JAMA Surgery

The World Society of Emergency Surgery has updated its guidelines for #diagnosis and management of #appendicitis. Watch this video to learn the highlights on #appendectomy timing and use of #antibiotics. 📖 Read the full article for more details: ja.ma/4pGBnsG

💬 Viewpoint: #RoboticSurgery may be reducing routine #Laparoscopy exposure, creating a patient safety risk when surgeons must revert to conventional minimally invasive surgery because robotic systems are unavailable. ja.ma/4ft1nEy

In prospective hepatobiliary #LaparoscopicSurgery videos, automated skill scores aligned more closely with expert ratings than scores from resident and attending surgeons. ja.ma/4wnfTDE

In private payer data, complex procedures in The Transforming Episode Accountability Model by @CMSGov were associated with more intensive care unit use, readmissions, and postacute care, but hospital payments often did not increase proportionally. ja.ma/4xaq5PT

Among patients with #PrimaryHyperparathyroidism without baseline end-organ damage, 32% developed osteoporosis, kidney stones, fractures, or chronic kidney disease during follow-up, indicating progression under usual care. ja.ma/4501zF8

For patients with locally advanced #PancreaticCancer, ablative #RadiationTherapy before surgical evaluation was not associated with excess 90-day postsurgical mortality and may help preserve local treatment options when resection is not feasible. ja.ma/4fFn5UG

During laparoscopic cholecystectomy, #IndocyanineGreen fluorescent cholangiography was associated with lower rates of #BileDuctInjury, biliary intervention, conversion to open surgery, and 30-day nonbiliary complications. ja.ma/4h3pDhz

In youths after sleeve gastrectomy, early reinitiation of obesity medication was associated with greater 12-month weight loss vs surgery alone, without higher postoperative morbidity. ja.ma/4pKrwlD

Older age, elective surgery, open approach, and longer operative time were associated with greater likelihood of #Opioid prescribing at discharge in pediatric surgical care. ja.ma/4fs0GLz

🔖 Bookmark now, reference later: Most #ThyroidCancer cases are well differentiated and asymptomatic, and surgery with or without #RadioactiveIodine is curative in most tumors >1 cm. Cite this #JAMAReview: ja.ma/3TXtJy7

Laparoendoscopic bilateral #herniarepair with synthetic mesh was associated with lower recurrence rates than biological mesh, with no #pain difference. 📖 Read full study: ja.ma/4poyo82

More than one-third of older adults at extreme risk for early mortality died within 48 hours of high-risk #EGS, highlighting a substantial rate of nonbeneficial surgery. ja.ma/4eUxDju

Perioperative FLOT chemotherapy was linked to better survival and lower recurrence risk than CROSS chemoradiotherapy among esophageal adenocarcinoma patients achieving #pCR. ja.ma/44gLhHE

Robotic-assisted #cholecystectomy for complex cases reduced postoperative interventions and complications, with no increase in overall health care cost compared to #laparoscopy. ja.ma/4yke8Zv

Research projects that fully #autonomousvehicles could prevent up to one million US road #traffic injuries over 10 years, based on early safety data. 📖 Read full article for more details: ja.ma/4bBElst

Perioperative toripalimab plus chemotherapy improved tumor and lymph node downstaging and event-free survival in resectable stage III #NSCLC without increasing perioperative complications. ja.ma/4ymDAxp

Crisanto Torres, MD, MPH, and Jamie Coleman, MD, discussed how whole blood has comparable safety to component therapy and offers practical advantages for emergency teams, including simplified logistics and reduced transfusion requirements. 🎧 Listen now: ja.ma/4wGdpQE

Postoperative #Hypertension is often treated reflexively in inpatient surgical settings, but evidence suggests most episodes do not indicate clinical risk. 🎧 Listen to this podcast with Sherry Wren, MD, Baylee Bakkila, MD, and Jamie Coleman, MD: ja.ma/4fcpPIS

📝 Narrative Review: #Postoperative #Hypertension should be treated only when symptomatic. As-needed medications for asymptomatic hypertension increase risk of adverse outcomes, supporting a conservative management approach. ja.ma/4ycufYZ

💬 Editorial: #UterusTransplant has evolved into clinical reality for patients with absolute uterine factor infertility, with programs worldwide demonstrating feasibility and integrated care needed for successful live births. ja.ma/44lg0Dy