult diagnoses96. Assessing compliance with practice management guidelines for penetrating abdominal trauma at a level I trauma centre97. Advancement in the quality of operative documentation: a systematic review and meta-analysis of synoptic versus narrative operative reporting98. Medical student perspectives on the impact of resident-as-teacher training: a realist review01. A population-based analysis of the drivers of short-term costs following colorectal surgery02. Implementation of a standardized protocol for the closure and care of perineal wounds leads to a decrease in the incidence of perineal wound complications03. Are there identifiable points of delay in the treatment of patients with colorectal cancer? An assessment of efficiency of care from initial referral for colonoscopy to surgical resection04. Treatment strategies and survival trends for anorectal melanoma: Is it time for a change?05. Rectal cancer in younger patients: rare, aggressive and deadly06. The effect of simethicone on postoperative ileus in patients undergoing colorectal surgery (SPOT), a randomized controlled trial07. Are rectal cancer patients with pretreatment N2-positive disease suitable for “watch and wait” protocols? An ACS-NSQIP analysis08. Assessing the readability, quality and accuracy of online health information for patients with low anterior resection syndrome09. Does time to closure of loop ileostomy increase the risk of postoperative ileus? A large, single-institution review10. A comparison of pathologic outcomes of open, laparoscopic, and robotic resections for rectal cancer using the ACS NSQIP proctectomy-targeted database: a propensity score analysis11. Different risk factors for in-hospital and postdischarge venous thromboembolic events after colorectal surgery12. Comparison between conventional colectomy and complete mesocolic excision for colon cancer — a systematic review and pooled analysis13. Nonoperative management compared with radical resection of locally advanced rectal cancer following complete clinical response: a Markov decision analysis14. A mobile device application (app) to improve adherence to an enhanced recovery program for colorectal surgery: a randomized controlled trial15. Short-term outcomes of perioperative blood transfusions in colorectal cancer surgery: a propensity-adjusted analysis16. Pelvic exenteration with iliac vessel resection for lateral pelvic wall involvement in rectal surgery17. Impact of preoperative bowel preparation on the risk of Clostridium difficile after colorectal surgery: a propensity weighted analysis18. Does obesity class impact outcomes of total proctocolectomies with ileal-pouch anastomosis? An ACS NSQIP analysis19. Impact of tumour deposits on oncologic outcomes in stage III colon cancer20. Minimally invasive surgery for stage III colon adenocarcinoma is associated with less delay to initiation of adjuvant systemic therapy and improved survival21. Delay between neoadjuvant chemoradiation and surgery on rectal cancer outcomes22. Post-TES syndrome: a constellation of symptoms resulting from localized pelvic inflammatory changes following transanal endoscopic surgery (TES)23. Hartmann stump complications: Are they rarer than we think?24. A comparison of 2 validated instruments to measure anorectal function in patients with rectal tumours25. A randomized-control trial of multi-platform audiovisual teaching modules in colorectal surgery26. A comparison of nodal harvest following colectomy for obstructed and non-obstructed colon cancer: a matched ACS-NSQIP analysis27. Transanal endoscopic microsurgery (TEM) for rectal GI stromal tumours28. Retrospective case series of full-thickness local excision of rectal neuroendocrine tumours by transanal endoscopic microsurgery29. Preoperative versus postoperative neoadjuvant therapy for locally advanced rectal cancer: an assessment of long-term (> 2 years) functional outcomes30. Sedative-related cardiorespiratory events in colonoscopy: a systematic review and network meta-analysis31. Surgical site infection in elective colon and rectal resections: effect of oral antibiotics32. Trends in the characteristics of proximal and distal colon cancers: a population-based study33. Alberta Rectal Cancer Initiative: implementation of a provincial rectal cancer clinical pathway results in sustainable quality improvement01. Laparoscopic Heller myotomy with or without Dor fundoplication for the treatment of achalasia. Do surgical outcomes differ?02. Esophageal replacement following gastric devascularization is safe but may not decrease anastomotic complications of a cervical anastomosis03. Surgical morbidity of full-thickness chest wall resection for breast cancer: a coarsened exact matching study04. Enhanced recovery after lung cancer surgery in Canada: a survey of current practices05. Enhanced recovery after esophagectomy in Canada: a survey of current practices06. Comparison of outcomes with operative and nonoperative treatment of thoracic empyema: a population-based study07. Impact of positive parenchymal margins following non-small cell lung cancer resection08. Uniportal video-assisted thoracoscopic pulmonary resection: first series in Western Canada09. A huge posterior mediastinal retrosternal goiter surgically removed through cervicosternal approach10. Safety and efficacy of dose reduction of tissue plasminogen activator in the treatment of empyema: a retrospective cohort study11. Lung surface tracking during VATS can help characterize lung tissue stiffness variations12. Symptom control and quality of life over time following laparoscopic Heller myotomy and Dor fundoplication for achalasia13. The addition of mobile app technology to a postdischarge home care program following major lung resection reduces the rate of emergency department visits14. Contemporary trends in level of evidence in general thoracic surgery clinical research15. Tools for individualized survival prediction in esophageal and gastresophageal junction cancer16. Survival for esophageal cancer during regionalization in Ontario17. Intense surveillance with low-dose computed tomography after resection of early-stage non-small cell lung cancer: Are we doing too many scans?18. Anatomic resections improve survival following lung metastasectomy of colorectal cancer harboring KRAS mutations19. The Canada Lymph Node Sonographic Score: national validation of a sonographic score to determine the probability of malignancy in mediastinal lymph nodes at the time of endoscopic ultrasound assessment20. Prognostic value of neutrophil to lymphocyte ratio in lung metastasectomy of colorectal cancer21. Where to start: comparing induction chemoradiotherapy and upfront surgery in the treatment of clinical T2N0 esophageal cancer22. Pilot study of implementation of an enhanced recovery pathway following minimally invasive esophagectomy in a Canadian thoracic academic centre23. Withdrawn24. Follow-up report of chest wall reconstruction with sternal allograft in 2 cases25. The VTE PRO: an initial analysis of a pilot feasibility, double-blind, randomized controlled trial comparing extended, postdischarge VTE prophylaxis with placebo in patients undergoing major oncological lung resections26. Patient trajectory in the evaluation and treatment of high-grade dysplasia and T1 esophageal cancer with endoscopic mucosal resection versus esophagectomy01. Withdrawn02. Natural killer cell IFNγ secretion is profoundly suppressed following colorectal cancer surgery03. Is R1 hepatectomy still relevant in the contemporary management of colorectal liver metastases? Long-term outcomes from a multi-institutional bi-national analysis04. Integrating patient-reported outcomes (PROs) in neuroendocrine tumours (NETs) care: an assessment of cognitive and psychological screening tools during follow-up05. The treatment and outcome of merkel cell carcinoma in the last 15 years: a multi-institutional study06. Withdrawn07. Patient-reported factors influencing the treatment decision-making process of elderly women with breast cancer: a systematic review of qualitative evidence08. Impairments in bowel function, social function and quality of life after cytoreductive surgery and HIPEC09. Surgical morbidity of full-thickness chest wall resection for breast cancer: a coarsened exact matching study10. The surgical treatment of male breast cancer: an analysis of the National Surgical Quality Improvement Program (NSQIP) database11. Treatment patterns, recurrence and breast cancer-specific mortality in a cohort of elderly patients with breast cancer: a population-based study12. Does fragmentation of care impact long-term cancer outcomes? A 10-year population-based analysis of adjuvant therapy decentralization for pancreatic adenocarcinoma13. Qualitative experiences of elderly women with breast cancer care: a systematic review14. Squamous cell carcinoma with regional metastasis to axilla or groin lymph nodes: a multicentre analysis of outcomes15. Retrospective analysis of size as an independent risk factor for recurrence of low-risk well-differentiated thyroid cancer16. Utility of chest CT in gastric cancer staging17. An interprovincial collaboration for large-scale surgical quality improvement using a synoptic reporting and feedback system18. Extent of groin dissection in melanoma: a mixed-methods, population-based study of practice patterns and outcomes19. Withdrawn20. Receptor subtype is associated with type of treatment and overall survival in very elderly (> 80 yr) breast cancer patients21. Cancer surgery centre designation and outcomes for resected gastric cancer patients22. Is laparoscopy protective of adverse events in increasingly obese patients with rectal cancer? A multi-institutional comparative analysis of outcomes23. Cost-effectiveness analysis of molecular testing for cytologically indeterminate thyroid nodules24. In the presence of post-mastectomy radiation, immediate and delayed breast reconstruction have similar cosmetic outcomes and patient satisfaction25. Retroperitoneal sarcoma — a retrospective study on survival outcomes and complication rates26. Stereotactic image-guided neo-adjuvant single-dose radiation then lumpectomy (SIGNAL trial) for early breast cancer: a novel method of breast conserving therapy that optimizes patient cosmesis and quality of life01. VARD (video-assisted retroperitoneal debridement) for severe necrotizing pancreatitis02. Laparoscopic transmesentericapproach to the duodenum03. A meta-analysis exploring the role of PET and PET-CT in the management of potentially resectable colorectal cancer liver metastases04. Bile spillage results in adverse oncological outcomes in incidental gallbladder cancer05. Early experience with irreversible electroporation in a Canadian program: safe ablation of anatomically sensitive tumours06. Implementation of a clinical pathway for the Whipple procedure: impact and opportunities07. Evaluating the safety and effectiveness of STING ligands in a murine model of locally advanced pancreatic cancer08. Overall complications with the use of preoperative biliary stenting versus pancreaticoduodenectomy alone in patients with obstructive jaundice and pancreatic adenocarcinoma. An analysis of the ACS NSQIP registry09. HOSPITAAL: a score to predict blood transfusion in patients undergoing pancreaticoduodenectomy10. Total neoadjuvant therapy in distal pancreatic cancer: single institution outcomes11. The safety and effectiveness of hypovolemic phlebotomy on patients undergoing liver surgery: a systematic review and meta-analysis12. Standardizing early drain removal after pancreatectomy to reduce pancreatic fistula and surgical site infection: a quality improvement project13. Disparities in surgical therapy for pancreas cancer: a population based study14. Critical appraisal of predictive tools to assess the difficulty of laparoscopic liver resection: a systematic review15. Development and implementation of a clinical pathway for liver resection: a quality improvement initiative16. The laparoscopic hepatectomy proficiency learning curve: a 10-year single-institution experience01. Incidence of incisional hernias following single-incision versus traditional laparoscopic surgery: a meta-analysis02. Laparoscopic repair of a sciatic hernia with self-adherent mesh03. Modern-era operative outcomes of paraesophageal hernia repair04. The management of incisional hernias: current practices of Canadian general surgeons05. Massive retroperitoneal lipoma presenting as symptomatic inguinal hernia06. Emergency laparoscopic and open repair of incarcerated ventral hernias: a multi-institutional comparative analysis with coarsened exact matching07. Trans-abdominal pre-peritoneal (TAPP) umbilical and ventral hernia repair08. Modified TAPP and Rives-Stoppa technique for primary or incisional umbilical and ventral hernias09. e-TEP Rives–Stoppa repair10. Robotic assisted retrorectus ventral hernia repair — a Canadian first01. Improving fetal–maternal outcomes after bariatric surgery02. Internal hernia during pregnancy after gastric bypass03. The economic impact of bariatric surgery: a retrospective cohort study04. Health service use 12 months before and 24 months after laparoscopic sleeve gastrectomy05. Evaluating the safety of intragastric balloon: a propensity-matched analysis of the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) database06. Predicting venous thromboembolism following laparoscopic bariatric surgery: development of the BariClot tool using the MBSAQIP database07. The incidence of fractures following bariatric surgery: a systematic review08. The relationship between thyroid hormone levels and bariatric surgery: a systematic review09. Do laparoscopic transversus abdominis plane and rectus sheath blocks improve enhanced recovery after bariatric surgery outcomes?10. Marginal ulcer perforation into the pericardium following Roux-en-Y gastric bypass11. Withdrawn

St. John’s, NL Sept. 13–15, 2018