Dr. Anthony Lim Laparoscopic Surgery

Maraming nagsasabi na kapag naoperahan na dati hindi na pwede ang .
Hindi po totoo yan!
Itong pasyente na ito ay nagkaroon na ng 3 operation. Yung isa ay explor lap pa ang ginawa Dahil sa ruptured chocolate cyst. Makikita natin sa larawan yung dating scar.
Ginawa ko ang ystectomy na 3 lang ang butas. May konting dikit, pero nagawa naman ng maayos. Ang pasyente ay kasalukuyang pauuwiin na.





A promise is a promise


Salamat sa pagtitiwala

This patient came in the ER with severe and wanted surgery done ASAP because of the pain. I told her that I will take care of her and admitted her. Gave her meds to calm her down. For 2 days, gave her continuous meds that really calmed her down.
Today, very early in the morning, I did her . The was impacted at the neck causing the cystic duct to shorten. Diligent dissection was done and I was able to properly identify all anatomical structures. Operation went smoothly with minimal bleeding! Thanks to .
2 hours later, patient is already wide awake and smiling!
Everybody happy!
Thanks Team AMC!

A simple guide on possible causes of abdominal pain.
Note: this is a rough draft and is in no way to replace proper physical exam and imaging tests.
The human anatomy is not the same between individuals.

To teach is to touch a life forever….
This is my resident doing a difficult exploratory laparotomy on a patient with with generalized .
My job is done….

Excision of a huge breast mass on a 34 year old patient.
This mass has rapid growth in a span of 2 months. From 2cm to 5cm via ultrasound is not good. It is very important to do biopsy to determine what kind of tumor this is. Patient decided to do the traditional excision biopsy and wait for the histopathological results.

The Stryker 1688 Laparoscopic Tower! In a class of its own.
Demo unit in Asian Hospital.
I really hope that Asian will purchase this….. crossing my fingers 🤞

Patience is a virtue!
This patient came through the ER in severe pain. Her heart rate was up to 125/min. Her ultrasound showed a markedly inflamed with pericholecystic fluid. She wanted surgery ASAP.
I told her that I will calm her down, give round the clock pain relievers and antibiotics. For 3 days, she was admitted. I only allowed minimal food so I can rest the gallbladder.
On the 4th hospital day, I scheduled the .
Lo and behold, swelling was considerably down and procedure just took me 1 1/2 hours.
She did mention that her son is going to have a birthday party. Now, she can freely attend , eat anything, drink anything with NO MORE PAIN.

The top of the line model of . The . Cautery, monopolar, bipolar, Ligasure all in one machine. If you think your surgery is going to be very bloody, then this is the machine to use. It doesn’t get any better than this!

It is an honor to serve! Thank you for your service to our country!
This is the least I could do.
Patient is post .
He is now ready to go home.

National Heroes Day
All slots are full so no choice but to schedule on a holiday. Thanks to Team AMC for accommodating my request. I know it’s a holiday.

When the is too big and there is no space to move around, the trick is to decompress it by way of a veress needle. This is a very long needle as you can see in the first 2 pictures. It is inserted in one of the ports and we aspirate the gallbladder. As you can see in the 2nd picture, the bile aspirated is already hydropic, it’s not as golden brown as the normal bile. When the gallbladder decreases in size, we can safely dissect all around as indicated in the 3rd picture. This is all done using 3-port .

Today is rest day for me. But I have to wake up at 3am for an emergency.
This is a super giant . Done by .
Patient is ok now and would be sent home tomorrow morning.
Good night. Back to sleep.

3rd consecutive day and 3rd case of the week doing on giant .
No matter how big the gallbladder is, no matter how big the are, we can handle it!
Mabuhay ang Team AMC!
Thank you Team!

Very early morning case of . The operating room schedule was already full for today so I had to convince the scheduler to put me ahead of time so I can accommodate this patient of mine who was in so much pain. So we did it at 6AM!
This case proved to be a challenge as this is the largest solid or shall I say GALLROCK that I’ve ever seen. Measuring 5cm in length!
Procedure took 2 hours to finish!

This afternoon, I was supposed to go with my family to our high school Alma Mater to meet and greet our country’s pride EJ Obiena. But I got an emergency call so I had to go back to the hospital. It was a case of . Good thing I was at home and I brought my own laparoscopic instruments since this small hospital’s equipment isn’t complete.

After 3 grueling hours, our team managed to remove this , which is the size of an empty stomach, by .
They say it can’t be done. But I made a promise to my patient that it will be done by alone.





THANK YOU TEAM AMC!

There are times when the patient’s anatomy is not the usual anatomy. We need to make sure we are doing the right thing before cutting.
In this patient , we have an intrahepatic . The left lobe of the liver is big obscuring the area of dissection. It was found out that the cystic artery lies on top of the cystic duct. And not behind. Proper dissection is very important here. We need to make sure there is only one structure left after dissection to ensure there will be no bile duct injury.

Spending my Sunday with the people of Biluso, Silang Cavite. We served a total of 31 minor surgical patients.
Glad to be of service to these people in need.

Have a great wet weekend from Team AMC!
Fast break on an acute Calculous Cholecystitis. Done in 45 minutes.

2 tone…..
these are what you call mixed . The Bile pigment (black) coating a cholesterol (yellow) stones. Now this is something you don’t see everyday.

Mga iba’t ibang klaseng at Paano ito namumuo sa ating o

Ang napakalaking or ay tinatawag na . Ito’y Dahil sa isang maliit na bato o na naipit at nagbara sa neck area. At para magkaroon ng sapat na espasyo, kailangang tanggalin ang laman nito para lumiit ng bahagya. Makikita natin na halos puti o walang kulay ang laman niya na nagpapatunay na hydrops ito.
Nung nagkaroon ng espasyo, dahan dahan na natin tinanggal ang apdo hanggang natitira nalang ang . Nakikita natin sa para wan na wala na iba ang nakadikit sa apdo. Safe na po natin pwede tanggalin ang apdo pag ganyan na ang nakikita.
Salamat Team AMC!

My 80 yr old patient whom I did last night is already up and about this morning ready to go home.
No more pain na mommy. You are now






Bye Madocs! See you again soon….

I’m back at !
I did a fairly difficult on an 80 year old female. I told the relatives that because of her age, it’s better to do it in a big hospital.
Good thing they agreed since the procedure was a bit difficult and confusing. I noticed that the cystic artery was lateral to the cystic duct. Usually it’s medial. Careful dissection confirms this.
The was 2cm.
Procedure was done in 1 1/2 hours using the Richard Wolf Lap tower. First time for me to use this brand

Marami po nag cocomplain na hindi sila makapag dumi pagkatapos nila ma o matanggalan ng .
Parati ko ineexplain na walang kinalaman ang constipation sa pag tanggal ng .
Ito po ay isang illustration galing kay Dr. Frank Netter na mga iba’t ibang dahilan kung Bakit Hirap mag bawas ang isang tao.

Here is an illustration taken from Netter’s Atlas of Anatomy showing the possible causes of persistent abdominal pain after a
Just comment below if you have questions and I will try to answer them for you to better understand the situation.