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Last November 15, 2017, the brand new, state of the art Minimally Invasive Surgery (MIS) operating Room of Perpetual Succour Hospital showcased advances in MIS gallbladder surgeries. Live videos of the operation were streamed to Shangri-La's Mactan Resort and Spa, where an international delegation of surgeons and medical specialists convened for the 13th Asia Pacific Congress of the Endoscopic and Laparoscopic Surgeons of Asia (ELSA).
A seasoned surgical and anesthesia team operated on a 33 year old male, who had both gallbladder stones and common bile duct stones. He underwent 2 surgical procedures. The first procedure entails removal of the gallbladder via Laparoscopic Cholecystectomy, with the aid of Indocyanin green dye (ICG). ICG is a water soluble flourescent dye, given either intravenously or through the bile ducts. Using a special scope, ICG lights up once exposed to near infrared light, showing the anatomy of the biliary ducts, thus ensuring better patient safety during surgery. The second procedure was the removal of the common bile duct stone through Laparoscopic Choledochoscopy. A choledochoscope was inserted into the bile duct to find and remove the common bile duct stones. Both surgical procedures ran smoothly.
Members of the Surgical Team include Dr. Jeffrey Domino, MIS specialist from St. Lukes Hospital, Dr. Gilbert Oporto, Hepatobiliary Specialist, Dr. Elmer Gino Cabang, Surgical Chief Resident, Mr. Dev Noel Ybarra, RN, Circulating Nurse, Mr. Butch Frankeus Silab, Scrub Technician, Mr. Rey Dicdican, Instrument Custodian and Renaldo Latoja, RN, MSN Operating Theater Clinical Nurse Supervisor. The Anesthesia team comprised of Dr. Bonifacio Trasmonte, Chairman of the Department of Anesthesia, and Dr. Justine Garcia, Senior Anesthesia Resident.
written by Dr. Elmer Gino Cabang; photo credits: Dr. Nestor Ceniza and Ms. Joy Panopio