Journal of the American College of Surgeons (original) (raw)

Current Issue Highlights

Special Article

Research Letter

Childers, Christopher P; Foe, Lauren M; Mujumdar, Vinita; More

Childers, Christopher P; Foe, Lauren M; Mujumdar, Vinita; Mabry, Charles D; Selzer, Don J; Senkowski, Christopher K; Ko, Clifford Y; Tsai, Thomas C Less

Journal of the American College of Surgeons. 241(5):741-744, November 2025.

In Brief:

Overall, for common high-volume surgical procedures, operative times and patient complexity have significantly increased over time. There does not appear to be empirical evidence of efficiency gains that would justify an efficiency adjustment as proposed in the Calender Year 2026 Medicare Physician Fee Schedule.

Original Scientific Articles

Operation Alone for Resectable Pancreatic Adenocarcinoma: Should We Operate if Multimodal Treatment Is Off the Table?

Anteby, Roi; Fagenholz, Peter J; Fernandez-del Castillo, Carlos; More

Anteby, Roi; Fagenholz, Peter J; Fernandez-del Castillo, Carlos; Kastrinakis, William G; Lillemoe, Keith D; Qadan, Motaz Less

Journal of the American College of Surgeons. 241(5):745-755, November 2025.

In Brief:

This national study of patients with early-stage pancreatic ductal adenocarcinoma affirms that operative resection, in the absence of multimodal therapy, is associated with improved outcomes compared with no resection. However, the association with improved survival is clinically annulled in the absence of a negative-margin resection.

Collective Review

Identifying Diagnostic Gaps and Mitigation Strategies for Older Adult Emergency General Surgery Patients: A Scoping Review

Liu, Jessica K; Peters, Xane D; Remer, Sarah L; More

Liu, Jessica K; Peters, Xane D; Remer, Sarah L; Beestrum, Molly; Cooper, Zara; Russell, Marcia M; Hall, Bruce L; Ko, Clifford Y Less

Journal of the American College of Surgeons. 241(5):904-916, November 2025.

Education

Hsu, Richard; Trieu, Elissa; Schneyer, Rebecca; More

Hsu, Richard; Trieu, Elissa; Schneyer, Rebecca; Wright, Kelly Less

Journal of the American College of Surgeons. 241(5):917-920, November 2025.

In Brief:

A comprehensive departmental opioid reduction toolkit reduced discharge opioid prescriptions by 67.1% by introducing several low cost, scalable interventions aligning patient prescriptions with need. We demonstrated a 3.4-fold increase in opioid-free discharges, reduced average prescription sizes, and reduced odds of postdischarge prescriptions.

Letters

Air Bubbles, Saline Solutions, and Vital Colorant: Respect This Order to Properly Identify Biliary Lesions on the Liver Surface

Terrasi, Alessandro; Gallo, Luisa; Lo Iacona, Ivan; More

Terrasi, Alessandro; Gallo, Luisa; Lo Iacona, Ivan; Di Carlo, Isidoro; Toro, Adriana Less

Journal of the American College of Surgeons. 241(5):928, November 2025.