1 From the Department of Surgery (L.L.M.), Yale School of Medicine, New Haven, Connecticut; Department of Surgery (A.C.M.), Rutgers New Jersey Medical School, Newark, New Jersey; Department of Surgery (R.S.M.), Vanderbilt University Medical Center, Nashville, Tennessee; Department of Surgery (B.A.C.), University of Texas Health Science Center, Houston, Texas; and Department of Surgery (O.C.K.), Hartford Hospital and the University of Connecticut School of Medicine, Hartford, Connecticut.