Pub Date : 2026-03-01DOI: 10.1001/jamasurg.2025.6382
Bao Ngoc Vi Do, Jayson Willard Myers, Paras Singh Minhas
{"title":"Distance of Mass School Shootings From Trauma Centers.","authors":"Bao Ngoc Vi Do, Jayson Willard Myers, Paras Singh Minhas","doi":"10.1001/jamasurg.2025.6382","DOIUrl":"10.1001/jamasurg.2025.6382","url":null,"abstract":"","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":" ","pages":"306-307"},"PeriodicalIF":14.9,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12874072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146118988","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<p><strong>Importance: </strong>The optimal management of severe blunt splenic injuries (BSI) in patients with multiple trauma is debated. This study compares early outcomes of the 3 primary treatment approaches.</p><p><strong>Objective: </strong>To study the treatment patterns of severe BSI and characterize clinical outcomes in patients with multiple trauma.</p><p><strong>Design, setting, and participants: </strong>In this cohort study, adult patients with severe BSI were identified in the American College of Surgeons Trauma Quality Improvement Program database and excluded if the Abbreviated Injury Scale score was 2 or less for all body regions outside the abdomen. Outcomes were compared based on treatment approach. Subgroup analyses were performed in patients presenting with hypotension, normotension, and those whose initial nonoperative management (NOM) failed. The associations between intervention patterns and mortality, complications, and hospital course were examined. The database was queried for data from January 2017 to December 2022; data analysis was performed from September 2024 to January 2025.</p><p><strong>Exposures: </strong>Open splenectomy (OS), splenic angioembolization (SAE), or observation (OBS).</p><p><strong>Main outcomes and measures: </strong>The primary outcome was in-hospital mortality. Secondary outcomes included a variety of complications that included acute respiratory distress syndrome (ARDS), cardiac arrest, and severe sepsis, as well as hospital and intensive care unit length of stay (LOS).</p><p><strong>Results: </strong>In total, 12 930 patients with multiple trauma met the inclusion criteria (median [IQR] age, 39 [26-56] years; 9259 males [71.6%] and 3671 females [28.4%]). There were 3390 patients (26.2%) who underwent OS, 2537 (19.6%) who underwent SAE, and 7003 (54.2%) in the OBS group. Multivariable regression analysis found mortality risk, compared with the OS group, was lower for SAE (hazard ratio [HR], 0.62; 95% CI, 0.49 to 0.80; P < .001) and OBS (HR, 0.61; 95% CI, 0.50 to 0.74; P < .001). SAE and OBS had fewer complications compared with OS in the overall cohort (odds ratio [OR], 0.74; 95% CI, 0.64 to 0.86; P < .001, and OR, 0.75; 95% CI, 0.66 to 0.85; P < .001, respectively). For specific complications, the OS group had more ARDS, cardiac arrest, and severe sepsis. SAE and OBS had shorter hospital LOS (β, -1.37; 95% CI, -2.03 to -0.71; P < .001, and β, -1.33; 95% CI, -1.93 to -0.74; P < .001, respectively) and intensive care unit LOS (β, -1.42; 95% CI, -1.87 to -0.96; P < .001, and β, -1.34; 95% CI, -1.75 to -0.92; P < .001, respectively). The hypotensive subgroup had no increase in mortality, complications, or hospital course. Patients for whom NOM failed had more complications compared with upfront OS (OR, 3.09; 95% CI, 2.22 to 4.30; P < .001, and OR, 1.46; 95% CI, 1.21 to 1.76; P < .001, respectively). Sensitivity analysis confirmed these associations.</p><p><strong>Conclusions and relevance: </stro
{"title":"Severe Splenic Injuries in Patients With Multiple Trauma.","authors":"Wei Huang, Caitlyn Braschi, Feifei Jin, Meghan Lewis, Demetrios Demetriades","doi":"10.1001/jamasurg.2026.0016","DOIUrl":"10.1001/jamasurg.2026.0016","url":null,"abstract":"<p><strong>Importance: </strong>The optimal management of severe blunt splenic injuries (BSI) in patients with multiple trauma is debated. This study compares early outcomes of the 3 primary treatment approaches.</p><p><strong>Objective: </strong>To study the treatment patterns of severe BSI and characterize clinical outcomes in patients with multiple trauma.</p><p><strong>Design, setting, and participants: </strong>In this cohort study, adult patients with severe BSI were identified in the American College of Surgeons Trauma Quality Improvement Program database and excluded if the Abbreviated Injury Scale score was 2 or less for all body regions outside the abdomen. Outcomes were compared based on treatment approach. Subgroup analyses were performed in patients presenting with hypotension, normotension, and those whose initial nonoperative management (NOM) failed. The associations between intervention patterns and mortality, complications, and hospital course were examined. The database was queried for data from January 2017 to December 2022; data analysis was performed from September 2024 to January 2025.</p><p><strong>Exposures: </strong>Open splenectomy (OS), splenic angioembolization (SAE), or observation (OBS).</p><p><strong>Main outcomes and measures: </strong>The primary outcome was in-hospital mortality. Secondary outcomes included a variety of complications that included acute respiratory distress syndrome (ARDS), cardiac arrest, and severe sepsis, as well as hospital and intensive care unit length of stay (LOS).</p><p><strong>Results: </strong>In total, 12 930 patients with multiple trauma met the inclusion criteria (median [IQR] age, 39 [26-56] years; 9259 males [71.6%] and 3671 females [28.4%]). There were 3390 patients (26.2%) who underwent OS, 2537 (19.6%) who underwent SAE, and 7003 (54.2%) in the OBS group. Multivariable regression analysis found mortality risk, compared with the OS group, was lower for SAE (hazard ratio [HR], 0.62; 95% CI, 0.49 to 0.80; P < .001) and OBS (HR, 0.61; 95% CI, 0.50 to 0.74; P < .001). SAE and OBS had fewer complications compared with OS in the overall cohort (odds ratio [OR], 0.74; 95% CI, 0.64 to 0.86; P < .001, and OR, 0.75; 95% CI, 0.66 to 0.85; P < .001, respectively). For specific complications, the OS group had more ARDS, cardiac arrest, and severe sepsis. SAE and OBS had shorter hospital LOS (β, -1.37; 95% CI, -2.03 to -0.71; P < .001, and β, -1.33; 95% CI, -1.93 to -0.74; P < .001, respectively) and intensive care unit LOS (β, -1.42; 95% CI, -1.87 to -0.96; P < .001, and β, -1.34; 95% CI, -1.75 to -0.92; P < .001, respectively). The hypotensive subgroup had no increase in mortality, complications, or hospital course. Patients for whom NOM failed had more complications compared with upfront OS (OR, 3.09; 95% CI, 2.22 to 4.30; P < .001, and OR, 1.46; 95% CI, 1.21 to 1.76; P < .001, respectively). Sensitivity analysis confirmed these associations.</p><p><strong>Conclusions and relevance: </stro","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":" ","pages":""},"PeriodicalIF":14.9,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12936967/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147283746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-25DOI: 10.1001/jamasurg.2025.6859
Kushal T Kadakia, Christine M Swoboda, Osman Moneer, Sanket S Dhruva, Joseph S Ross, Harlan M Krumholz, James F Burke, Vinay K Rathi
{"title":"Therapeutic Benefit Ratings for FDA Breakthrough-Designated Devices.","authors":"Kushal T Kadakia, Christine M Swoboda, Osman Moneer, Sanket S Dhruva, Joseph S Ross, Harlan M Krumholz, James F Burke, Vinay K Rathi","doi":"10.1001/jamasurg.2025.6859","DOIUrl":"10.1001/jamasurg.2025.6859","url":null,"abstract":"","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":" ","pages":""},"PeriodicalIF":14.9,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12936964/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147283722","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-25DOI: 10.1001/jamasurg.2025.6831
Christopher P Childers, Brett M Tracy, Christopher K Senkowski
{"title":"Beyond Modifier 22-A Path to Recognizing Surgical Complexity.","authors":"Christopher P Childers, Brett M Tracy, Christopher K Senkowski","doi":"10.1001/jamasurg.2025.6831","DOIUrl":"https://doi.org/10.1001/jamasurg.2025.6831","url":null,"abstract":"","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":" ","pages":""},"PeriodicalIF":14.9,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147283528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-25DOI: 10.1001/jamasurg.2025.6865
Cody Lendon Mullens, Joshua K Sinamo, Alexander Hallway, Kyle H Sheetz, Anne P Ehlers, Dana A Telem
<p><strong>Importance: </strong>Cholecystectomy is among the most common surgical procedures in the US, yet as patient complexity has increased and surgical techniques have evolved, contemporary trends in complication rates remain understudied.</p><p><strong>Objective: </strong>To evaluate changes in postoperative outcomes and complication rates following minimally invasive cholecystectomy among Medicare beneficiaries between 2011 and 2021.</p><p><strong>Design, setting, and participants: </strong>This cohort study used Medicare fee-for-service claims data from 2011 to 2021 to identify beneficiaries undergoing inpatient minimally invasive (laparoscopic or robotic) cholecystectomy. Risk-adjusted outcomes were estimated using multivariable logistic regression with marginal effects, adjusting for demographics, comorbidities, biliary diagnosis, admission type, and year. Adjusted estimates for length of stay were estimated using multivariable Poisson regression with marginal effects, adjusting for the same covariates. Data were analyzed between March and August 2025.</p><p><strong>Main outcomes and measures: </strong>Key outcomes included length of stay, 30-day readmission, complications, serious complications, 30-day mortality, and in-hospital mortality. Specific complications, such as intraoperative hemorrhage, bile duct injury, transfusion, percutaneous drainage, urinary tract infection, and deep venous thrombosis, were also assessed.</p><p><strong>Results: </strong>Among 516 372 Medicare fee-for-service beneficiaries (mean [SD] age, 74.8 [9.8] years; 52.4% female), the proportion who had unplanned (vs elective) admissions for cholecystectomy increased from 78.8% in 2011 to 90.1% in 2021 (P < .001), alongside increases in Elixhauser comorbidity burden. Risk-adjusted rates of overall complications decreased from 21.5% (95% CI, 21.3%-21.7%) in 2011 to 16.5% (95% CI, 16.4%-16.7%) in 2021 (P < .001), and serious complications declined from 12.3% (95% CI, 12.2%-12.5%) to 7.0% (95% CI, 6.9%-7.1%) (P < .001). Specific complications also improved, including intraoperative hemorrhage (1.07% [95% CI, 1.01%-1.13%] to 0.54% [95% CI, 0.50%-0.58%]), blood transfusion (5.47% [95% CI, 5.34%-5.60%] to 1.87% [95% CI, 1.80%-1.94%]), and bile duct injury (0.19% [95% CI, 0.16%-0.21%] to 0.12% [95% CI, 0.11%-0.14%]) (all P < .001). However, rates of postoperative percutaneous drainage increased from 1.32% (95% CI, 1.26%-1.37%) to 2.91% (95% CI, 2.81%-3.01%) (P < .001).</p><p><strong>Conclusions and relevance: </strong>In this study of Medicare beneficiaries undergoing inpatient minimally invasive cholecystectomy, surgical complication rates, including bile duct injury, declined substantially from 2011 to 2021 despite increasing patient complexity. These improvements may reflect improved technique, overcoming the initial learning curve, or the cumulative influence of quality improvement efforts. The increasing use of drainage may reflect evolving surgical practice rather
{"title":"Contemporary Outcomes of Cholecystectomy.","authors":"Cody Lendon Mullens, Joshua K Sinamo, Alexander Hallway, Kyle H Sheetz, Anne P Ehlers, Dana A Telem","doi":"10.1001/jamasurg.2025.6865","DOIUrl":"10.1001/jamasurg.2025.6865","url":null,"abstract":"<p><strong>Importance: </strong>Cholecystectomy is among the most common surgical procedures in the US, yet as patient complexity has increased and surgical techniques have evolved, contemporary trends in complication rates remain understudied.</p><p><strong>Objective: </strong>To evaluate changes in postoperative outcomes and complication rates following minimally invasive cholecystectomy among Medicare beneficiaries between 2011 and 2021.</p><p><strong>Design, setting, and participants: </strong>This cohort study used Medicare fee-for-service claims data from 2011 to 2021 to identify beneficiaries undergoing inpatient minimally invasive (laparoscopic or robotic) cholecystectomy. Risk-adjusted outcomes were estimated using multivariable logistic regression with marginal effects, adjusting for demographics, comorbidities, biliary diagnosis, admission type, and year. Adjusted estimates for length of stay were estimated using multivariable Poisson regression with marginal effects, adjusting for the same covariates. Data were analyzed between March and August 2025.</p><p><strong>Main outcomes and measures: </strong>Key outcomes included length of stay, 30-day readmission, complications, serious complications, 30-day mortality, and in-hospital mortality. Specific complications, such as intraoperative hemorrhage, bile duct injury, transfusion, percutaneous drainage, urinary tract infection, and deep venous thrombosis, were also assessed.</p><p><strong>Results: </strong>Among 516 372 Medicare fee-for-service beneficiaries (mean [SD] age, 74.8 [9.8] years; 52.4% female), the proportion who had unplanned (vs elective) admissions for cholecystectomy increased from 78.8% in 2011 to 90.1% in 2021 (P < .001), alongside increases in Elixhauser comorbidity burden. Risk-adjusted rates of overall complications decreased from 21.5% (95% CI, 21.3%-21.7%) in 2011 to 16.5% (95% CI, 16.4%-16.7%) in 2021 (P < .001), and serious complications declined from 12.3% (95% CI, 12.2%-12.5%) to 7.0% (95% CI, 6.9%-7.1%) (P < .001). Specific complications also improved, including intraoperative hemorrhage (1.07% [95% CI, 1.01%-1.13%] to 0.54% [95% CI, 0.50%-0.58%]), blood transfusion (5.47% [95% CI, 5.34%-5.60%] to 1.87% [95% CI, 1.80%-1.94%]), and bile duct injury (0.19% [95% CI, 0.16%-0.21%] to 0.12% [95% CI, 0.11%-0.14%]) (all P < .001). However, rates of postoperative percutaneous drainage increased from 1.32% (95% CI, 1.26%-1.37%) to 2.91% (95% CI, 2.81%-3.01%) (P < .001).</p><p><strong>Conclusions and relevance: </strong>In this study of Medicare beneficiaries undergoing inpatient minimally invasive cholecystectomy, surgical complication rates, including bile duct injury, declined substantially from 2011 to 2021 despite increasing patient complexity. These improvements may reflect improved technique, overcoming the initial learning curve, or the cumulative influence of quality improvement efforts. The increasing use of drainage may reflect evolving surgical practice rather","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":" ","pages":""},"PeriodicalIF":14.9,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12936969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147283630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-25DOI: 10.1001/jamasurg.2025.6834
J Walker Rosenthal, Drew Goldberg, Elliott R Haut, Justin B Dimick, Rachel R Kelz
Importance: Surgeon compensation models influence physician productivity, care quality, and engagement in nonclinical activities. Information on compensation plans across surgical specialties and settings is often difficult to obtain.
Objective: To describe surgeon compensation models in the US, differentiate models by practice setting, and evaluate their association with clinical productivity and nonclinical contributions.
Evidence review: A systematic review was conducted following PRISMA guidelines. PubMed and Embase were queried for articles published between January 1, 2014, and August 20, 2024, reporting on surgeon compensation models. Two reviewers independently screened and abstracted data on study characteristics, practice settings, compensation structures, and outcomes. Risk of bias was assessed, and studies were synthesized by compensation model. Qualitative analysis was performed to determine themes across the literature.
Findings: Of 3268 screened records, 39 studies met inclusion criteria, encompassing 13 surgical specialties. Articles reported on compensation models, including salary (n = 8), work relative value unit (wRVU)-based (n = 8), hybrid (n = 7), fee-for-service (n = 5), and value-based models (n = 3). Hybrid models include a blend of financial incentives and base salary. Salary-based models provided financial stability, promoted team-based care and were associated with lower clinical volume. wRVU and fee-for-service models strongly incentivized productivity and often failed to account for case complexity, patient outcomes, or nonclinical work. Hybrid models offered flexibility by combining base salaries with incentives for volume, quality, and academic contributions despite greater administrative complexity. Value-based models, rarely used, may have unintentional consequences. Across models, there was wide variability in financial compensation for teaching, research, and administrative duties.
Conclusions and relevance: Surgeon compensation models in the US remain heterogeneous. While productivity-based systems dominate, emerging hybrid and value-based approaches aim to support broader professional obligations. Transparent, adaptable frameworks that balance clinical output with quality and nonclinical contributions are needed to sustain surgeon engagement and align compensation across the totality of surgical practice.
{"title":"Surgeon Compensation Models: A Systematic Review.","authors":"J Walker Rosenthal, Drew Goldberg, Elliott R Haut, Justin B Dimick, Rachel R Kelz","doi":"10.1001/jamasurg.2025.6834","DOIUrl":"https://doi.org/10.1001/jamasurg.2025.6834","url":null,"abstract":"<p><strong>Importance: </strong>Surgeon compensation models influence physician productivity, care quality, and engagement in nonclinical activities. Information on compensation plans across surgical specialties and settings is often difficult to obtain.</p><p><strong>Objective: </strong>To describe surgeon compensation models in the US, differentiate models by practice setting, and evaluate their association with clinical productivity and nonclinical contributions.</p><p><strong>Evidence review: </strong>A systematic review was conducted following PRISMA guidelines. PubMed and Embase were queried for articles published between January 1, 2014, and August 20, 2024, reporting on surgeon compensation models. Two reviewers independently screened and abstracted data on study characteristics, practice settings, compensation structures, and outcomes. Risk of bias was assessed, and studies were synthesized by compensation model. Qualitative analysis was performed to determine themes across the literature.</p><p><strong>Findings: </strong>Of 3268 screened records, 39 studies met inclusion criteria, encompassing 13 surgical specialties. Articles reported on compensation models, including salary (n = 8), work relative value unit (wRVU)-based (n = 8), hybrid (n = 7), fee-for-service (n = 5), and value-based models (n = 3). Hybrid models include a blend of financial incentives and base salary. Salary-based models provided financial stability, promoted team-based care and were associated with lower clinical volume. wRVU and fee-for-service models strongly incentivized productivity and often failed to account for case complexity, patient outcomes, or nonclinical work. Hybrid models offered flexibility by combining base salaries with incentives for volume, quality, and academic contributions despite greater administrative complexity. Value-based models, rarely used, may have unintentional consequences. Across models, there was wide variability in financial compensation for teaching, research, and administrative duties.</p><p><strong>Conclusions and relevance: </strong>Surgeon compensation models in the US remain heterogeneous. While productivity-based systems dominate, emerging hybrid and value-based approaches aim to support broader professional obligations. Transparent, adaptable frameworks that balance clinical output with quality and nonclinical contributions are needed to sustain surgeon engagement and align compensation across the totality of surgical practice.</p>","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":" ","pages":""},"PeriodicalIF":14.9,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147283738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-25DOI: 10.1001/jamasurg.2026.0023
Jason L Sperry
{"title":"Cautionary Tale-The Details Are in the Data.","authors":"Jason L Sperry","doi":"10.1001/jamasurg.2026.0023","DOIUrl":"https://doi.org/10.1001/jamasurg.2026.0023","url":null,"abstract":"","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":" ","pages":""},"PeriodicalIF":14.9,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147283552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-25DOI: 10.1001/jamasurg.2026.0013
Pooja Podugu, Vanessa P Ho, Marie L Crandall
{"title":"Community Action and the Fight for Equitable Trauma Care on the South Side of Chicago-Lives at Stake.","authors":"Pooja Podugu, Vanessa P Ho, Marie L Crandall","doi":"10.1001/jamasurg.2026.0013","DOIUrl":"https://doi.org/10.1001/jamasurg.2026.0013","url":null,"abstract":"","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":" ","pages":""},"PeriodicalIF":14.9,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147283683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-25DOI: 10.1001/jamasurg.2025.6858
Wen Hui Tan, Amir A Ghaferi
{"title":"From Safer Cholecystectomy to Smarter Bile Duct Management.","authors":"Wen Hui Tan, Amir A Ghaferi","doi":"10.1001/jamasurg.2025.6858","DOIUrl":"https://doi.org/10.1001/jamasurg.2025.6858","url":null,"abstract":"","PeriodicalId":14690,"journal":{"name":"JAMA surgery","volume":" ","pages":""},"PeriodicalIF":14.9,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147283788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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