In a multicenter study, early postoperative hyperamylasemia strongly predicted pancreatic fistula after distal pancreatectomy—offering a simple, early warning signal.

Patients under IPMN surveillance were more likely to have early-stage concomitant cancers—and better outcomes—than those diagnosed outside surveillance.

In patients with low-risk thyroid cancer, values shift over time—initial fear of recurrence gives way to greater focus on quality of life. Preferences aren’t fixed.

This study developed and validated a risk calculator to predict mortality before transfer for general surgery patients—offering a new tool to guide triage decisions.

In over 870,000 surgeries, no difference in mortality or complications was found between overlapping and non-overlapping cases—if overlap followed strict safety guidelines.

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Only 29% of hospital consent forms mention overlapping surgery—and just 7% meet federal transparency recommendations. Patients often aren’t told their surgeon might be in another OR.

Nearly 1 in 3 surgeons publishing in top journals misreported industry conflicts of interest—most often underreporting major payments. Accuracy was lowest in U.S. authors and senior authors.

Older adults face far more than physical recovery after surgery—emotional strain, loss of independence, and unmet expectations shape their journey in ways often overlooked.

Preoperative opioid use was linked to higher 30-day mortality and complications after major elective surgery—highlighting the need for better pre-op risk stratification and support.

Most emergency surgery patients used only half of the opioids they were prescribed—and those prescribed more didn’t report less pain or better satisfaction. Less can be more.

Telesurgery is technically feasible and increasingly safe—but widespread adoption remains limited by legal, financial, and infrastructure barriers. The future is promising, but unevenly distributed.

PRESSURE trial: Avoiding CVP reduction during minimally invasive liver resection didn’t increase bleeding—but cut intraoperative hemodynamic instability in half.

PANDRA II trial: Routine drainage after left pancreatectomy offers no benefit—and may increase complications. It’s time to rethink the default drain.

We, at Annals, are launching a new section on professional development—spotlighting leadership, mentorship, and the real-world skills surgeons need but rarely get taught.

RT @MarcBesselink: Found that @Google Scholar ranks medical #journals by h-index and decided to check #surgery journals, interesting! @jdim….

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“Checkmark” credentialing fails to catch unprofessional behavior in medicine. This piece argues for 360-degree reviews as a fairer, more effective way to support improvement and protect patients.

LGBTQ+ surgeons face discrimination, burnout, and isolation—yet still remain underrepresented. Real change requires mentorship, inclusive policies, and visible allyship in training and leadership. @steven_xie96.

Rural surgery faces more than a training gap—it faces a strategy gap. While rural tracks offer some benefit, real progress requires coordinated action on workforce, policy, and hospital sustainability.

Surgery residents with rural training exposure are more likely to practice in rural areas—but just 6% of graduates do. Even brief rural experiences help, but workforce gaps persist.

Despite progress, women surgeons still face deep-rooted barriers to leadership. Cultural expectations, caregiving burdens, and structural bias must be addressed—or risk losing hard-won gains.