JACS Highlights July/August 2024

• The following articles appear in the July/August 2024 issue of the Journal of the American College of Surgeons. A complimentary online subscription to JACS is a benefit of ACS membership. See more articles on the JACS website.

Locally Advanced Adenocarcinoma of the Esophagus: Is Esophagectomy Associated with Improved Overall Survival?

Sarah P. Kramer, MD, James Swanson, Mitchel Fernando, and colleagues

Esophagectomy in cT4 esophageal adenocarcinoma poses a technical challenge, and its benefit has not been well established. This propensity-score matched National Cancer Database analysis of patients with cT4 non-metastatic esophageal adenocarcinoma shows a survival benefit for esophagectomy in cT4a and cT4b esophageal adenocarcinoma compared with nonoperative management. Read more.

Six Square Miles of Urban America: Association between Firearm Discharge, Injury, and Fatality

William B. Risinger, MD, Chinweotuto V. Uma, MD, Matthew V. Benns, MD, FACS, and colleagues

The interpretation of firearm injury incidence is incomplete without accounting for background exposure. Gunshot acoustic detection captures firearm discharge, which is a measure of firearm exposure. Using acoustic detection in conjunction with a collaborative firearm injury database, the relationship between firearm exposure and injury can be explored. Read more.

Sustaining Lifelong Competency of Surgeons: Multimodality Empowerment Personal and Institutional Strategy

Todd K. Rosengart, MD, FACS, Jennifer H. Chen, MD, Nancy L. Gantt, MD, FACS, and colleagues

This review focuses on maintaining and ensuring competency of an aging surgeon workforce. The authors provide evidence-based guiding principles as part of a comprehensive “whole-of-career” strategy that can be adopted at personal, institutional, and national levels. Read more.

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