2011 Annual Report - NorthShore University HealthSystem
Transcription
2011 Annual Report - NorthShore University HealthSystem
2011 Annual Report Medical Group Department of Surgery Chairman’s Letter Contents Clinical Growth 2 Surgical Education 3 Surgical Research and Clinical Trials 4 Translational Research 7 Selected Honors 9 Divisional Summaries 10 Cardiac and Thoracic Surgery General Surgery Neurosurgery Ophthalmology Otolaryngology Plastic Surgery Surgical Oncology Urology Vascular Surgery Philanthropy19 2011 Peer-Reviewed Publications and Book Chapters 20 Staff Directory 24 NorthShore University HealthSystem (NorthShore) has a long tradition of providing leading-edge surgical care to the community it serves. The Department of Surgery has kept pace, and indeed has led the way. Within the Department, NorthShore has made extraordinary investments in 21st Mark S. Talamonti, MD century technologies, translational research and the highest Chairman of Surgery caliber of surgeons who are renowned in their respective Stanton and Margaret Rogers Palmer specialties and who show steadfast commitment to their Chair of Surgery patients while mentoring and teaching future generations of surgeons. 2011 is no exception, vividly illustrating the Department of Surgery’s commitment to NorthShore’s mission “to preserve and improve human life” through excellence in clinical care, research and education. These accomplishments are highlighted in this Annual Report. The achievements of the Department begin, first and foremost, with the talented surgeons from our nine divisions, which are summarized in this report. We had several key recruitments this past year, strengthening our capabilities within the Department. NorthShore is indeed fortunate to have an extraordinary cadre of superb clinical surgeons with demonstrated academic accomplishments whose top priority is outstanding patient care. In 2011, a number of these surgeons were ranked by US News & World Report in the top 1 percent of surgeons in the nation. Leading-Edge Capabilities In recent years, developments in operating room technology and minimally invasive surgical techniques have transformed most surgical subspecialties. NorthShore has kept pace with these advancements. In 2011, the state-of-the-art, 13,000-square-foot NorthShore Center for Simulation and Innovation (NCSI) was opened at NorthShore Evanston Hospital. NCSI is designed specifically for multispecialty, multidisciplinary simulation. It is a leading resource for surgeons both to train in established minimally invasive techniques and develop and test new methods and procedures— essentially, it is the surgeons’ research lab. NCSI received accreditation as a comprehensive Level I program from the American College of Surgeons (ACS) Education Institute. This is the highest status awarded by ACS, which seeks to build a community of institutions interested in furthering surgical education. NorthShore is leading the way in using the most advanced surgical equipment and establishing surgical excellence in areas such as endoscopic surgery, minimally invasive procedures In 2011, NorthShore continued to lead the way in providing leading-edge surgical care with our new state-of-the-art endovascular suite at Evanston Hospital and Natural Orifice Transluminal Endoscopic Surgery (NOTES). Our surgeons are doing more with less invasive surgery and performing more complicated clinical surgery with less invasive technologies. Research The Department of Surgery at NorthShore has a collective goal for our division members to increase participation in clinical trials, as well as to author and create clinical trials that will have an impact upon patient care. As these pages show, our surgeons are participating in various relevant clinical trials and research projects, many with leadership roles. Their innovative and participative approach to move new and better concepts of care into the clinical arena is evident. The active involvement and commitment by our surgeons to clinically relevant research is equally important to outstanding patient care now and well into the future. Education Given NorthShore’s stature as the primary teaching affiliate of the University of Chicago Pritzker School of Medicine, our surgeons play an integral role as mentors and educators to residents, interns and medical students. Our attending physicians hold academic appointments at the University. As an academic medical center, we create an exhilarating environment in which to learn and discover—this is true not only for future physicians, but also for the members of our Department. Across all of our divisions, many of our surgeons have been recognized with various teaching awards, while others are involved in various academic endeavors, research programs and lectureships that demonstrate the dedication of our staff to lifelong learning. It is not surprising that many of our surgeons themselves received training at NorthShore and have come back to practice here and mentor up-and-coming surgeons. The Department of Surgery has built on NorthShore’s 120-year history of growth, innovation and commitment to patient care. We are proud to share these accomplishments with you. Sincerely, Mark S. Talamonti, MD Chairman of Surgery Stanton and Margaret Rogers Palmer Chair of Surgery Dr. Michael Ujiki, Director of NorthShore’s Center for Simulation and Innovation, bridges advances in Minimally Invasive Surgical technology and innovative strategies in Surgical Education with his commitment to establish NorthShore as a center of surgical and teaching excellence. Department of Surgery 2011 Annual Report 1 200 10,000 100 0 Clinical Growth Over the past four years, under the leadership of Department Chairman Mark S. Talamonti, MD, our clinical volume has grown steadily. Key recruitments in the Department and NorthShore’s ability to lead the region in minimally invasive surgical techniques and advanced technologies have helped fuel this growth. 2007 2008 2009 2010 2011 0 Num Number of Surgical Procedures in the OR Number of Surgical Procedures 15,000 13,085 12,000 10,645 9,823 14,221 10,890 60,000 45,000 9,000 30,000 6,000 15,000 3,000 0 Work RVUs Work RVUs 500 300 445 300 286 337 346 337 346 445 475 40,000 475 40,000 30,000 30,000 286 100 2007 2007 2008 2008 2009 2010 2009 2010 2011 2011 600 Number of Surgical Procedures in the OR 0 Number of Surgical Procedures in the OR 13,085 15,000 12,000 12,000 9,823 9,000 9,823 29,131 34,080 32,578 29,131 Number of IRB Approved CLinical Trials 111 84 10,645 10,890 10,645 10,890 13,085 2007 2007 2008 2008 2009 2009 2 NorthShore University HealthSystem 2010 2010 55 55 52 2009 2010 2011 2009 2010 2011 Number of established patient office visits Number of Established Patient Office Visits Number of established patient office visits 2007 2008 2009 14,221 60,000 14,221 60,000 48,272 45,000 48,272 NorthShore’s investment in surgical technology and 9,000 equipment has contributed to an overall increase in 6,000 surgical procedures performed at our hospitals over the past four years. Since 2007, the number of surgi6,000 cal procedures has increased 69 percent. New patient 3,000 office visits and the number of established patient 3,000 office visits have also continued to climb. 0 34,080 32,578 0 40 20 0 Number of New Patient Office Visits 10,000 80 10,000 100 15,000 2011 20,000 100 200 0 2010 120 20,000 200 0 2009 Number of New Patient Office Visits (in thousands) 500 400 2008 Number of New Patient Office Visits (in thousands) 400 2007 2011 2011 45,000 35,251 30,000 35,251 2010 2011 51,846 51,846 30,000 15,000 15,000 0 0 2009 2010 2011 2009 2010 2011 0 Surgical Education The NorthShore Department of Surgery has a full spectrum of educational offerings, beginning with undergraduate medical education and including graduate medical education for residents and fellows. Our programs also extend to physicians’ assistants and to faculty continuing medical education. We have hosted courses for our own faculty and for visiting faculty from other institutions who come to NorthShore to take advantage of our expertise. NorthShore is the primary teaching affiliate of the University of Chicago Pritzker School of Medicine. Our joint programs with the University of Chicago continue to grow and mature, providing mutual benefit to both institutions. The recent opening and accreditation of the NorthShore Center for Simulation and Innovation (NCSI) affords us the opportunity to expand our educational programs and to have a profound impact on the future of surgery and surgical education. 2011 University of Chicago Appointments/Promotions Clinical Professor: Richard Prinz, MD Clinical Associate Professor: Tina Desai, MD, and Navyash Gupta, MD Clinical Assistant Professor: Michael Blum, MD; Subhasis Chatterjee, MD; Troy Close, MD; Theodore Eller, MD; Omar Morcos, MD; Veeral Sheth, MD; Marc Singer, MD; Mark Sisco, MD and Jeremy Warner, MD Nancy Schindler, MD Vice Chairman of Surgery for Education Graduate Medical Education Programs • University of Chicago General Surgery Residency Program received maximum five-year accreditation from the American Council of Graduate Medical Education (ACGME). • University of Chicago Surgical Oncology Fellowship also received full five-year accreditation from the Society for Surgical Oncology. These accreditations reflect the high quality of our educational programs. • The Department of Surgery contributes significantly to the education and training programs at the University of Chicago Pritzker School of Medicine, supporting the education of surgical fellows, residents and third- and fourth-year medical students in multiple surgical disciplines. Additionally, University of Illinois Otolaryngology residents also rotate through NorthShore. Teaching Awards • In recognition of her outstanding contributions to medical education, Nancy Schindler, MD, has been inducted into the prestigious Academy of Distinguished Medical Educators at the University of Chicago. • NorthShore faculty receiving Teaching Excellence Awards from the University of Chicago Department of Surgery include: Omar Morcos, MD; Marc Singer, MD; James Spitz, MD; Mark Talamonti, MD; Michael Ujiki, MD; David J. Winchester, MD; David P. Winchester, MD and Katharine Yao, MD. • Ophthalmology—Marian Macsai, MD, was honored with Teacher of the Year Award from the Division of Ophthalmology at the University of Chicago. New Educational Programs • Teaching Effectiveness—Nancy Schindler, MD, has implemented a new Teaching Effectiveness Faculty Development program, and 11 NorthShore surgical faculty members are participating. • Open Surgical Skills Curriculum—Katharine Yao, MD, has been appointed to lead a new Open Surgical Skills Curriculum for University of Chicago general surgery residents. Recent Grants Awarded • Medical Education Grant—NorthShore has received a medical education grant from the University of Chicago Graduate Medical Education Committee entitled “Pilot Curriculum for Teaching Residents Single Incision Laparoscopic Surgery: A Patient Safety Initiative.” This is a three-year grant totaling $40,000. Selected Educational Presentations Nancy Schindler, MD, Vice Chairman of Surgery for Education, made several surgical education presentations at national meetings including: • “The Resident Personal Learning Plan: One Step Toward Lifelong Learning”—Association for Surgical Education, San Antonio, Texas, April 2010. • “Valuable Teachers Should Be Valued”—Association for Surgical Education, Boston, Mass., March 2011. Department of Surgery 2011 Annual Report 3 Surgical Research and Clinical Trials Surgical Research Surgeons at NorthShore participate in a wide variety of relevant clinical trials and research projects, many with leadership roles. To support its members in these important endeavors, the Department includes a Surgical Research Office designed to advance the medications, instrumentations and technologies used in the field of surgery. The surgical research team is composed of dedicated staff—including physicians, nurses and research associates—who are specifically trained and certified in clinical research. Surgical Research Office staff partner with surgeons to assist patients through the clinical trial process. This can include helping identify patients who qualify for clinical trials, determining eligibility, obtaining informed consent, monitoring adherence to the protocol, representing investigators to research and regulatory organizations, collecting data and ensuring that data is validated. The office also maintains a variety of clinical databases and coordinates the collection of solid tumors for the institution’s biospecimen repositories. Judi O’Leary (seated center) leads a research office consisting of 20 research associates conducting investigations in more than 100 active clinical surgery trials. Surgical Research Organizational Chart Mark S. Talamonti, MD Chairman, Department of Surgery Charles Brendler, MD Vice Chairman, Research and Development Marshall Baker, MD, MBA Associate Vice Chairman, Surgical Research Judith O’Leary, RN, OCN, CCRP Administrative Director CORE Surgical Research Office Divisional Satellite Research Offices Ujala Bokhary, MBBS Research Associate Breast Surgery Tomasz Czechura, MS Research Associate Pancreatic Surgery Michael Kamradt, BS Project Coordinator Brigid Martz, BA, CCRP Clinical Research Associate Susan Jane Stocker, LPN, BLS, CCRP Administrative Coordinator Klara Agnes Brugger, RN Clinical Research Nurse Marna Burright, RN, BSN, CCRP Clinical Research Nurse Michelle Catalano, BS, CCRP Research Study Coordinator Michele Corrado, RN, BA Clinical Research Nurse Karen O’Hara, BS, MT, ASCP Clinical Research Associate Jaclyn Pruitt, MA Clinical Research Associate Sarah Rabbitt, RN, BSN, CCRP Clinical Research Nurse Mary Turk, CTR, CCRP Breast Study Database Manager Minimally Invasive Surgery JoAnn Carbray, BS, CCRP Clinical Research Associate Amy Yetasook, BS Research Assistant Ophthalmolgy Mira Shiloach, MS Clinical Research Associate Lissa Silver, PhD Research Scientist 4 NorthShore University HealthSystem Plastic Surgery Brooks Johnson, MD Research Associate Veronica Rundell, PhD Clinical Research Associate Vascular Surgery Karen Hynes, BS Clinical Research Associate Number of IRB Approved CLinical Trials Number of IRB-Approved Clinical Trials 120 111 100 Clinical Trials 84 Clinical trials are vital to testing new treatments that may ultimately improve patient care. The NorthShore Department of Surgery has a dedicated research team that currently oversees more than 100 clinical studies, all of which have been approved by our Institutional Review Board (IRB). Listed here is a sample of our current clinical research studies. 80 55 55 52 2007 2008 2009 60 40 20 0 2010 2011 2011 Selected Clinical Research Studies Investigator Clinical Trial Sponsor Division of Cardiac and Thoracic Surgery Investigator Clinical Trial Sponsor Division of General Surgery (continued) Chatterjee CONVERT: High-Intensity Focused Ultrasound Application in the Surgical Treatment of Atrial Fibrillation Industry Howington Establishment and Maintenance of a Comprehensive Data Registry and Tissue Bank for Lung and Esophageal Malignancies NorthShore Howington ACOSOG Z4032: A Randomized Phase III Study of Sublobar Resection Versus Sublobar Resection plus Brachy-therapy in High Risk Patients with Non-Small Cell Lung Cancer, 3 cm or Smaller National Cancer Institute (NCI) Howington ACOSOG Z4051: A Phase II Study of NCI Neoadjuvant Therapy With Cisplatin, Docetaxel, Panitumumab plus Radiation Therapy Followed by Surgery in Patients With Locally Advanced Adenocarcinoma of the Distal Esophagus Ujiki Establishment of a Prospectively Maintained Database to Evaluate Outcomes Following Repair of Abdominal Wall Hernias NorthShore Ujiki A Comprehensive Gastro- Esophageal Database NorthShore Ujiki Per-Oral Endoscopic Myotomy (POEM) NorthShore David J. A Prospective Trial of Robotic Thyroid Winchester and Parathyroid Surgery NorthShore Division of Neurosurgery Division of General Surgery Singer ACOSOG Z6051: A Phase III Prospective Randomized Trial Comparing Laparoscopic-Assisted Resection Versus Open Resection for Rectal Cancer NCI Denham Comprehensive Data Registry for NorthShore Bariatric Surgical Services NorthShore Prinz Use of Partial Wave Spectroscopy to NorthShore Determine Whether Follicular Thyroid Lesions Are Benign or Malignant Ujiki A Prospective Randomized Trial NorthShore Comparing Single-Incision Laparoscopic Cholecystectomy vs. Standard MultiIncision Laparoscopic Cholecystectomy Awad* CLEAR IVH III (Clot Lysis: Evaluated Accelerated Resolution of Intraventricular Hemorrhage Phase III) National Institutes of Health (NIH) Awad* MISTIE: Minimally Invasive Surgery Plus rt-PA for ICH Evacuation NIH Ciric Long-Term Results Following Transsphenoidal Surgery for Cushing’s Disease—Retrospective Review of 160 Patients NorthShore Stadlan A Prospective, Multi-Center, Double- Industry Blind, Randomized, Placebo Controlled Pivotal Study of Ultrasound Therapy as Adjunctive Therapy for Increasing Posterolateral Fusion Success Following Single-Level Posterior Instrumented Lumbar Surgery continued * Adjunct faculty with primary appointment at the University of Chicago Pritzker School of Medicine Department of Surgery 2011 Annual Report 5 2011 Selected Clinical Research Studies Investigator Clinical Trial (continued) Sponsor Division of Otolaryngology Chen A Randomized Trial of the Management of Pediatric Chronic Rhinosinusitis With or Without Balloon Sinuplasty Investigator Clinical Trial Sponsor Division of Plastic Surgery NorthShore Chen Failed Newborn Hearing Screening: NorthShore Predicting Eustachian Tube Dysfunction, 2003–2009 Howard The Prospective Study of Nipple- Sparing Mastectomy: Oncologic and Reconstructive Outcomes NorthShore Sisco Development and Maintenance of a NorthShore Comprehensive Breast Reconstruction Registry at NorthShore University HealthSystem Gerber Endoscopic Posterior Cricoid Split and Costal Cartilage Graft Placement in Children NorthShore Warner Randomized Single-Blind Trial for Pain Reduction in Rhinoplasty Using Autologous Rib Grafts NorthShore Raviv NorthShore Bauer Creation of a Tissue Repository for Biological Samples from Congenital Nevi and Other Neurocristopathies NorthShore Effects of Endoscopic Sinus Surgery for Chronic Sinusitis on Asthma Control Division of Surgical Oncology Division of Ophthalmology Baker Comparison of Complications and Readmission Rates Following Laparoscopic and Open Distal Pancreatectomy Procedures NorthShore Baker Health Related Quality of Life in Surgical and Neoadjuvant Therapy for Pancreatic Cancer NorthShore Talamonti Analysis of Predictors of Postoperative Morbidity and Long Term Survival Following Pancreatic Surgery NorthShore Talamonti Clinical Pancreatic Cancer Database and Tissue Bank NorthShore Close A Prospective Case-Crossover Study Industry to Evaluate the Possible Association Between the Use of PDE5 Inhibitors and the Risk of Acute Nonarteritic Anterior Ischemic Optic Neuropathy (NAION) Macsai Retrospective Comparison of Surgeon Complication Rates of Vitrectomy During Cataract Surgery Sheth/ Maker A Phase II Evaluation of Topical NSAIDs NIH in Eyes with Non-Central Involved DME Sheth Age-Related Eye Disease Study 2 (AREDS 2) NorthShore NIH David J. Z1071: Phase II Evaluation SLND and Winchester ACOSOG ALND following Neoadjuvant Therapy in Stage II/III Breast Cancer NCI Yao Establishment and Maintenance of the NorthShore University HealthSystem Comprehensive Data Registry for Breast Surgeries and Breast Tissue Bank NorthShore Gupta A U.S. Phase 2, Randomized Single Industry Blind, Controlled, Comparative Efficacy and Safety Study of Topical Fibrocaps™ and Gelatin Sponge (USP) in Surgical Hemostasis Yao Prospective Observational Trial of Breast NorthShore MRI in Newly Diagnosed Breast Cancers Gupta IVC Filter Evaluation of Retrieval Incidence: Temporary vs. Permanent Yao Peritumoral Mastectomy Study Division of Vascular Surgery NorthShore NorthShore Division of Urology Brendler A Multi-Phase Study of Active Surveil- lance for Men with Clinical Stage T1c or T2a Localized Prostate Cancer NorthShore Brendler Reducing Stress During Active Surveillance NorthShore Crawford Periprostatic Fat as a Promoter of Prostate Cancer Progression NorthShore McGuire 3-Dimensional Transrectal Ultrasound NorthShore for Prostate Cancer Diagnosis and Surveillance 6 NorthShore University HealthSystem Dr. Katharine Yao is involved in a number of clinical research studies for breast cancer, including a prospective observational trial of breast MRI in newly diagnosed disease. Translational Research NorthShore has built its reputation on translational research, focusing its scientific inquiry on the direct improvement of clinical care and patient outcomes. Under the leadership of Susan Crawford, DO, Director of NorthShore’s Metabolic Core Facility and Scientific Director of the Center for Molecular Medicine, the Department of Surgery is actively involved in a variety of important research studies that include three major cancers—breast, pancreatic and prostate. Our physician-scientists are studying ways to use metabolic profiles to determine prognosis and guide treatment in patients with certain cancers. Breast Cancer MR imaging and metabolic analysis of peri-tumoral fat from patients with breast cancer or patients with known genetic risk factors for breast cancer Investigators: Drs. Katherine Yao, Phillip Fitchev and Susan Crawford Summary: Imaging studies are performed in each patient group to determine whether specific changes can be identified in the fat surrounding breast tumors, and/or fat in breast tissue from patients known to have genetic risk factors. Explanted fat tissue is analyzed by nuclear magnetic resonance (NMR) technology and immunohistochemical stains for anti-angiogenic factor and lipid regulator, pigment epithelium-derived factor (PEDF), and lipolytic enzyme, adipose triglyceride lipase, in formalin-fixed fat tissue samples. The goal of the project is to discover novel imaging and metabolic features of peritumoral fat, thus, allowing better patient stratification for therapeutic management. Functional studies of BRCA2 in the regulation of mammary stem cell proliferation and differentiation Investigators: Drs. Qingshen Gao, Xinping Wang, Chaozhong Zou, Susan Crawford and Phillip Fitchev Summary: We found that BRCA2 plays an important role in mammary stem cell differentiation. We also found that depletion of BRCA2 in telomerase immortalized human mammary epithelial cells leads to cells with pluripotent stem cell properties, which are capable of differentiating into myoepithelial, luminal epithelial cells and many lineages of mesenchymal cells, including adipocyte, chondrocyte, Center for Molecular Medicine NorthShore’s new Center for Molecular Medicine is translating advanced scientific discoveries at the molecular level into direct tangible benefits for patients. The program focuses on the cellular structure of diseases, which enables NorthShore physicians to offer patients new noninvasive ways of understanding their medical conditions. It also provides physicians with new tools to recognize and treat their patients with therapies tailored to their individual molecular profile. Janardan Khandekar, MD, former Chairman of Medicine at NorthShore, is the Center’s Janardan Khandekar, MD Director, with Susan Crawford, Director, Center for DO, serving as the Center’s Molecular Medicine Scientific Director. Susan Crawford, DO Director, Metabolic Core Facility and Scientific Director, Center for Molecular Medicine osteocyte, cardiomyocyte and neurocyte. Importantly, these BRCA2 depleted cells are capable of forming tumors in NOD-SCID mice. Our novel findings suggest that the main tumor suppressing function of BRCA2 is likely due to its role in mammary stem cells proliferation and differentiation. Crosstalk between the BRCA2 and APC/b-catenin pathways in mammary stem cells and breast cancer Investigators: Drs. Qingshen Gao, Chaozhong Zou and Katherine Goss (University of Chicago) Summary: The regulation of stem cell behavior is thought to be a major driver of breast cancer pathogenesis and preliminary studies from the Gao laboratory indicate that BRCA2 is an important stem cell regulator. APC (adenomatous polyposis coli) is also a tumor suppressor frequently inactivated in breast and other cancers. Recently, the Goss lab discovered that APC is required for integrity of the differentiated mammary epithelium in vitro, and, in vivo, its loss sufficient to promote breast tumorigenesis. Wnt/b-catenin signaling is associated with stem cells in human breast cancer tissues. We hypothesize that the APC/b-catenin pathway may mediate BRCA2 regulation of stem cell differentiation and that disruption of APC and BRCA2 pathways likely play a synergistic role in breast cancer. To test these hypotheses, we propose to determine the role of the APC/Wnt pathway in BRCA2mediated regulation of stem cell differentiation and elucidate the functional interaction between the BRCA2 and APC/b-catenin pathways in breast tumorigenesis. Pancreatic Cancer Study of pigment epithelium-derived factor (PEDF) as a potential therapy for pancreatic cancer and to investigate how cancer cells utilize lipid-related pathways to fuel their growth Investigators: Drs. Mark Talamonti, Susan Crawford, Lijun Huang and Margo Quinn, MS Summary: PEDF is over-expressed in pancreatic cancer cells and found to suppress tumor growth and invasion in vitro by altering a checkpoint kinase that monitors DNA damage. Lipid droplets within the pancreatic cells are altered when PEDF is expressed. Signaling pathways are being explored to better understand how PEDF regulates lipid stores in this tumor. Study of genetic signatures of pancreatic tumors from patients with multi-year survival vs. one-year survival Investigators: Drs. Kamalakar Gulukota, Mark Talamonti, Robert Marsh and Karen Kaul Summary: While most cases of pancreatic cancer lead to death within a year, there are some long-term survivors (more than five years). We will sequence the exomes of both types of tumors. Analysis of the sequence will be done to identify the genetic continued markers of long-term survival. Department of Surgery 2011 Annual Report 7 Generating pancreatic cancer animal models by targeting BRCA2 pathway Investigators: Drs. Qingshen Gao, Chaozhong Zou, Susan Crawford and Phillip Fitchev Summary: We are in the process of developing three pancreatic cancer mouse models by targeting BRCA2, centrobin and DSS1. Pancreatic tissue specific knockout mice will be generated by expressing cre recombinase specifically in pancreas. These mice will be crossed with Kras transgenic mice to evaluate their function in pancreatic cancer tumorigenesis. Novel pancreatic cancer susceptibility genes Investigators: Drs. Qingshen Gao, Wendy S. Rubinstein, Mark Talamonti, Chaozhong Zou, Vivien Wang, Karen Kaul, Randall E. Brand (University of Pittsburgh), and David Bentrem (Northwestern University) and Raj. H. Koneru, MS, and Kristen Vogel, MS Summary: BRCA2 mutations likely account for the largest percentage of familial pancreatic carcinoma. Components of the BRCA2 pathway are likely direct targets of tumorigenesis and some may confer pancreatic cancer susceptibility through germline mutation. We have identified 13 BRCA2 binding proteins, including DSS1, MAGE-D1 and centrobin that we have published. We have strong evidence indicating that the genes encoding these 13 BRCA2 binding proteins are likely pancreatic cancer susceptibility genes. We have screened for germline mutations for candidate genes encoding these BRCA2 binding proteins in 276 participants in our Pancreatic Cancer Family Registry (PCFR). We have identified a number of potential mutations in the candidate genes which are not present in the 480 control subjects. These findings suggest that these variants are potential disease-causing mutations. We are now in the process of determining whether loss of heterozygosity is present in the mutation carriers’ pancreatic cancer samples. The family members of the mutation carriers are in the process of being recruited to determine whether these potential mutations will co-segregate with pancreatic cancer. Aging and pancreatic cancer Investigators: Drs. Qingshen Gao and Chaozhong Zou and Michael Kamradt, BS Summary: The risk factors consistently reported for pancreatic cancer are advanced age and cigarette smoking. In this project, we proposed to explore the role of aging in pancreatic cancer tumorigenesis using a mutated lamin gene that causes progeria. Hutchinson-Gilford progeria syndrome is a rare disorder characterized by accelerated aging and early death, which is caused by a lamin mutation (G608G). This mutation results in production of a dominant negative form of lamin A protein, referred to as progerin. Recent findings indicate that progerin expression also plays a role in normal aging. We hypothesize that progerin expression likely promotes pancreatic cancer tumorigenesis. We have generated a transgenic mouse model by crossing progerin transgenic mice with BRCA2 mutant mice. We will further develop pancreatic tissue specific mutants to assess the role of progerin in pancreatic cancer tumorigenesis. Functional studies of centrobin, a component of BRCA2 pathway Investigators: Drs. Qingshen Gao, Chaozhong Zou and Radhika Gudi Summary: We have identified 13 BRCA2 interacting proteins, which are likely important components of BRCA2 pathway. One of these BRCA2 binding proteins is a novel daughter centriole protein, centrobin. We are in the process of studying its biological function and its role in pancreatic and breast cancer tumorigenesis. 8 NorthShore University HealthSystem Develop a therapeutic approach for pancreatic cancer with fewer side effects by targeting a critical centrosomal protein, centrobin Investigators: Drs. Qingshen Gao, Xinping Wang, Chaozhong Zou and Radhika Gudi Summary: The majority of chemotherapeutic drugs target DNA replication, effectively killing rapidly dividing cells, including cancer cells, as well as rapidly dividing normal cells in some tissues. Damage to these normal tissues with rapidly dividing cells, including hair follicles, intestinal epithelium and bone marrow, leads to common side effects such as alopecia, diarrhea and hematologic disorders including anemia. We have recently found that depletion of centrosomal proteins such as centrobin inhibits centrosome duplication in cancer cells, leading eventually to cell death, while in normal cells, inhibition of centrosome duplication leads to cells with unduplicated centrioles and cell cycle arrest, but not cell death. Therefore, we hypothesize that inhibition of centrosome duplication could be a novel therapeutic approach for pancreatic cancer with fewer side effects. We have indentified a critical domain of centrobin that is important for its interaction with tubulins and have established that centrobin-tubulin interaction is required for centriole elongation and stability. Two critical phosphorylation sites have also been identified. Prostate Cancer Metabolic analysis of peri-prostatic fat surrounding tumorbearing prostates and normal prostates in obese and non-obese patients Investigators: Drs. Susan Crawford, Jennifer Doll, Phillip Fitchev and Charles Brendler Summary: Peri-prostatic fat from each patient group is analyzed using NMR technology and various bioassays to discover any unique metabolites made by peri-prostatic fat in the obese patient group. Fat-derived metabolites that are discovered to promote tumor cell proliferation in bioassays have the potential to serve as biomarkers to predict disease outcome or they can be the target for development of new therapeutic interventions. Development of bioadhesive for delivery of stem cells to postsurgical tumor sites to provide immediate anti-tumor therapy Investigators: Drs. Susan Crawford, Guillermo Ameer and Phillip Fitchev Summary: We have discovered that stem cells can secrete anti-angiogenic proteins, and we are developing a system in collaboration with biomedical engineers from Northwestern to embed neural stem cells in a bioadhesive derived from marine mollusks. This can then be applied to the bed of a tumor following surgical removal to eradicate microscopic residual cancer cells before they can replicate and metastasize. Study the pattern of fat infiltration in low- and high-grade human prostate cancer specimens and the expression of lipid regulators Investigators: Drs. Kristian Novakovic, Susan Crawford and Phillip Fitchev Summary: Since fat cells are known to secrete tumor-promoting factors, we are evaluating whether high-grade tumors are associated with infiltrating fat and whether this fat promotes tumor dedifferentiation and progression. Investigate the expression pattern of lipid regulators in prostate core biopsies in patients enrolled in the active surveillance study and compare these data to body mass index (BMI) and tumor progression Investigators: Drs. Susan Crawford, Phillip Fitchev and Charles Brendler Summary: Immunohistochemical studies using antibodies directed against lipolytic mediators are being performed on prostate core biopsy samples. The staining is scored by two pathologists and will be compared to BMI. Selected Honors Throughout its nine divisions, the skills and expertise of the physicians in the Department of Surgery have been recognized by a variety of professional organizations and publications. Those selected honors and the individual physicians recognized are listed here. National Recognition The Divisions of Neurosurgery and Urology were recognized in 2011 by US News & World Report as among the “best performing” programs nationally. Castle Connelly Top Doctors United States—Top 1 Percent John Alexander, MD, Cardiac Surgery Bruce Bauer, MD, Plastic Surgery Charles Brendler, MD, Urology John Howington, MD, Thoracic Surgery Richard Prinz, MD, Surgical Oncology Mark Talamonti, MD, Surgical Oncology Castle Connelly Top Doctors United States—Top 10 Percent Ermilo Barrera, MD, Surgical Oncology Michael Blum, MD, Urology Thomas Keeler, MD, Urology Marian Macsai, MD, Ophthalmology Michael McGuire, MD, Urology Joseph Muldoon, MD, General Surgery Nancy Schindler, MD, Vascular Surgery Jose Velasco, MD, General Surgery David J. Winchester, MD, Surgical Oncology Who’s Who in the World/America/Medicine and Healthcare Charles Brendler, MD, Urology Leonard Cerullo, MD, Neurosurgery John Howington, MD, Thoracic Surgery Marian Macsai, MD, Ophthalmology Mark Talamonti, MD, Surgical Oncology Cardiac and Thoracic Surgery • John Alexander, MD—President, American College of Chest Physicians Foundation • John Howington, MD—Chair, Thoracic Oncology Network, American College of Chest Physicians • John Howington, MD—Illinois Governor, American College of Chest Physicians • John Howington, MD—Membership Committee, Southern Thoracic Surgical Association General Surgery • Michael Ujiki, MD—Awarded Preceptor of the Year from Rosalind Franklin University of Medicine and Science • Jose Velasco, MD—Appointed Director of Education, NorthShore Center for Simulation and Innovation Neurosurgery • Gail Rosseau, MD—Appointed Vice President, North America, World Federation of Neurosurgical Societies Ophthalmology • Marian Macsai, MD—Awarded Teacher of the Year by Division of Ophthalmology at the University of Chicago Pritzker School of Medicine Surgical Oncology • Marshall Baker, MD—Best Original Paper by New Member, Midwest Surgical Association Meeting, 2010 • Katharine Yao, MD—Appointed to Internal Advisory Committee, University of Chicago Breast Special Program of Research Excellence (SPORE) Program • Katharine Yao, MD—Appointed to Executive Committee, Central Surgical Association Urology • Susan Crawford, DO—Currently the Director of Urologic Research; recently appointed Scientific Director of the NorthShore Center for Molecular Medicine Vascular Surgery • Joseph Caprini, MD—President, American Venous Forum • Tina Desai, MD—Program Committee, Midwest Vascular Surgery Society, 2010–2011 • Benjamin Lind, MD—Medical Director, Highland Park Wound Care Center • Nancy Schindler, MD—Chairman, Awards Committee, Association for Surgical Education Department of Surgery 2011 Annual Report 9 Division of Cardiac and Thoracic Surgery Division Surgeons Highlights and Accomplishments After five years of outstanding service as Division Chief, John Alexander, MD, retired as Chief of Cardiac Surgery and has been succeeded by Paul J. Pearson, MD, PhD, a Mayo Clinic-trained cardiothoracic surgeon and scientist. Dr. Pearson’s overall goal is to make the Division a destination site for cardiac surgery. Specific Divisional initiatives include focusing on the surgical treatment of heart failure, a multidisciplinary approach to complex aortic surgery, hybrid surgical approaches for the treatment of atrial fibrillation and partnering with the Division of Cardiology to establish a regional Heart Valve Institute. Paul Pearson, MD, PhD Chief of Cardiac Surgery New Faculty • Ki Wan Kim, MD—Dr. Kim completed general surgery residency at the University of Southern California and a thoracic surgery fellowship at the University of Michigan. His interests include thoracic oncology, minimally invasive/robotic thoracic surgery, esophageal surgery and mediastinal disease. Resident in Cardiothoracic Surgery NorthShore now has a full-time cardiovascular and thoracic resident from the University of Chicago. John Howington, MD Chief of Thoracic Surgery Subhasis Chatterjee, MD Ki Wan Kim, MD Clinical Programs • Perfusion Technology—Introduced the cardiopulmonary “mini circuit” (Medtronic Resting Heart System, Minneapolis, Minn.) that dramatically reduces blood and blood product utilization for use in all heart operations requiring cardiopulmonary bypass. NorthShore is the only institution in Illinois utilizing this advanced new technology. • Thoracoscopic Heart Surgery— Performed first totally thoracoscopic epicardial ablation procedures on the beating heart. This technology allows us to treat patients with debilitating cardiac arrhythmias utilizing telescopes and miniaturized radiofrequency probes. • Least Invasive Heart Valve Surgery— Introduced “least invasive” heart surgery to treat structural heart disease. Technology allows surgeons to repair and replace heart valves through small ports instead of through a conventional chest incision. • Lung Cancer Screening—John Howington, MD, is Co-Director of a multiinstitutional new clinical program using CT scans to screen 55- to 79-year-old patients with a smoking history of 30 or more packs per year. Dr. John Howington’s expertise includes performing video-assisted thoracoscopic surgery, or VATS, a minimally invasive procedure to remove lung tumors. Clinical Trials • Partner II Trial—Partnering with Cardiology to evaluate the next-generation Edwards SAPIEN XT valve for transcatheter treatment of severe symptomatic aortic heart valve stenosis. • EVEREST II Trial—Partnering with Cardiology in a randomized study of Evalve Inc., Cardiovascular Valve Repair System (MitraClip®) in the treatment of mitral valve regurgitation. • EXCEL Trial—Study comparing outcomes of drug-eluting stents to coronary artery bypass surgery in patients with left main coronary artery disease. NorthShore Service • John Howington, MD, Chief of Thoracic Surgery, also serves as Director for Medical Group Quality for Surgical and Hospital-based specialties. 10 NorthShore University HealthSystem Division of General Surgery Division Surgeons Highlights and Accomplishments The Division of General Surgery was divided this year into two Divisions: the Division of General Surgery led by Ervin (Woody) Denham, MD, and the Division of Surgical Oncology led by David J. Winchester, MD. The Division of General Surgery includes the sections of Colorectal and Minimally Invasive Surgery and is composed of nine surgeons. Woody Denham, MD Division Chief Stephen Haggerty, MD John Linn, MD Barbara Loris, MD Joseph Muldoon, MD Marc Singer, MD James Spitz, MD Michael Ujiki, MD Jose Velasco, MD New Faculty • John Linn, MD, completed his general surgical residency at Northwestern University and then a minimally invasive surgical fellowship at Ohio State University. • Stephen Haggerty, MD, and Barbara Loris, MD, highly regarded general surgeons in Lake County, have joined the NorthShore Medical Group. New Facility The NorthShore Center for Simulation and Innovation (NCSI) opened at NorthShore Evanston Hospital in May 2011. The NCSI is a state-of-the-art, 13,000square-foot facility that is used for both minimally invasive surgical research and education. Under the leadership of Michael Ujiki, MD, Director of Surgical Simulation, NCSI has already conducted six training courses and will be increasingly utilized for the education of attending surgeons, surgical residents, medical students and other health professionals. Jose Velasco, MD, Chief of Surgery at NorthShore Skokie Hospital, has been named Director of Education for this new facility. Clinical Programs • Minimally Invasive Surgery (MIS)—Under the leadership of Michael Ujiki, MD, several new surgical procedures have been introduced including esophageal peroral endoscopic myotomy to treat achalasia and restorative endolumenal surgery for morbidly obese patients. Clinical Programs (continued) • Colorectal Surgery—Under the leadership of Joseph Muldoon, MD, NorthShore has become a regional leader in innovative new surgical procedures, including sacral nerve stimulation for fecal incontinence. Clinical Trials The Division has multiple ongoing clinical trials including: • Outcomes of Single-Port Versus Multiple-Port Cholecystectomy • Efficacy of Pain Pumps in Abdominal Wall Hernia Repair • Evaluation of Compression Colorectal Anastomosis Ring • Efficacy of Bioabsorbable Staples in Intestinal Anastomoses • Multicenter Study of Bio-Fistula Plus In-Anal Fistula Repair Selected Visiting Professorships • Joseph Muldoon, MD—“Minimally Invasive Surgery in Colon and Rectal Cancer.” Presented at NorthShore Continuing Medical Educational Conference, Northfield, Ill., March 2011. • Marc Singer, MD—“Anal Fistulas: Have We Given Up on Glue?” and “Beyond Snare Polypectomy.” Presented at American Society of Colon and Rectal Surgeons Annual Meeting, Vancouver, Canada, May 2011. • Michael Ujiki, MD—Multiple Presentations. Society of American Gastrointestinal and Endoscopic Surgeons, Washington, DC, April 2010. • Jose Velasco, MD—Laparoscopic Instructor; 97th Annual Clinical Congress of the American College of Surgeons, San Francisco, Calif., October 2011. The NorthShore Center for Simulation and Innovation (NCSI) opened in May 2011 at Evanston Hospital. NCSI is designed specifically for multispecialty, multidisciplinary surgical simulation. It is a leading resource for surgeons both to train in established minimally invasive techniques and to develop and test new methods and procedures. NCSI received accreditation as a comprehensive Level I program from the American College of Surgeons (ACS) Education Institute. Department of Surgery 2011 Annual Report 11 Division of Neurosurgery Division Surgeons Highlights and Accomplishments New Department and Departmental Chairman Neurosurgery this year became an independent Department and successfully recruited its first Chairman, Julian Bailes, MD, from the West Virginia University School of Medicine where he had been Professor and Chairman of Neurosurgery. Dr. Bailes is internationally recognized for his expertise in the management of brain trauma. Julian Bailes, MD Department Chair James Brown, MD Leonard Cerullo, MD Ivan Ciric, MD (retired 2011) Geoffrey Dixon, MD Egon Doppenberg, MD Ted Eller, MD Hamad Farhat, MD Dean Karahalios, MD Edward Mkrdichian, MD Adebukola Onibokun, MD Gail Rosseau, MD Noam Stadlan, MD Recruitment of CINN Neurosurgeons and Neuroresearch Physicians to NorthShore The Chicago Institute of Neurosurgery and Neuroresearch (CINN) was successfully recruited and integrated into the NorthShore Division (now Department) of Neurosurgery. Establishment of NorthShore Neurological Institute (NNI) In collaboration with the Department of Neurology, this new Institute will occupy the second floor of the John and Carol Walter Ambulatory Care Center at Glenbrook Hospital, which is currently under construction and scheduled to open in March 2012. Endowed Departmental Chair The Ivan S. Ciric Chair of Neurological Surgery was established. Julian Bailes, MD, the new Professor and Chairman of Neurosurgery, was endowed with the Arlene and Marshall Bennett and Joseph A. Tarkington, MD, Chair of Neurosurgery. Collaborations • Orthopedics: Combined Neurosurgery— Orthopedic Spine Conference initiated • Neurology: Comprehensive stroke, normal pressure hydrocephalus, epilepsy, trigeminal neuralgia and deep brain stimulation programs • Otolaryngology: Skull-base collaboration for pituitary tumors and other tumors approached via the temporal bone The Division of Neurosurgery is composed of neurosurgeons who are nationally and internationally regarded in their field, including Dr. Gail Rosseau and Dr. Ivan Ciric. Dr. Ciric retired from NorthShore in 2011 after 44 years. 12 NorthShore University HealthSystem Creation of Academic Day Held the third Friday of each month and devoted to resident teaching, presentations and visiting professors have included: • Richard Byrne, MD, Professor and Chairman of Neurosurgery, Rush University School of Medicine • John Liu, MD, Associate Professor of Neurosurgery, Northwestern University • Michael Lawton, MD, Professor of Neurosurgery, University of California, San Francisco • Josh Medow, MD, Assistant Professor of Neurosurgery, University of Wisconsin • Marc Simard, MD, Professor of Neurosurgery, University of Maryland Selected Visiting Professorships • Julian Bailes, MD—Goldwater Lecturer, Barrow Neurological Institute, Phoenix, Ariz., February 2011 • Julian Bailes, MD—Visiting Professor, Department of Neurosurgery, Stanford University Medical Center, Stanford, Calif., March 2011 • Julian Bailes, MD—National Neurotrauma Symposium, Fort Lauderdale, Fla., July 2011 • Julian Bailes, MD—Honored Guest, Georgia Neurosurgical Society, Atlanta, Ga., December 2011 • Ivan Ciric, MD—University of Novi Sad, Novi Sad, Serbia, July 2010 and June 2011 • Ivan Ciric, MD—International Neuroscience Institute Congress, Hannover, Germany, July 2010 • Ivan Ciric, MD—University of Kragujevac, Kragujevac, Serbia, June 2011 • Dean Karaholios, MD—Surgical Experimentation Program Bio-Skills Laboratory, Florence, Italy, October 2010 • Gail Rosseau, MD—Gurdjain-Thomas Visiting Professor, International Neurosurgical Programs in Head and Spine Injury Prevention, Wayne State University, Detroit, Mich., January 2011 Educational Courses Taught • Leonard Cerullo, MD—Evidence-Based Treatment of Common Spine Conditions, NorthShore University HealthSystem CME course, June 2011 Division of Ophthalmology Division Surgeons Highlights and Accomplishments New and Expanded Offices • Vernon Hills—New office on Milwaukee Avenue staffed by Tony Pira, MD. • Evanston Office—Expanded into new space at 1000 Central Street; anticipated that even larger space will be required in a few years. Marian Macsai, MD Division Chief Troy Close, MD Joshua Herz, MD Ann Laurenzi-Jones, OD Manvi Maker, MD Tony Pira, MD Peter Rabiah, MD Veeral Sheth, MD New Faculty • Manvi Maker, MD—Dr. Maker was recruited from New York University and currently sees patients at Glenbrook and Evanston Hospital locations. He specializes in retinal diseases, including diabetic retinopathy. • Tony Pira, MD—Dr. Pira was recruited from Boston University and sees patients at Vernon Hills and Glenbrook Hospital locations. He specializes in family and geriatric ophthalmology. Recognition • Marian Macsai, MD—Chair, Eye Bank Association of America • Marian Macsai, MD—Committee on Membership, American Ophthalmological Society • Manvi P. Maker, MD—Associate Program Director, Ophthalmology Residency, University of Chicago International Service • Marian Macsai, MD—Traveled to Vietnam teaching cataract surgery to Vietnamese ophthalmologists. • Marian Macsai, MD—As Chair of the Eye Bank Association of America, worked in Sri Lanka helping to form an association of eye banks in Asia and is also working to help form a global alliance of eye bank associations. • Marian Macsai, MD—Attended two meetings sponsored by the World Health Organization regarding vigilance and surveillance of disease transmission through organ transplantation; Dr. Macsai is the representative for ocular tissue. Clinical Trials • Troy Close, MD—Relationship between PDE5 inhibitors and non-arteritic anterior ischemic optic neuropathy • Marian Macsai, MD—Implanted Accommodative Intraocular Lenses; Phase II trial for Abbott Medical Optics • Marian Macsai, MD, and Mira Shiloach, MS— Working with University of Chicago medical students to analyze differences in surgical techniques in cataract surgery and how these affect outcomes • Veeral Sheth, MD, and Manvi Maker, MD—Accepted to Diabetic Retinopathy Clinical Research Network, national network of investigators sponsored by National Eye Institute • Veeral Sheth, MD—Use of intravitreal vascular endothelial growth factor (VEGF) in treatment of age-related macular degeneration • Veeral Sheth, MD—Vitamin supplementation in age-related eye disease (AREDS II); NIH funded multicenter trial Grants • Veeral Sheth, MD, PI—“Comparison of Vitreal pH Between Diabetic and Non-Diabetic Patients: A Pilot Study,” NorthShore Research Institute Pilot Grant Selected Visiting Professorships • Marian Macsai, MD—“50 Years of Cornea Vigilance,” Eye Bank Association of America. Presented at World Health Organization—Project NOTIFY, Bologna, Italy, February 2011 • Veeral Sheth, MD—Invited Lecturer, Combined Meeting of the Asia-Pacific Vitreo-Retina Society and Vitreoretinal Society of India, Hyderabad, India, December 2011 Forecast for 2012 • Open an optical shop at Glenbrook Hospital • Integrate Ophthalmology imaging into NorthShore’s Electronic Medical Record (EMR) system • Initiate multi-institutional clinical trial to better understand the effects of pH on the diabetic retina Dr. Marian Macsai, Chief of the Division of Ophthalmology, is pictured examining patient Charles Woods, whom she treated for a life-changing corneal transplant surgery. Under Dr. Macsai’s leadership, the Division expanded into new office space in Evanston and established a new office in Vernon Hills. Department of Surgery 2011 Annual Report 13 Division of Otolaryngology Division Surgeons Highlights and Accomplishments Mark Gerber, MD, has succeeded Barry Wenig, MD, as Chief of Otolaryngology. Dr. Gerber completed residency and fellowship training in pediatric otolaryngology and maxillofacial surgery at Children’s Hospital Medical Center in Cincinnati, and, after several years in practice in Atlanta joined NorthShore University HealthSystem in 1999. Mark Gerber, MD Division Chief Mihir Bhayani, MD Judy Chen, MD Joseph Raviv, MD Ilana Seligman, MD Michael Shinners, MD New Faculty • Mihir Bhayani, MD—Dr. Bhayani completed residency at the University of Chicago and then a two-year oncology fellowship at M.D. Anderson Cancer Center. He is the only oncology fellowship-trained head and neck cancer surgeon in the northern suburbs of Chicago. Clinical Programs • Rhinology and Anterior Skull Base Program—Established in 2007 by Joseph Raviv, MD, this is the first center in the northern Chicagoland area to offer comprehensive medical and surgical treatment of chronic sinusitis by a fellowship-trained otolaryngologist. Providing more than 3,500 patient visits per year, the NorthShore Sinus Center offers advanced care, including minimally invasive and computer-assisted surgery, for patients with chronic sinusitis, nasal polyposis, fungal sinusitis, nasal obstruction and tumors of the nasal cavity and anterior skull base. Approach to these disorders is multidisciplinary, incorporating the expertise of Neurosurgery, Allergy/Immunology, Pulmonology and Maxillofacial Surgery. • Neurotology—Led by Michael Shinners, MD, the NorthShore neurotology program utilizes a comprehensive approach to diagnose and manage the full spectrum of ear diseases, including the medical and surgical management of Meniere’s disease, chronic ear infections, cholesteatoma and hearing loss including cochlear implant team services for infants, children and adults. Audiometric services range from initial evaluation of children who have failed their newborn hearing screening to hearing aid fitting and complex cochlear implant programming. Our team collaborates with both Neurosurgery and Plastic Surgery to manage complex lateral skull base tumors such as acoustic neuromas and meningiomas, as well as congenital abnormalities that include congenital outer ear abnormalities and conductive hearing loss. • Pediatric Otolaryngology—Head and Neck Surgery section includes three fellowship-trained specialists who provide more than 12,000 outpatient visits and 1,700 surgical procedures per year. NorthShore Pediatric Airway, Voice and Resonance Clinic, led by Mark Gerber, MD, is one of the only programs in the Chicago area that provides comprehensive evaluations for children with congenital or acquired airway, voice, resonance and swallowing problems. Combining multispecialty child-focused resources allows for a detailed diagnostic analysis, as well as directed management with a wide array of both medical and surgical options. These options include cleft palate repair, sphincter pharyngoplasty and laryngeal reconstruction using minimally invasive endoscopic techniques. Recent Grants Awarded • Mihir Bhayani, MD—Enhancing Radio Sensitivity Through Inhibition of STAT3 in Head and Neck Squamous Cell Carcinoma; American Head and Neck Society CORE Grant Program, $10,000 Selected Visiting Professorships/Invited Lectureships • Mark Gerber, MD—Fiber Optic Endoscopic Evaluation of Swallowing in Children. Presented at Pediatric Dysphagia Course, Rehabilitation Institute of Chicago, Chicago, Ill., July 2010 • Joseph Raviv, MD—Contemporary Management of Chronic Sinusitis. Presented at Otolaryngology Grand Rounds, University of Chicago, Chicago, Ill., March 2011 Selected Educational Courses Taught • Joseph Raviv, MD—NorthShore University HealthSystem Chicago Rhinoplasty Symposium, Chicago, Ill., May 2010 and May 2011 • Michael Shinners, MD—Temporal Bone Dissection Course for University of Chicago Otolaryngology residents, Chicago, Ill., August 2010 14 NorthShore University HealthSystem Division of Plastic Surgery Division Surgeons Highlights and Accomplishments Bruce Bauer, MD, succeeded Karol Gutowski, MD, as Division Chief of Plastic Surgery. Dr. Bauer was previously the Chief of Pediatric Plastic Surgery at Children’s Memorial Hospital. He is internationally recognized for his expertise in pediatric plastic surgery, with special expertise in the treatment of large and giant congenital nevi, correction of congenital and acquired deformities of the ear and tissue expansion in children for a full range of congenital and acquired deformities in all body regions. New Division Members • Veronica Rundell, PhD, joined the Division as Clinical Research Associate. Bruce Bauer, MD Division Chief Michael Howard, MD Mark Sisco, MD Jeremy Warner, MD • D. Brooks Johnson, MD, joined the Division as Research Associate. Clinical Programs • Hair Transplantation—Jeremy Warner, MD, is investigating a new micro grafting technique in hair transplantation. • Migraine Surgery Clinic—Michael Howard, MD, is investigating botox injections and surgical techniques for treatment of selected migraine headache cases. Clinical Trials • Giant Nevi and Neurocutaneous Melanocytosis—Bruce Bauer, MD, is collaborating with the University of Pittsburg Children’s Hospital to establish a tissue bank to study the embryologic development and neural sequelae of giant nevi. • Otoplasty—Bruce Bauer, MD, is leading a new IRB-approved study entitled “The Impact of Otoplasty on Psychological Wellness.” • Breast Reconstruction – Michael Howard, MD, is leading a study of long-term complications of dermal matrix implants in breast reconstruction. He is also leading our nipple-sparing mastectomy study and long-term surveillance study of silicone breast implants. – Mark Sisco, MD, has developed a prospective breast reconstruction database that will follow patients for 10 years postoperatively to assess satisfaction and emotional wellness. He is also conducting a retrospective chart review investigating preoperative predictors of postmastectomy radiation therapy. • Rhinoplasty Pain Reduction—Jeremy Warner, MD, is investigating which of two types of rib graft results in lower postoperative pain following rhinoplasty. Selected Visiting Professorships/Invited Lectureships • Bruce Bauer, MD—Co-Chairman, Aesthetic Facial Reconstruction in Adults and Children Symposium, Tucson, Ariz., February 2010 • Bruce Bauer, MD—Plastic Surgery Residents’ Day, University of Alberta, Edmonton, Alberta, Canada, April 2010 • Bruce Bauer, MD—“The Role of Tissue Expansion in Treatment of Large and Giant Nevi,” 2011 International Expert Meeting on Large Congenital Melanocytic Nevi and Neurocutaneous Melanocytosis Nevus Outreach and Department of Dermatology, University of Tübingen, Germany, May 2011 • Michael A. Howard, MD—“Incorporating Nipple-Sparing Mastectomy (NSM) Into Your Practice,” American Society of Plastic Surgeons Instructional Course, Toronto, Canada, October 2010 and September 2011 • Jeremy Warner, MD—“The Crooked Nose,” University of Wisconsin, Madison, Wis., June 2010 Educational Courses Taught • Jeremy Warner, MD—Director, Chicago Rhinoplasty Symposium, March 2010 and March 2011 Future Goals • Expand practices of three junior plastic surgeons • Recruit additional pediatric plastic surgeon • Re-establish pediatric plastic surgery teaching relationship with another Chicago academic institution Department of Surgery 2011 Annual Report 15 Division of Surgical Oncology Division Surgeons Highlights and Accomplishments The newly established Division of Surgical Oncology is led by David J. Winchester, MD, who is internationally recognized for his expertise in breast and endocrine cancers. David J. Winchester, MD Division Chief Marshall Baker, MD New Faculty Tricia Moo-Young, MD—Completed residency training at Washington University in St. Louis and a surgical endocrinology fellowship at Rush University Medical Center. With her recruitment, the Division now has eight faculty members and provides specialized care for patients with breast, thyroid, melanoma, sarcoma, esophageal, gastric, hepatobiliary and pancreatic cancers. Ermilo Barrera, MD Tricia Moo-Young, MD Richard Prinz, MD Mark Talamonti, MD David P. Winchester, MD Katharine Yao, MD Clinical Programs • Breast Cancer – Katharine Yao, MD, directs our breast surgical program, and NorthShore continues to lead Illinois as a top care provider for newly diagnosed breast cancer patients. NorthShore has been designated as one of two National Cancer Database Breast Participant Use File Alpha Sites, providing direct access to the nation’s largest breast cancer database. – Under the leadership of David P. Winchester, MD, our previous Chairman of Surgery, breast cancer services have been extended to Lake County. • Endocrine Cancers—Under the leadership of Richard Prinz, MD, the endocrine surgery program now offers new minimally invasive surgical procedures, including retroperitoneal adrenalectomy, robotic thyroidectomy and minimally invasive parathyroid surgery. Selected Visiting Professorships/Invited Lectureships • Richard Prinz, MD—“Differentiated Thyroid Cancer: What’s New?” Presented at Surgery Grand Rounds, Cedars-Sinai Medical Center, Los Angeles, Calif., March 24, 2010 • Mark Talamonti, MD—Pancreatic Cancer Action Network Advocacy Days, Arlington, Va., June 12–14, 2011 • David J. Winchester, MD—“Treatment of Soft Tissue Sarcomas.” Presented at Annual Congress of the Chilean Chapter of the American College of Surgeons, Santiago, Chile, May 8, 2010 • David P. Winchester, MD—“The National Accreditation Program for Breast Centers: The Road to Quality Improvement.” Presented at the International Forum for Cancer Care Quality and Accreditation, Taipei, Taiwan, Sept. 17, 2011 Recent Grants Awarded Katharine Yao, MD—“Peritumoral fat as a promoter of breast cancer progression.” Breast and Ovarian Cancer Research Award, NorthShore University HealthSystem, $50,000 Katharine Yao, MD—“MicroRNAs as novel biomarkers in breast cancer.” Breast and Ovarian Cancer Research Award, NorthShore University HealthSystem, $50,000 • Gastroesophageal, Hepatobiliary and Pancreatic Cancers—Mark Talamonti, MD, and Marshall Baker, MD, provide nationally acclaimed care, and their expertise includes both open and laparoscopic surgery, addressing complex problems such as portal vein reconstruction and splenic preservation. A comprehensive clinical research database has been established resulting in multiple national presentations and peer-reviewed publications. • Other Surgical Programs—The Division also specializes in the treatment of advanced melanomas, sarcomas and multidisciplinary care that includes limbsparing surgery in patients with otherwise unresectable disease. Drs. David J. Winchester (left), Tricia Moo-Young and Richard Prinz provide specialized surgical expertise for patients with endocrine cancers and related conditions. 16 NorthShore University HealthSystem Division of Urology Division Surgeons Michael McGuire, MD Division Chief Jeffrey Albaugh, PhD Michael Blum, MD Charles Brendler, MD Peter Colegrove, MD Thomas Keeler, MD Amanda Macejko, MD Kristian Novakovic, MD Sangtae Park, MD Highlights and Accomplishments John and Carol Walter Center for Urological Health Established The Division of Urology recently received a $5 million gift from Mr. and Mrs. John Walter to establish The John and Carol Walter Center for Urological Health and also a second $5 million gift from Mr. and Mrs. Donald Rappeport, which will provide additional funding for the clinical and scientific programs associated with this Center. This 6,000-square-foot facility will be located in the new John and Carol Walter Ambulatory Care Center currently under construction at NorthShore Glenbrook Hospital and scheduled to open in March 2012. The Center will provide comprehensive multidisciplinary care to men and women with urological cancers and other urologic diseases. New Division Chief After several years of outstanding service, Thomas Keeler, MD, stepped down as Chief of the Division of Urology and was succeeded by Michael McGuire, MD. Dr. McGuire completed his urological residency at Northwestern and a urological oncology fellowship at Memorial Sloan-Kettering Cancer Center prior to joining NorthShore in 2009. New Faculty • Jeffrey Albaugh, PhD—Recruited from Northwestern Memorial Hospital in March 2011 to be Director of our new Sexual Health Clinic. • Kristian Novakovic, MD—Recruited from University of Louisville in September 2010 to be Director of Urological Oncology. • Sangtae Park, MD—Recruited from University of Chicago in October 2010 to be Director of Minimally Invasive and Robotic Urologic Surgery. Clinical Programs • Active Surveillance—NorthShore has the only IRBapproved prostate cancer active surveillance clinical trial in the region, and NorthShore recently became the coordinating center for all 15 NCI-sponsored active surveillance programs across the U.S. • Quality of Life and Clinical Outcomes—NorthShore has the only IRB-approved clinical trial in the region examining quality of life and the impact of stress reduction on men and their spouses enrolled in our active surveillance study. • IMPACT Study—NorthShore is participating in an international trial investigating the impact of BRCA mutations on prostate cancer risk and progression in men with a family history of BRCA-1 or BRCA-2 positive breast cancer. NorthShore is the top recruiting site in the U.S. and sixth overall internationally. Research Programs • Relationship of Obesity to Cancer Risk and Progression—The laboratory of Susan Crawford, DO, continues to investigate the mechanisms by which obesity promotes prostate cancer risk and progression. Dr. Crawford was recently awarded a grant from the Prostate Cancer Foundation to investigate the role of periprostatic fat in prostate cancer progression. • Neural Stem Cell Bio Adhesive Therapy— Dr. Crawford and her team are also developing a novel cancer treatment that uses neural stem cells embedded in a bio adhesive derived from marine mollusks to eradicate residual cancer cells following surgical removal of a cancer. • Molecular Diagnostics—Karen Kaul, MD, PhD, Director of Molecular Pathology, and her colleagues are investigating new biomarkers such as urinary PCA3 to both diagnose and determine prognosis in prostate cancer. In 2011 NorthShore received a $5 million gift from John and Carol Walter to establish a comprehensive, state-of-the-art destination center for urologic care and advanced research. The John and Carol Walter Center for Urological Health will be located in the new John and Carol Walter Ambulatory Care Center (ACC) at Glenbrook Hospital scheduled to open in 2012. The Division also received a second $5 million gift from Mr. and Mrs. Donald Rappeport, which will provide additional funding for the clinical and scientific programs associated with this Center. Department of Surgery 2011 Annual Report 17 Division of Vascular Surgery Division Surgeons NavYash Gupta, MD Division Chief Joseph Caprini, MD Tina Desai, MD Benjamin Lind, MD Omar Morcos, MD Nancy Schindler, MD Highlights and Accomplishments New Division Chief NavYash Gupta, MD, continued to build the Division of Vascular Surgery since becoming Division Chief in 2009. Dr. Gupta completed surgical residency at St. Louis University Hospital and then a vascular surgery fellowship at the University of Chicago. Prior to joining NorthShore, Dr. Gupta was a member of the surgical faculty at the University of Pittsburgh for nine years. His special interests include minimally invasive endovascular surgery for thoracic and aortic aneurysms, carotid artery occlusive disease, peripheral vascular disease and hemodialysis access. New Faculty • Tina Desai, MD—Dr. Desai comDr. Omar Morcos (from left), Dr. Tina Desai and Dr. Benjamin pleted her surgical residency and Lind (not pictured) were recruited in 2011 to the Division of vascular surgery fellowship at the Vascular Surgery under the leadership of Dr. NavYash Gupta University of Chicago in 1999. She (pictured right). served on the surgical faculty at the University of Chicago as Assistant Professor of Surgery and Director of • Vascular laboratory services have been expanded the Endovascular Service for 10 years. Her special and standardized at all four NorthShore hospitals interests include endovascular surgery and surgical as well as in the main outpatient office in Skokie. treatment of abdominal and thoracic aortic pathology, carotid artery occlusive disease, peripheral Clinical Research vascular disease and hemodialysis access. The Division of Vascular Surgery has been actively • Benjamin Lind, MD—Dr. Lind completed his surgiinvolved in various clinical research projects, including: cal residency and vascular surgery fellowship at – Carotid stenting (CHOICE) trial in collaboration Rush University Medical Center. His special interwith the Division of Cardiology ests include limb salvage and minimally invasive vascular reconstruction. Dr. Lind also serves as – Magnetic resonance imaging (MRI) for evaluathe Medical Director of the Wound Care Center tion of carotid artery and peripheral vascular at NorthShore Highland Park Hospital. occlusive disease, in collaboration with the • Omar Morcos, MD—Dr. Morcos completed his surgical fellowship at Mt. Sinai Medical Center following his residency at the University of Illinois at Chicago Medical Center. Clinical Growth The Division now includes six vascular surgeons providing comprehensive vascular surgery services at all four hospitals in the NorthShore area, including minimally invasive endovascular surgery. New Facilities • New endovascular surgical suite opened in the operating room at Evanston Hospital. • Division of Vascular Surgery now leads the Wound Care Center at Highland Park Hospital, allowing us to provide advanced care of wounds and vascular injuries and offering patients increased access to a multidisciplinary team for care and treatment options, including hyperbaric oxygen therapy. 18 NorthShore University HealthSystem Department of Radiology – Evaluation of factors that contribute to disparities in vascular surgery care in various ethnically and economically diverse populations in the greater Chicago area Selected Visiting Professorships/ Invited Lectureships • Joseph Caprini, MD—Served as Visiting Professor/ Invited Lecturer on 50 occasions, including in Great Britain, France, Belgium, Portugal, India and Japan • Tina Desai, MD—“Device Manufacturers and Medicine: The Fine Line Between Collaboration and Conflict of Interest.” Presented at Chicago Surgical Society, Chicago, Ill., Nov. 4, 2010 • NavYash Gupta, MD—“Whom I Would Choose for Surgical Treatment of Abdominal Aortic Aneurysm.” Presented at Society for Cardiovascular Angiography and Interventions, 33rd Annual Scientific Meeting, San Diego, Calif., May 6, 2010 Philanthropy Fiscal year 2010–2011 has witnessed extraordinary generosity from donors whose gifts have empowered the physician-scientists of our Department to take new leadership roles in advanced research and surgical healthcare. Responding to the priorities set out last year in the Department’s first Philanthropic Strategic Plan—with its focuses on Leadership and Program Development, Translational Research, Clinical Trials and Outcomes Research and Surgical Education—these leadership gifts attest to the skill, compassion and care of our surgeons as well as to their commitment to partnering with grateful patients to provide innovative, research-driven care. The Department’s program in Minimally Invasive Surgery (MIS) also continues to benefit from the generous multiyear funding provided through The Grainger Foundation, which has sustained the development and refinement of new MIS and Natural Orifice Translumenal Endoscopic Surgery (NOTES) procedures under the direction of Michael Ujiki, MD. These funds have also underwritten the purchase of new simulation equipment and supported key staffing for the Department’s programs based in the NorthShore Center for Simulation and Innovation (NCSI). Grainger Foundation funds have also enhanced video conference and software capacity at NorthShore Skokie Hospital’s simulation laboratory, founded and directed by Jose Velasco, MD. Sustaining gifts from the Blum Kovler Foundation and the Richard and Martha Melman Foundation have continued to strengthen our metabolomics research that Susan Crawford, DO, and her team are conducting through the John and Carol Walter Center for Urological Health. When it joined NorthShore last year to become part of the NorthShore Neurological Institute (NNI), the Chicago Institute of Neurosurgery and Neuroresearch (CINN) generously transferred the assets of its own foundation to NNI, ensuring that its tradition of clinical excellence supported by its grateful patients will be continued here. We also offer our continued gratitude to our devoted donors, the Ronald L. Chez Family and Richard Melman Family, founders of the Department’s Chair of Prostate Cancer, a gift that has brought prestige and attracted other philanthropic support to our programs. These foundational gifts crown a long process of planning and education that we have undertaken to help our patients understand the dramatic impact they can have on improving the quality of care we offer. A wide range of unrestricted gifts to surgery programs, with many directed to the John and Carol Walter Center for Urological Health, have also added much-needed support to other research projects. These generous donations help drive a new array of cutting-edge programs and services in urologic health and support the development of new therapies in minimally invasive surgery. From affording insights into molecular medicine to supporting vital clinical trials, patient philanthropy has played an increasingly important role for our Department in an environment where both clinical revenues and government funding have steadily declined. Lead Donors 2010–2011 Our lead donors listed below and the more than 100 others who have joined them have helped us advance our strategic agenda in patient care, surgical technology, medical education, clinical trials and translational research. To these caring donors, and to all who have chosen to help our Department make such important strides, we offer our sincerest gratitude. Mr. and Mrs. John R. Walter Mr. and Mrs. Donald L. Rappeport Mr. Roy Carlson Blum Kovler Foundation and Mr. and Mrs. Jonathan Kovler Mr. Ronald L. Chez Richard and Martha Melman Foundation and Mr. and Mrs. Richard Melman Mr. and Mrs. Mark Spitz The CINN Foundation Dr. and Mrs. Joseph Golbus Lanx Inc. Mr. and Mrs. Barry S. Alberts Mr. and Mrs. Warren L. Batts Dr. and Mrs. Charles B. Brendler Mr. and Mrs. Matthew S. Dominski Mr. and Mrs. Lawrence F. Levy Mr. and Mrs. Robert Schuberth Mr. and Mrs. William J. White Dr. and Mrs. Richard A. Prinz Synthes USA HQ, Inc. Mr. and Mrs. A. Beecher Abeles Mr. James E. Deignan The outstanding benevolence of John and Carol Walter has launched the new John and Carol Walter Center for Urological Health at Glenbrook Hospital. Mr. and Mrs. Walter are pictured here with Michael McGuire, MD, left, and Charles Brendler, MD, right, Co-Directors of the new center. Their $5 million gift has, in turn, inspired a similarly generous gift from Donald and Joan Rappeport, who recently made a $5 million gift in support of the urologic health programs to be housed in the John and Carol Walter Center for Urological Health. These are truly transformational gifts that enable us to launch a comprehensive set of urologic health programs to meet the needs of many current and future patients. Department of Surgery 2011 Annual Report 19 2011 Peer-Reviewed Publications and Book Chapters Cardiac and Thoracic Surgery Howington JA, Gunnarsson C, Maddaus MA, McKenna RJ, Meyers BF, Miller D, Moore M, Rizzo JA, Swanson S. In-hospital clinical and economic consequences of pulmonary wedge resections for cancer using video-assisted thoracoscopic techniques vs. traditional open resections: a retrospective database analysis. Chest. 2011 Jul 21. [Epub ahead of print] Starnes SL, Reed MF, Meyer CA, Shipley RT, Jazieh AR, Pina EM, Redmond K, Huffman LC, Pandalai PK, Howington JA. Can lung cancer screening by computed tomography be effective in areas with endemic histoplasmosis? J Thorac Cardiovasc Surg. 2011 Mar;141(3):688-93. Epub 2010 Oct 8. General Surgery Singer M, Ehrenpreis ED, Avital S. Anal and Rectal Diseases. New York, NY: Springer; 2012. (In press) Singer, M. Hemorrhoids. In: Beck, DE, Roberst PL, Saclarides TJ, Senagore, AJ, Stamos MJ, Wexner SD, eds. The ASCRS Textbook of Colon and Rectal Surgery. 2nd ed., New York, NY: Springer; 2011:175-203. Gafni-Kane A, Goldberg RP, Spitz JS, Sand PK. Extrasphincteric perianal fistulae after sacrospinous fixation for apical prolapse. Obstet Gynecol. 2011 Feb;117(2 Pt 2):438-40. Bello B, Ujiki MB. Minimally invasive approaches to small bowel pathology. In: Murayama K, Chand B, eds. Evidence-Based Approach to Minimally Invasive Surgery; CineMed Publishing. (In press) Durham JR, Velasco JM, Krishnamurthy VD, Hieken TJ. Principles of ultrasound and ablative therapy. In: Velasco J, Bines SD, Deziel DJ, McCarthy WJ, Millikan JD, Prinz RA, Saclarides TJ, eds. Rush University Medical Center Review of Surgery. 5th ed. Philadelphia, PA: Saunders/Elsevier; 2011:539-545. Fusco C, Velasco JM. Critical care. In: Velasco J, Bines SD, Deziel DJ, McCarthy WJ, Millikan JD, Prinz RA, Saclarides TJ, eds. Rush University Medical Center Review of Surgery. 5th ed. Philadelphia, PA: Saunders/Elsevier; 2011:123-144. Velasco JM, Jacobs CE. Nutrition, metabolism, and fluid and electrolytes. In: Velasco J, Bines SD, Deziel DJ, McCarthy WJ, Millikan JD, Prinz RA, Saclarides TJ, eds. Rush University Medical Center Review of Surgery. 5th ed. Philadelphia, PA: Saunders/ Elsevier; 2011:29-58. Ough M, Velasco JM, Hieken TJ. A comparative analysis of core needle biopsy and final excision for breast cancer: histology and marker expression. Am J Surg. 2011 May; 201:692-4. Epub 2010 Sep 18. Velasco JM, Bines SD, Deziel DJ, McCarthy WJ, Millikan JD, Prinz RA, Saclarides TJ, eds. Rush University Medical Center Review of Surgery. 5th ed. Philadelphia, PA: Saunders/Elsevier; 2011. Velasco, JM, Butsch J. Perioperative care. In: Velasco JM, Bines SD, Deziel DJ, McCarthy WJ, Millikan JD, Prinz RA, Saclarides TJ, eds. Rush University Medical Center Review of Surgery. 5th ed. Philadelphia, PA: Saunders/Elsevier; 2011:97-108. Wool N, Velasco JM. Hernia. In: Velasco JM, Bines SD, Deziel DJ, McCarthy WJ, Millikan JD, Prinz RA, Saclarides TJ, eds. Rush University Medical Center Review of Surgery. 5th ed. Philadelphia, PA: Saunders/Elsevier; 2011:181-188. Neurosurgery Ciric I, Zhao JC, Du H, Findling JW, Molitch ME, Weiss RE, Refetoff S, Kerr WD, Meyer J. Transsphenoidal surgery for cushing’s disease: experience with 136 patients. Neurosurgery. 2011 Jul 16. [Epub ahead of print] Ciric IS. Pituitary carcinoma. World Neurosurg. 2011 Nov 7. [Epub ahead of print] Takagi I, Shakur SF, Lukas RV, Eller TW. Spontaneous radiographic resolution and subsequent redemonstration of an untreated glioblastoma. J. Neurosurg. 2011 Jul; 115(1):24-9, 2011. Epub 2011 Apr 8. Karahalios DG, Potts EG, Theodore NT, eds. Image-Guided Spinal Navigation. (In press) El-Fiki M, Rosseau G. The 2011 Egyptian Revolution: a neurosurgical perspective, World Neurosurg. 2011 Jul-Aug;76(1-2):28-32. 20 NorthShore University HealthSystem Ophthalmology Close, T. Visual field testing. In: Edward DP, Vajaranant TS, eds. Glaucoma. Oxford UP. (In press) Ghafouri RH, Lee I, Freitag SK, Pira TN. Bilateral orbital bone infarction in sickle-cell disease. Ophthal Plast Reconstr Surg. 2011 Mar-Apr;27(2):e26-7. Delair E, Latkany P, Noble AG, Rabiah P, McLeod R, Brezin A. Clinical manifestations of ocular toxoplasmosis. Ocul Immunol Inflamm. 2011 Apr;19(2):91-102. Rabiah PK. Ophthalmology. In: Daum RS, Canel J, eds. Specialty Board Review, Pediatrics. 2nd ed. Chicago, IL: McGraw-Hill; 2011;607-612. Afshar A, Hariprasad SM, Jampol L, Sheth VS. Use of intravitreal bevacizumab to treat macular edema in West Nile Virus chorioretinitis. Arch Ophthalmol. 2011. (Accepted) Sheth VS, Marcet M, Chiranand P, Bhatt H, Lamkin JC, Jager RD. The Massachusetts Eye and Ear Infirmary Review Manual for Ophthalmology. 4th ed. Philadelphia, PA: Wolters Kluwer/ Lippincott Williams & Wilkins; 2012. Otolaryngology Bhayani MK, Calin GA, Lai SY. Functional relevance of miRNA* strand in human disease. Mutat Res. 2011 Nov 6. [Epub ahead of print] Bhayani MK, Holsinger FC. In-office secondary tracheo-esophageal puncture. In: Cohen JI, Clayman GL, eds. Atlas of Head and Neck Surgery. Philadelphia, PA: Elsevier/Saunders; 2011:383-88. Bhayani MK, Holsinger FC. Wide-field total laryngectomy. In: Cohen JI, Clayman GL, eds. Atlas of Head and Neck Surgery. Philadelphia, PA: Elsevier/Saunders; 2011:359-72. Bhayani MK, Weber RS. Head and neck surgery. In: Har-El G. Otolaryngology Head and Neck Surgery. New York, NY: Thieme Medical Publishers; 2011. (In press) Bhayani MK, Weber RS. Hypopharyngeal and cervical esophageal carcinoma. In: Bailey B. Otolaryngology Head and Neck Surgery. 5th ed. Baltimore, MD: Lippincott Williams & Wilkins; 2011. (In press) Bhayani MK, Yener M, El-Naggar A, Garden A, Hanna EY, Weber RS, Kupferman ME. Prognosis and risk factors for early-stage adenoid cystic carcinoma of the major salivary glands. Cancer. 2011 Oct 21. Doi: 10.1002/cncr.26549. [Epub ahead of print] Murata S, Adachi M, Kioi M, Torigoe S, Ijichi K, Hasegawa Y, Ogawa T, Bhayani MK, Lai SY, Mitsudo K, Tohnai I. Etodolac improves 5-FU sensitivity of head and neck cancer cells through inhibition of thymidylate synthase. Anticancer Res. 2011 Sept;31(9):2893-8. Cutler J, Truitt T, Atkins J, Winegar B, Lanier B, Schaeffer B, Raviv J, Henderson D, Duncavage J, Stankiewicz J, Tami T. First clinic experience: patient selection and outcomes for ostial dilation for chronic rhinosinusitis. Int Forum Allergy Rhinol. 2011 Nov;1(6):460-5. Doi: 10.1002/alr.20069. Epub 2011 Jun 6. Plastics Adler N, Bauer BS. Treatment of congenital melanocytic naevi. In: Irvine A, Hoeger P, Yan A. Harper’s Textbook of Pediatric Dermatology. 3rd ed. Oxford: Wiley-Blackwell; 2011. (In press) Bank J, Bauer BS. Congenital ear deformities. In: Lin SJ, Hijjawi J, eds. Plastic and Reconstructive Surgery Board Review: Pearls of Wisdom. 2nd ed. New York, NY: McGraw-Hill Medical; 2011:549-554. Lentz AK, Plikaitis CM, Bauer BS. Understanding the unfavorable result after otoplasty: an integrated approach to correction. Plast Reconstr Surg. 2011 Aug;128(2):536-44. Plikaitis CM, Bauer BS. Congenital nevi. In: Puri P, ed. Newborn Surgery. 3rd ed. London, UK; Hodder Arnold; 2011:726-738. Spear SL, Clemens MW, Howard MA. Considerations of previous augmentation in subsequent breast reconstruction. In: Spear SL, Wiley SC, Robb GL, Hammond DC, Nahabedian MY, eds. Surgery of the Breast: Principles and Art. 3rd ed. Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins; 2011:875-83. Dickie SR, Adamson PA, Warner JP. Alar soft-tissue techniques in rhinoplasty. In: Shiffman MA, DiGiuseppe A, eds. Advanced Rhinoplasty: Art, Science, and New Clinical Techniques. Berlin, Germany; Springer. (In press) Warner J, Adamson PA. Correction of the crooked tip in rhinoplasty. Arch Facial Plast Surg. (In press) continued Department of Surgery 2011 Annual Report 21 2011 Peer-Reviewed Publications and Book Chapters (continued) Surgical Oncology Baker MS, Bentrem DJ, Ujiki MB, Stocker S, Talamonti MS. Adding days spent in readmission to the initial post operative length of stay limits the perceived benefit of laparoscopic distal pancreatectomy when compared to open distal pancreatectomy. Am J Surg. 2011 Mar;201(3):295-9. Baker MS, Bentrem DJ, Ujiki MB, Stocker S, Talamonti MS. Adding days spent in readmission to the initial postoperative length of stay limits the perceived benefit of laparoscopic distal pancreatectomy when compared with open distal pancreatectomy. Am J Surg. 2011 Mar;201(3):295-9; discussion 299-300. Baker MS, Mathews, J. Surgical management of chronic pancreatitis. In: Zinner, ed. Maingot’s Abdominal Operations. McGraw Hill: 2012. (In press) Moo-Young T, Prinz RA. Adrenal. In: Velasco JM, Bines SD, Deziel DJ, McCarthy WJ, Millikan KW, Prinz RA, Saclarides TJ, eds. Rush University Medical Center Review of Surgery. 5th ed. Philadelphia, PA: Saunders/Elsevier; 2011:239-245. Moo-Young T, Prinz RA. Parathyroid. In: Velasco JM, Bines SD, Deziel DJ, McCarthy WJ, Millikan KW, Prinz RA, Saclarides TJ, eds. Rush University Medical Center Review of Surgery. 5th ed. Philadelphia, PA: Saunders/Elsevier; 2011:232-238. Moo-Young T, Prinz RA. Thyroid. In: Velasco JM, Bines SD, Deziel DJ, McCarthy WJ, Millikan KW, Prinz RA, Saclarides TJ, eds. Rush University Medical Center Review of Surgery. 5th ed. Philadelphia, PA: Saunders/Elsevier; 2011:224-231. Moo-Young TA, Moley JF. Carcinoma of the thyroid. In: Johnson FE, Virgo KS, Audisio RA, Thompson JF, Maehara Y, Margenthaler JA, Earle CC, Browman GP, eds. Patient Surveillance After Cancer Treatment. 1st ed. Springer Verlag;2011. (In press) Moo-Young TA, Prinz RA. Endocrine tumors of the pancreas: clinical practice, diagnosis and therapy. In: Jarnagin WR, Blumgart LH. Blumgart’s Surgery of the Liver, Pancreas and Biliary Tract. 5th ed. WB Saunders Co.; 2012. (In press) Small W, Mulcahy MM, Rademaker A, Bentrem DJ, Benson AB, Weitner WW, Talamonti MS. Phase II trial of full-dose gemcitabine and bevacizumab in combination with attenuated three-dimensional conformal radiotherapy in patients with localized pancreatic cancer. Int J Radiat Oncol Biol Phys. 2011 June 1;80(2):476-82. 22 NorthShore University HealthSystem Chakravarthy AB, Catalano PJ, Martenson JA, Mondschein JK, Wagner H, Mansour EG, Talamonti MS, Benson AB. Long-term follow-up of a phase II trial of high-dose radiation with concurrent 5-fluorouracil and cisplatin in patients with anal cancer (ECOG E4292). Int J Radiat Oncol Biol Phys. 2011 Apr 20. [Epub ahead of print] Bilimoria KY, Ko CY, Tomlinson JS, Stewart AK, Talamonti MS, Hynes DL, Winchester DP, Bentrem DJ. Wait times for cancer surgery in the United States: trends and predictors of delays. Ann Surg. 2011 Apr;253(4):779-85. Vern-Gross TZ, Shivani AT, Chen K, Lee CM, Tward JD, MacDonald OK, Crane CH, Talamonti MS, Munoz LL, Small W Jr. Survival outcomes in resected extrahepatic cholangiocarcinoma: effect of adjuvant radiotherapy in a surveillance, epidemiology, and end-result analysis. Int J Radiat Oncol Biol Phys. 2011 Sep 1; 81(1):189-98. Epub 2010 Oct 23. Winchester DJ. The positive sentinel node. J Surg Oncol. 2011 Mar 15; 103(4):326-329. Doi: 10.1002/jso.21754. Winchester DP. The National Accreditation Program for Breast Centers: Quality improvement through standard setting. Surg Oncol Clin N Am. 2011 Jul; 20(3):581-6, x. Ganai S, Winchester DP. Understanding the kinetics of cancer: implications from prevention to prognostication. Oncology (Williston Park). 2011 Jan; 25(1):50, 56, 58. Spiguel L, Yao K, Winchester DJ, Gorchow A, Du H, Sener SF, Martz B, Turk M, Barrera E, Winchester DP. Sentinel node alone for node positive breast cancer: a 12-year experience at a single institution. J Am Coll Surg. 2011 Jul;213(1):122-8;discussion 128-9. Epub 2011 Apr 29. Williams RT, Yao K, Stewart AK, Winchester DJ, Turk M, Gorchow A, Jaskowiak N, Winchester DP. Needle versus excisional biopsy for noninvasive and invasive breast cancer, report from the National Cancer Data Base, 2003-2008. Ann Surg Oncol. 2011 Jun 1. [Epub ahead of print] Yonick DV, Ballo RM, Kahn E, Dahiya M, Yao K, Godellas C, Shoup M, Aranha GV. Predictors of positive sentinel lymph node in thin melanoma. Am J Surg. 2011 Mar;201(3):324-7;discussion 327-8. Urology Vascular Albaugh JA, Wayment RO, Kohler TS. Quantification of erectile dysfunction after prostate cancer treatment. In: McVary KT, ed. Contemporary Treatment of Erectile Dysfunction: A Clinical Guide. New York, NY: Humana: 2011:127-150. Caprini JA. Thrombosis prophylaxis in general surgery. In: Cameron AM, Cameron JL. Current Surgical Therapy. 10th ed. Philadelphia, PA: Elsevier Saunders; 2011:883-89. Jayram G, Decastro GJ, Large MC, Razmaria A, Zagaja GP, Shalhav AL, Brendler CB. Robotic radical prostatectomy in patients with high-risk disease: a review of short-term outcomes from a high volume center. J Endourol. 2011 Mar;25(3):455-7. Epub 2011 Jan 15. Schumacher MC, Laven B, Petersson F, Cederholm T, Onelöv E, Ekman P, Brendler CB. A comparative study of tissue (g)-6 and (g)-3 polyunsaturated fatty acids (PUFA) in benign and malignant pathological stage pT2a radical prostatectomy specimens. Urol Oncol. 2011 Mar 31. [Epub ahead of print] Szmulewitz RZ, Chung E, Al-Ahmadie H, Daniel S, Kocherginsky M, Razmaria A, Zagaja GP, Brendler CB, Stadier WM, Conzen SD: Serum/glucocorticoid-regulated kinase 1 expression in primary human prostate cancers. Prostate. 2012 Feb 1; 72(2):157-64. Doi: 10.1002/pros.21416. Zhang Q, Chen L, Helfand BT, Jang TL, Sharma V, Kozlowski J, Kuzel TM, Zhu LJ, Yang XJ, Javonovic B, Guo Y, Lonning S, Harper J, Teicher BA, Brendler CB, Yu N, Catalona WJ, Lee C. TGF-b regulates DNA methyltransferase expression in prostate cancer, correlates with aggressive capabilities, and predicts disease recurrence. PLoS One. 2011;6(9):e25168. Vartanian V, Park S. Renal Calculi. In: Bope ET, Kellerman RD, Rakel RE, eds. Conn’s Current Therapy 2011: Expert Consult. Philadelphia, PA: Saunders/Elsevier; 2011:758-60. Friedman RJ, Kurth AA, Schnee JM, Clemens A, Noack H, Eriksson BI, Caprini, JA. Dabigatran etexilate and concomitant use of nonsteroidal anti-inflammatory drugs or acetylsalicylic acid in patients undergoing total hip and total knee arthroplasty: no increased risk of bleeding. J Bone Joint Surg Am. (Accepted) Merkow RP, Bilimoria KY, McCarter MD, Cohen ME, Raval MV, Caprini JA, Gordon HS, Co CY, Bentrem DJ. Post-discharge venous thromboembolism after cancer surgery: extending the case for extended prophylaxis. Ann Surg. 2011 Jul;254(1):131-7. Passman MA, McLafferty RB, Lentz MF, Nagre SB, Iafrati MD, Bohannon WT, Moore CM, Heller JA, Schneider JR, Lohr JM, Caprini JA. Validation of Venous Clinical Severity Score (VCSS) with other venous severity assessment tools from the American Venous Forum, National Venous Screening Program. J Vasc Surg. 2011 Sep 29. [Epub ahead of print] Gupta N, Yuo TH, Konig G, Dillavou E, Leers SA, Chaer RA, Cho JS, Makaroun MS. Treatment strategies of arterial steal after arteriovenous access. J Vasc Surg. 2011 Jul;54(1):162-7. Epub 2011 Jan 26. Hodnett PA, Koktzoglou I, Davarpanah AH, Scanlon TG, Collins JD, Sheehan JJ, Dunkle ED, Gupta N, Carr JC, Edelman RR. Evaluation of peripheral arterial disease with nonenhanced quiescent-interval single-shot MR angiography. Radiology. 2011 Jul:260(1)282-93. Epub 2011 Apr 18. Koktzoglou I, Gupta N, Edelman RR. Nonenhanced extracranial carotid MR angiography using arterial spin labeling: improved performance with pseudocontinuous tagging. J Magn Reson Imaging. 2011 Aug;34(2):384-94. Doi: 10.1002/jmri.22628. Shao M, Gupta N. Arteriovenous hemodialysis access infections. In: Eskandari MK, Morasch MD, Pearce H, Yao JST, eds. New Findings in Vascular Surgery. Shelton, CT: People’s Medical Pub House-USA; 2011:397-408. Schindler N, Desai T, Babrowski T, Alexander J. Resection of intracaval leiomyomatosis using abdominal approach and veno-venous bypass. Ann Vasc Surg: 2011. (In press) Department of Surgery 2011 Annual Report 23 Staff Directory Cardiac and Thoracic Surgery Chief of Cardiac Surgery Paul Pearson, MD, PhD (847) 570-2868 Repair and Replacement of Heart Valves, Thoracoscopic Surgery for Atrial Fibrillation General Surgery (continued) Neurosurgery (continued) Jose Velasco, MD (847) 982-1095 Advanced Laparoscopic Surgery, Thyroid/Parathyroid/Adrenal Surgery, Breast Surgery Edward Mkrdichian, MD 847) 570-1440 Brain Surgery, Radiosurgery, Spine Surgery, Stereotactic Neurosurgery Neurosurgery Chief of Thoracic Surgery John Howington, MD (847) 570-2868 Minimally Invasive Thoracic Surgery, Lung and Esophageal Cancer, Mediastinal Tumors Department Chair Julian Bailes, MD (847) 570-4224 Brain Tumors/Spine Tumors, Brain and Spine Surgery, Aneurysms, Cervical and Lumbar Pain Syndromes, Carotid Stenosis, General Neurosurgery Subhasis Chatterjee, MD (847) 570-2868 Valvular Heart Disease, Coronary Artery Disease, Thoracic Aortic Disease James Brown, MD (630) 279-7930 General Neurosurgery Ki Wan Kim, MD (847) 570-2868 Lung Cancer, Thoracoscopy, Pulmonary Resection, Esophageal Surgery General Surgery Division Chief Woody Denham, MD (847) 570-1700 General Surgery, Advance Laparoscopic and Bariatric Surgery Stephen Haggerty, MD (847) 570-1700 General Surgery, Advanced Laparoscopic and Bariatric Surgery John Linn, MD (847) 570-1700 Minimally Invasive Surgery, General Surgery, Advance Laparoscopic and Bariatric Surgery Barbara Loris, MD (847) 570-1700 General Surgery, Breast Surgery Joseph Muldoon, MD (847) 570-1700 Colon/Rectal Surgery Marc Singer, MD (847) 570-1700 Colon/Rectal Surgery James Spitz, MD (847) 570-1700 Colon/Rectal Surgery Michael Ujiki, MD (847) 570-1700 General Surgery, Advanced Laparoscopic and Bariatric Surgery 24 NorthShore University HealthSystem Leonard Cerullo, MD (847) 570-1440 Brain Surgery, General Neurosurgery, Skull Base Surgery, Trigeminal Neuralgia Surgery Ivan Ciric, MD (847) 570-1440 Pituitary Tumors, Brain and Skull Based Tumors Geoffrey Dixon, MD (847) 570-1440 General Neurosurgery, Complex Spine Surgery Egon Doppenberg, MD (847) 570-1440 Minimally Invasive Spine Surgery, Complex Spine Surgery, Brain and Skull Based Tumors Ted Eller, MD (847) 570-1440 Outpatient Microsurgery of the Spine; Brain Tumors/Spine, Brain and Spine Surgery; Aneurysms; Arnold-Chiari Malformation; Hydrocephalus; General Neurosurgery Hamad Farhat, MD (847) 570-1440 Brain/Spine Pathology, Chiari Malformations, Complex Spine, Endovascular Pathology, Endovascular Neurosurgery, Hydrocephalus, Tumors, Vascular Pathology, Minimally Invasive Spine Dean Karahalios, MD (847) 570-1440 Complex Spine Surgery, Minimally Invasive Spine Surgery, General Neurosurgery Adebukola Onibokun, MD (847) 570-1440 Microvascular Decompression Surgery, Minimally Invasive Spine Surgery, Pituitary Surgery, Skull Base Surgery, Vascular Surgery Gail Rosseau, MD (847) 570-1440 Cranial Base Surgery, General Neurosurgery of the Brain, General Neurosurgery of the Spine Noam Stadlan, MD (847) 570-1440 Cervical and Lumbar Total (Artificial) Disc Replacement, Complex Spine Surgery and Reconstruction, Minimally Invasive Spine Surgery, Surgical Treatment of Spine Disorders Ophthalmology Division Chief Marian Macsai, MD (847) 657-1860 Ophthalmology, Cornea/Refractive Surgery, Cataract Surgery Troy Close, MD (847) 657-1860 Neuro and Comprehensive Ophthalmology Joshua Herz, MD (847) 657-1860 Ophthalmology Ann Laurenzi-Jones, OD (847) 657-1860 Contact Lens Fitting for Corneal Disease and General Contact Lens Fitting Manvi Maker, MD (847) 657-1860 Medical Retina and Comprehensive Ophthalmology Tony Pira, MD (847) 657-1860 Comprehensive Ophthalmology Peter Rabiah, MD (847) 657-1860 Ophthalmology, Pediatric Ophthalmology, Uveitis, Adult Strabismus Veeral Sheth, MD (847) 657-1860 Retina and Comprehensive Ophthalmology Otolaryngology Surgical Oncology Urology (continued) Division Chief Mark Gerber, MD (847) 504-3300 Head and Neck Surgery, Pediatric Laryngology and Bronchoesophagology Division Chief David J. Winchester, MD (847) 570-1700 Surgical Oncology, Breast Surgery, Thyroid/Parathyroid/Adrenal Surgery, General Surgery Peter Colegrove, MD (847) 475-8600 General Urology, Incontinence, Erectile Dysfunction Mihir Bhayani, MD (847) 504-3300 Otolaryngology Head and Neck Surgery, Head and Neck Cancer Judy Chen, MD (847) 504-3300 Pediatric Otolaryngology Head and Neck Surgery Joseph Raviv, MD (847) 504-3300 Rhinology, Nasal and Sinus Surgery, Endoscopic Skull Base Surgery Ilana Seligman, MD (847) 504-3300 Pediatric Otolaryngology Head and Neck Surgery Michael Shinners, MD (847) 504-3300 Neurotology, Acoustic Neuroma Surgery, Cochlear Implants, Stapes Surgery Plastic Surgery Division Chief Bruce Bauer, MD (847) 504-2300 Plastic and Reconstructive Surgery, Pediatrics Michael Howard, MD (847) 504-2300 Plastic and Reconstructive Surgery, Breast Reconstruction, Wound Care and Hyperbaric Medicine Mark Sisco, MD (847) 504-2300 Aesthetic and Cosmetic Surgery, Breast Reconstruction, Microsurgery Jeremy Warner, MD (847) 504-2300 Cosmetic Surgery Face and Body, Plastic and Reconstructive Surgery Marshall Baker, MD (847) 570-1700 Hepto-Pancreatico-Biliary Surgery, Oncologic Surgery, Pancreatic Cancer, Liver Cancer, Chronic Pancreatitis Ermilo Barrera, MD (847) 570-1700 General Surgery, Oncologic Surgery, Breast Cancer Tricia Moo-Young, MD (847) 570-1700 Thyroid/Parathyroid/Adrenal Surgery, General Surgery Richard Prinz, MD (847) 570-1700 Thyroid/Parathyroid/Adrenal Surgery Mark Talamonti, MD (847) 570-1700 Oncologic Surgery, Pancreatic Cancer, Pancreaticobiliary Disease David P. Winchester, MD (847) 570-1700 Breast Cancer, Breast Disease, Skin Lesions Katharine Yao, MD (847) 570-1700 Breast Surgery Urology Division Chief Michael McGuire, MD (847) 676-2400 General Urology, Pediatric Urology, Urologic Oncology Jeffrey Albaugh, PhD, APRN, CUCNS (847) 657-5730 Male and Female Sexual Health Michael Blum, MD (847) 501-3434 General Urology, Urologic Oncology Charles Brendler, MD (847) 657-5718 Prostate Cancer Thomas Keeler, MD (847) 657-5718 General Urology, Pediatric Urology, Incontinence Amanda Macejko, MD (847) 676-2400 General Urology, Minimally Invasive Surgery, Kidney Stones Kristian Novakovic, MD (847) 501-3434 Robotic and Computer-Assisted Surgery, Urologic Oncology Sangtae Park, MD (847) 676-2400 Urologic Oncology, Robotic and Computer Assisted Surgery Vascular Surgery Division Chief NavYash Gupta, MD (847) 663-8050 Vascular and Endovascular Surgery; Minimally Invasive Treatment of Aortic, Carotid and Peripheral Vascular Disease; Hemodialysis Access Joseph Caprini, MD (847) 663-8050 Venous Thromboembolism and Coagulation Disorders Tina Desai, MD (847) 663-8050 Endovascular Treatment of Vascular Disease, Minimally Invasive Treatment of Vascular Disease Benjamin Lind, MD (847) 663-8050 Vascular Surgery, Wound Care and Peripheral Vascular Disease Omar Morcos, MD (847) 663-8050 Vascular Surgery, Lower Extremity Limb Salvage and Hemodialysis Access Nancy Schindler, MD (847) 663-8050 Varicose Veins and Venous Vascular Problems Non-Profit U.S. Postage Paid NORTHSHORE UNIVERSITY HEALTHSYSTEM Department of Surgery 2650 Ridge Avenue Walgreen 2507 Evanston, IL 60201 (847) 570-2560 northshore.org Photography: Jon Hillenbrand NorthShore Evanston Hospital NorthShore Glenbrook Hospital Our Commitment to Excellence NorthShore University HealthSystem is committed to excellence—bringing the finest physicians, healthcare professionals and the latest technology together to provide the very best quality, compassionate care to the patients and families we are privileged to serve. To learn more about NorthShore’s clinical, research and academic excellence, visit northshore.org. NorthShore Highland Park Hospital NorthShore Skokie Hospital Evanston Hospital 2650 Ridge Avenue Evanston, IL 60201 (847) 570-2000 NorthShore Medical Group 1301 Central Street Evanston, IL 60201 (847) 570-5235 Glenbrook Hospital 2100 Pfingsten Road Glenview, IL 60026 (847) 657-5800 NorthShore Foundation 1033 University Place Suite 450 Evanston, IL 60201 (224) 364-7200 Highland Park Hospital 777 Park Avenue West Highland Park, IL 60035 (847) 432-8000 Skokie Hospital 9600 Gross Point Road Skokie, IL 60076 (847) 677-9600 NorthShore Research Institute 1001 University Place Evanston, IL 60201 (224) 364-7100