Breast reconstruction has evolved since the Women's Health and Cancer Rights Act of 1998. A new Surgical Perspective explores how proposed legislation could expand coverage for oncoplastic surgery and modern reconstructive techniques. ovid.com/10.1097/SLA.0000000…

In 26 cadaveric procedures performed remotely across 1,096 km, robotic surgical performance remained stable despite communication delays of up to 378 milliseconds, supporting the feasibility of long-distance telesurgery. ovid.com/10.1097/SLA.0000000…

Among patients undergoing liver metastasectomy for colorectal cancer, Medicaid expansion was associated with improved 3-year cancer-specific survival, with a 30% lower mortality hazard by 6 years after expansion. ovid.com/10.1097/SLA.0000000…

In patients with severe burn injuries, circulating extracellular vesicles showed widespread changes in protein composition, identifying distinct molecular signatures associated with systemic inflammation and immune dysregulation. ovid.com/10.1097/SLA.0000000…

In 63 patients undergoing complex pancreatic resection with extensive vascular involvement, temporary venous bypass enabled a bypass-first surgical approach, demonstrating its feasibility in selected patients with advanced pancreatic tumors. ovid.com/10.1097/SLA.0000000…

In patients undergoing liver resection for colorectal metastases after neoadjuvant therapy, combining anatomical and histologic treatment response identified distinct recurrence risk groups, with median recurrence-free survival from 7.2-27.6 months. ovid.com/10.1097/SLA.0000000…

In a mouse model of lung cancer, exercise reduced tumor growth in obese mice and improved antitumor immunity by increasing CD8+ T-cell activity and reducing immunosuppressive cell populations. ovid.com/10.1097/SLA.0000000…

US health care spending on injuries totaled $106.7 billion in 2022, with falls accounting for 53% of spending ($56.2 billion), followed by transport injuries at 22% ($23.3 billion). ovid.com/10.1097/SLA.0000000…

In 2,760 patients undergoing pancreatic cancer resection, factors predicting overall survival differed by receipt of neoadjuvant therapy, highlighting the need for treatment-specific prognostic models. ovid.com/10.1097/SLA.0000000…

Among patients with stage 0–I pancreatic cancer, KRAS mutation testing of duodenal lavage fluid achieved 80.9% sensitivity and 100% specificity compared with healthy controls, highlighting its potential for early detection. ovid.com/10.1097/SLA.0000000…

Experienced robotic surgeons rapidly adapted to communication delays during remote abdominal surgery, maintaining technical performance without increased cognitive workload, even at higher latency levels. ovid.com/10.1097/SLA.0000000…

In a state-level analysis of U.S. firearm laws, child access prevention laws were associated with the largest reduction in firearm suicide rates, with negligent storage liability identified as a high-impact policy in states lacking comprehensive laws. ovid.com/10.1097/SLA.0000000…

Among 33,216 patients with colorectal liver metastases, Medicaid expansion was associated with improved 3-year cancer-specific survival, with benefits emerging 2–3 years after expansion and persisting over time. ovid.com/10.1097/SLA.0000000…

A novel endoscopic approach uses secretin-stimulated duodenal lavage fluid to detect KRAS mutations associated with pancreatic cancer, offering a promising method for identifying potentially resectable disease. ovid.com/10.1097/SLA.0000000…

Following pancreatic cancer surgery with venous resection, early portomesenteric venous thrombosis was rare (3.3%), while late thrombosis occurred in 21.5% of patients and was frequently associated with local cancer recurrence. ovid.com/10.1097/SLA.0000000…

#AnnalsTop100: Ranked No. 33 of 100 with 1,200+ citations, Rosenberg et al. (1982) randomized 43 patients with high-grade extremity sarcoma to amputation vs limb-sparing surgery + RT: no difference in DFS or OS. This NCI trial ended the amputation era. ovid.com/00000658-198209000-…

Nearly half of biliary tract cancers involving the cystic duct junction could not be classified by anatomical location. A tumor depth-based classification improved survival stratification in these patients, suggesting a simpler approach to staging. ovid.com/10.1097/SLA.0000000…

Why do some hospitals improve colorectal ERAS adherence while others stall? A study recently published in @AnnalsofSurgery examined 86 hospitals and found that there is no single formula for implementation. Three context-specific patterns together accounted for more than 70% of hospitals with high improvement in ERAS adherence: -Hospitals serving lower-SES populations, estimated by Medicaid discharge volume, improved when they were ready to change, despite challenges with team skills and cohesion. -Lower-volume hospitals improved when readiness to change was paired with staff buy-in, meaning broad team support for using the ERAS pathway. -Higher-volume hospitals improved when teams had enough time for implementation activities, such as training, coordination, and tracking adherence, along with a manageable workload, even when leadership support was limited. The takeaway: Assess local conditions and focus on factors that can be changed. The study measured improvement in ERAS adherence, not patient outcomes. #ColorectalSurgery #ERAS #QualityImprovement #ImplementationScience #PatientCare @ASCRS_1 @ErasSociety @jdimick1 @AmCollSurgeons

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