Annals of Surgery

Objective: To evaluate the safety and efficiency of a novel computed tomography (CT)-guided hookwire localization technique, aiming to enable parenchyma-sparing wedge resection using video-assisted thoracoscopic surgery (VATS) for small, hilar-proximal, ground-glass opacity (GGO)-dominant nodules. Summary Background Data: Localizing hilar-proximal GGOs remains challenging. For small, hilar-proxim…

Objective: To compare 1-year changes in estimated 10-year and lifetime atherosclerotic cardiovascular disease (ASCVD) risk following metabolic and bariatric surgery (MBS) versus glucagon-like peptide-1 receptor agonist (GLP-1RA) therapy among adults with obesity. Summary Background Data: Obesity is a major driver of ASCVD through adverse metabolic and inflammatory pathways. Metabolic and bariatri…

Objective: To evaluate the impact of trauma center care on one-year mortality among injured older adults. Background: Older adults represent the fastest growing population of injured patients, however the long-term benefit of trauma center care among these patients is unknown. Methods: We performed a population-based cohort study of individuals age ≥ 65 with moderate or severe injuries (presence …

Objective: To assess the association between preoperative radiotherapy (RT) and major postoperative complications in patients with primary retroperitoneal sarcoma (RPS). Background: The effect of preoperative RT on postoperative morbidity in patients undergoing surgery for primary RPS remains uncertain. Methods: In the post hoc analysis, analyses were performed for the entire STRASS cohort and fo…

There is a significant volume-outcome relationship after F/BEVAR. As commercially available devices become available, volume thresholds may provide an opportunity to guide dissemination of the technology while ensuring acceptable patient outcomes.

Delayed surgery for aSBO is associated with higher early mortality and bowel resection rates. Surgical management, particularly laparoscopic, substantially reduces long-term recurrence. Timely operative decision-making is crucial to balance immediate risks with long-term outcomes.

This study demonstrated a growing awareness of burnout in the surgical community. While some interventions show potential, the mixed results highlight the need for ongoing research. The stigma associated with burnout prevents uptake and the attrition rate described in the literature needs consideration when developing any future interventions.

Routine SSRF did not reduce ICU stay and was associated with longer hospitalization and more pneumonia but yielded clinically meaningful quality-of-life and pain improvements. Findings support selective rather than routine SSRF.Keywords.

Female surgeons and surgical trainees face increased burnout from lack of workplace support, major pregnancy complications, and excess physical demands during pregnancy. These emphasize the need for systemic changes including policy reform, cultural shifts, and targeted interventions to support career satisfaction and equity.

MPR was independently associated with favorable survival in PDAC. The prognostic impact of adjuvant chemotherapy was not observed among patients who achieved MPR, suggesting that MPR may inform individualized postoperative management and warrants prospective validation.

Objective: To evaluate the associations between surgeon-patient sex concordance, long-term clinical outcomes and healthcare costs. Background Data: Emerging data suggest surgeon-patient sex concordance may improve short-term outcomes, especially for female patients, yet its long-term effects remain unknown. Methods: We conducted a population-based retrospective cohort study of adults undergoing c…

Non-transplant centers were associated with higher mortality for patients with kidney transplants, and our composite measure was increased in non-transplant centers for all organs. Emergency general surgery care for these groups should be preferentially offered at transplant centers.

In this exploratory analysis of JCOG1109, postoperative complications were not significantly associated with prognosis. Minimally invasive esophagectomy, such as TE and intensified neoadjuvant therapy, may reduce the negative prognostic impact of complications.