JACS Highlights July/August 2025

The following articles appear in the July and August 2025 issues 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.

Long-Term Cytoreduction Outcomes with or without Heated Intraperitoneal Chemotherapy for Colorectal Peritoneal Metastases

Michael G. White, MD, MSc, Paula Marincola Smith, MD, PhD, Neal Bhutiani, MD, PhD, and colleagues

This retrospective analysis comparing cytoreduction and cytoreduction with heated intraperitoneal chemotherapy (HIPEC) for peritoneal metastases from colorectal cancer demonstrated a benefit for HIPEC only in patients with a peritoneal cancer index score of 11 or greater. Read more.

Feasibility, Outcomes, and Odds of Same-Day Surgery in Laparoscopic Elective Repair of Type IV Hiatal Hernia with Intrathoracic Stomach 

Nikhil Erabelli, BSA, Ethan Bui, BS, Shalin Shah, BS, and colleagues 

In this study, researchers found that in about half of patients with intrathoracic stomach, the percentage of gastric herniation on preoperative imaging did not correlate with the percentage of gastric incarceration identified at the time of laparoscopic repair. Same-day surgery is feasible in most laparoscopic elective intrathoracic hiatal hernia repair. Read more.

Equity Landscape in Healthcare Quality: A Mixed-Methods Study of Efforts within Surgical Quality Programs

Jessica K. Liu, MD, MS, MPH, Courtney E. Collins, MD, FACS, Anoosha Moturu, MD, MS, and colleagues 

Although efforts to achieve health equity may be in place at the institutional level, they are often hindered by insufficient infrastructure, organization, and processes needed to support effective frontline practices. The study results highlighted opportunities that support implementation of health equity strategies and target barriers that limit the reach of health equity efforts. Read more.

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