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💰 Access to gender-affirming surgery is growing—but not equally. Those with public insurance or in low-income zip codes face major barriers. 🔗journals.lww.com/annalsofsurger…

Laparoscopy for liver donors? ✅ In 3,300+ cases, laparoscopic right hepatectomy showed lower donor complication rates and no increase in biliary issues. 🔗journals.lww.com/annalsofsurger…

Liver + heart surgery in one go? Feasible for high-risk patients. This study introduces a new 4-factor score to predict survival—and it beats existing tools. 🔗journals.lww.com/annalsofsurger…

🔧 One anastomosis, many benefits. In this 21-year series, splenomesenteric (ASMA) grafting was safe, reproducible, and matched Y-grafts in outcomes—making a strong case for change in practice. 🔗journals.lww.com/annalsofsurger…

📊 Smarter stratification for pancreatic cancer care: This multicenter study validated the PANAMA score to predict both survival and who should get chemo after FOLFIRINOX and surgery. 🔗journals.lww.com/annalsofsurger…

Forget costly liver tests. 💸 This large study shows an APRI+ALBI model accurately predicts liver failure after resection—and it’s free, fast, and now app-based. 🔗journals.lww.com/annalsofsurger…

🕒 Pump tech = game changer. NLMP allowed longer preservation, daytime surgeries, and safer use of higher-risk liver grafts—without hurting outcomes. 🔗journals.lww.com/annalsofsurger…

🛠️ A new tool in the polyp playbook: ERSD using Da Vinci SP delivered clean resections, short OR times, and same-day discharge for most patients. 🔗 journals.lww.com/annalsofsurger…

Black and Hispanic patients were more likely to decline surgery for resectable cancer—and those disparities haven’t improved over time. 📉⚠️ Urgent need to address trust and access in cancer care. 🔗journals.lww.com/annalsofsurger…

🛑 Despite 20 years of effort, Black patients remain more likely to decline surgery for curable cancers—progress has been limited and uneven. Time to rethink how we build trust and deliver care. 🔗journals.lww.com/annalsofsurger…

Trust in healthcare starts with informed consent. 🩺 This article exposes ongoing gaps in obtaining explicit permission for intimate exams under anesthesia—calling for systemic change. 🔗journals.lww.com/annalsofsurger…

Metabolic surgery helped launch modern treatments for heart disease ❤️, diabetes 🩸, and cancer 🎗️—not just weight loss. It’s the unsung hero of chronic disease care. 🔗journals.lww.com/annalsofsurger…

Not all radical surgery is life-saving. ⚖️ For advanced GI cancers, we need better ways to define and predict futility—before hope turns into harm. 🔗journals.lww.com/annalsofsurger…

Major surgery, smarter insulin 💉🤖 Closed-loop glucose systems kept patients in target range 80% of the time—far better than usual care, without added risk. 🔗journals.lww.com/annalsofsurger…

Decades of practice, but no clear benefit. 💉 This RCT found that pre-op autologous blood storage didn’t reduce liver failure or complications after major hepatectomy. 🔗journals.lww.com/annalsofsurger…

📊 Over 1 million surgeries later, robotic cancer surgery shows its edge: fewer complications, less blood loss, and shorter stays vs. lap and open—despite longer op times. 🔗journals.lww.com/annalsofsurger…

Portal flow is more than plumbing. It drives liver regeneration—but too much flow can cause injury, dysfunction, or graft failure. Time to rethink how we monitor and manage it. 🔗journals.lww.com/annalsofsurger…

Only 17% of grads from academic surgery programs pursue academic careers 🎓📉—but those with advanced degrees, mentors, and more first/senior author papers during residency are more likely to stay in the game. 🔗journals.lww.com/annalsofsurger…

Outpatient hip replacements surged 🚀—but mostly for White patients. As Medicare policy shifts care out of hospitals, racial disparities in access are growing. 🔗journals.lww.com/annalsofsurger…

ERAS after mastectomy = fewer opioids long term 📉💊. This study found reduced chronic opioid use—without a spike in sedative use—up to a year after surgery. 🔗journals.lww.com/annalsofsurger…