Robert M. Goldstein M.D.

Bayer, J., C. A. Moulton, K. Monden, R. M. Goldstein, G. J. McKenna, G. Testa, R. M. Ruiz, T. L. Anthony, N. Onaca, G. B. Klintmalm and P. T. W. Kim (2018). “The role of multiorgan procurement for abdominal transplant in general surgery resident education.” Am J Surg 216(2): 331-336.

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BACKGROUND: To assess the impact of participation of multiorgan procurement (MP) by general surgery (GS) residents on surgical knowledge and skills, a prospective cohort study of GS residents during transplant surgery rotation was performed. METHODS: Before and after participation in MPs, assessment of knowledge was performed by written pre and post tests and surgical skills by modified Objective Structured Assessment of Technical Skill (OSATS) score. Thirty-nine residents performed 84 MPs. RESULTS: Significant improvement was noted in the written test scores (63.3% vs 76.7%; P < 0.001). Better surgical score was associated with female gender (15.4 vs 13.3, P = <0.01), prior MP experience (16.2 vs 13.7, P = 0.03), and senior level resident (15.1 vs 13.0, P = 0.03). Supraceliac aortic dissection (P = 0.0017) and instrument handling (P = 0.041) improved with more MP operations. CONCLUSIONS: Participation in MP improves residents' knowledge of abdominal anatomy and surgical technique.

Bayer, J., C. A. Moulton, K. Monden, R. M. Goldstein, G. J. McKenna, G. Testa, R. M. Ruiz, T. L. Anthony, N. Onaca, G. B. Klintmalm and P. T. W. Kim (2017). “The role of multiorgan procurement for abdominal transplant in general surgery resident education.” Am J Surg.

Full text of this article.

BACKGROUND: To assess the impact of participation of multiorgan procurement (MP) by general surgery (GS) residents on surgical knowledge and skills, a prospective cohort study of GS residents during transplant surgery rotation was performed. METHODS: Before and after participation in MPs, assessment of knowledge was performed by written pre and post tests and surgical skills by modified Objective Structured Assessment of Technical Skill (OSATS) score. Thirty-nine residents performed 84 MPs. RESULTS: Significant improvement was noted in the written test scores (63.3% vs 76.7%; P < 0.001). Better surgical score was associated with female gender (15.4 vs 13.3, P = <0.01), prior MP experience (16.2 vs 13.7, P = 0.03), and senior level resident (15.1 vs 13.0, P = 0.03). Supraceliac aortic dissection (P = 0.0017) and instrument handling (P = 0.041) improved with more MP operations. CONCLUSIONS: Participation in MP improves residents' knowledge of abdominal anatomy and surgical technique.

Fernandez, H. T., P. T. W. Kim, M. Cimo and R. M. Goldstein (2016). “A mass in the porta hepatis: A rare presentation of ectopic thyroid.” International Journal of Hepatobiliary and Pancreatic Diseases 6: 14-16.

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Introduction: The neck and chest are the most common sites of ectopic thyroid tissues. Ectopic thyroid tissue is infrequently encountered in the liver or gallbladder. This is a rare presentation of an incidental portal hepatis mass consistent with ectopic thyroid. Case Report: A 69-year-old female with a medical history significant for hypothyroidism and multiple thyroid nodules, had undergone a total thyroidectomy. On subsequent ultrasound an incidental 3.6 cm porta hepatis mass was noted, with enlargement on Computed tomography (CT) scan and magnetic resonance imaging (MRI) scan to 4.6 cm. A complete resection of the porta hepatis mass was performed. Pathology of the porta hepatis mass was consistent with benign ectopic thyroid tissue with nodular hyperplasia. Conclusion: This case describes the rare presentation of a porta hepatis mass consistent with an ectopic thyroid. The presence of ectopic thyroid in the porta hepatis is especially rare, and required surgical resection due to increasing size.