| 1 | The Clavien-Dindo Classification of Surgical Complications | Annals of Surgery | 2009 | 8,595 |
| 2 | Clinical Score for Predicting Recurrence After Hepatic Resection for Metastatic Colorectal Cancer | Annals of Surgery | 1999 | 3,169 |
| 3 | Neonatal Necrotizing Enterocolitis | Annals of Surgery | 1978 | 2,710 |
| 4 | Lymphatic Mapping and Sentinel Lymphadenectomy for Breast Cancer | Annals of Surgery | 1994 | 2,422 |
| 5 | Virtual Reality Training Improves Operating Room Performance | Annals of Surgery | 2002 | 2,283 |
| 6 | Two Hundred Gastrointestinal Stromal Tumors | Annals of Surgery | 2000 | 2,095 |
| 7 | Thickness, Cross-Sectional Areas and Depth of Invasion in the Prognosis of Cutaneous Melanoma | Annals of Surgery | 1970 | 1,988 |
| 8 | Who Would Have Thought It? An Operation Proves to Be the Most Effective Therapy for Adult-Onset Diabetes Mellitus | Annals of Surgery | 1995 | 1,877 |
| 9 | Six Hundred Fifty Consecutive Pancreaticoduodenectomies in the 1990s | Annals of Surgery | 1997 | 1,538 |
| 10 | Operative Versus Nonoperative Treatment for Stage 0 Distal Rectal Cancer Following Chemoradiation Therapy | Annals of Surgery | 2004 | 1,518 |
| 11 | THE FUNCTION OF THE VERTEBRAL VEINS AND THEIR ROLE IN THE SPREAD OF METASTASES | Annals of Surgery | 1940 | 1,514 |
| 12 | Recurrence and Outcomes Following Hepatic Resection, Radiofrequency Ablation, and Combined Resection/Ablation for Colorectal Liver Metastases | Annals of Surgery | 2004 | 1,477 |
| 13 | The Department of Veterans Affairs' NSQIP | Annals of Surgery | 1998 | 1,411 |
| 14 | Evidence-Based Surgical Care and the Evolution of Fast-Track Surgery | Annals of Surgery | 2008 | 1,373 |
| 15 | Peritonectomy Procedures | Annals of Surgery | 1995 | 1,309 |
| 16 | Long-term Follow-up of a Randomized Controlled Trial of Suture Versus Mesh Repair of Incisional Hernia | Annals of Surgery | 2004 | 1,309 |
| 17 | The International Position on Laparoscopic Liver Surgery | Annals of Surgery | 2009 | 1,291 |
| 18 | Trends in Long-Term Survival Following Liver Resection for Hepatic Colorectal Metastases | Annals of Surgery | 2002 | 1,245 |
| 19 | HEMANGIOPERICYTOMA A VASCULAR TUMOR FEATURING ZIMMERMANNʼS PERICYTES | Annals of Surgery | 1942 | 1,233 |
| 20 | Improvement in Perioperative Outcome After Hepatic Resection | Annals of Surgery | 2002 | 1,221 |
| 21 | Coronary Artery Disease in Peripheral Vascular Patients | Annals of Surgery | 1984 | 1,183 |
| 22 | Determinants of Long-Term Survival After Major Surgery and the Adverse Effect of Postoperative Complications | Annals of Surgery | 2005 | 1,181 |
| 23 | The Treatment of Soft-tissue Sarcomas of the Extremities | Annals of Surgery | 1982 | 1,176 |
| 24 | Early Enteral Feeding, Compared With Parenteral, Reduces Postoperative Septic Complications The Results of a Meta-Analysis | Annals of Surgery | 1992 | 1,169 |
| 25 | A Prospective Randomized Trial Comparing Percutaneous Local Ablative Therapy and Partial Hepatectomy for Small Hepatocellular Carcinoma | Annals of Surgery | 2006 | 1,164 |
| 26 | TEEATMENT OF CARCINOMA OF THE AMPULLA OF VATER | Annals of Surgery | 1935 | 1,156 |
| 27 | Primary Peptic Ulcerations of the Jejunum Associated with Islet Cell Tumors of the Pancreas | Annals of Surgery | 1955 | 1,116 |
| 28 | Staging, Resectability, and Outcome in 225 Patients With Hilar Cholangiocarcinoma | Annals of Surgery | 2001 | 1,108 |
| 29 | Cholangiocarcinoma | Annals of Surgery | 2007 | 1,101 |
| 30 | Outcomes After Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity | Annals of Surgery | 2000 | 1,098 |
| 31 | Rescue Surgery for Unresectable Colorectal Liver Metastases Downstaged by Chemotherapy | Annals of Surgery | 2004 | 1,086 |
| 32 | Adjuvant Radiotherapy and 5-Fluorouracil After Curative Resection of Cancer of the Pancreas and Periampullary Region | Annals of Surgery | 1999 | 1,076 |
| 33 | IIeal Pouch-Anal Anastomoses Complications and Function in 1005 Patients | Annals of Surgery | 1995 | 1,069 |
| 34 | NOTES ON THE ARREST OF HEPATIC HEMORRHAGE DUE TO TRAUMA | Annals of Surgery | 1908 | 1,068 |
| 35 | Epidemiology and Management of Liver Metastases From Colorectal Cancer | Annals of Surgery | 2006 | 1,067 |
| 36 | Multiple Organ Failure Pathophysiology and Potential Future Therapy | Annals of Surgery | 1992 | 1,064 |
| 37 | Successful Use of a Physiologically Acceptable Artificial Skin in the Treatment of Extensive Burn Injury | Annals of Surgery | 1981 | 1,058 |
| 38 | Surgery Decreases Long-term Mortality, Morbidity, and Health Care Use in Morbidly Obese Patients | Annals of Surgery | 2004 | 1,042 |
| 39 | Locoregional Recurrence After Sentinel Lymph Node Dissection With or Without Axillary Dissection in Patients With Sentinel Lymph Node Metastases | Annals of Surgery | 2010 | 1,034 |
| 40 | Robotic Surgery | Annals of Surgery | 2004 | 1,027 |
| 41 | Cholangiocarcinoma | Annals of Surgery | 1996 | 1,027 |
| 42 | Effect of Laparoscopic Roux-En Y Gastric Bypass on Type 2 Diabetes Mellitus | Annals of Surgery | 2003 | 985 |
| 43 | Burnout and Career Satisfaction Among American Surgeons | Annals of Surgery | 2009 | 981 |
| 44 | World Review of Laparoscopic Liver Resection—2,804 Patients | Annals of Surgery | 2009 | 975 |
| 45 | Enteral Versus Parenteral Feeding Effects on Septic Morbidity After Blunt and Penetrating Abdominal Trauma | Annals of Surgery | 1992 | 973 |
| 46 | Anti-Angiogenesis | Annals of Surgery | 1972 | 968 |
| 47 | Survival After Pancreatoduodenectomy | Annals of Surgery | 1990 | 945 |
| 48 | Laparoscopic Colectomy for Cancer Is Not Inferior to Open Surgery Based on 5-Year Data From the COST Study Group Trial | Annals of Surgery | 2007 | 941 |
| 49 | Increased Plasma and Platelet to Red Blood Cell Ratios Improves Outcome in 466 Massively Transfused Civilian Trauma Patients | Annals of Surgery | 2008 | 932 |
| 50 | Defunctioning Stoma Reduces Symptomatic Anastomotic Leakage After Low Anterior Resection of the Rectum for Cancer | Annals of Surgery | 2007 | 926 |
