Dr. Jayson Espejo - General and Advanced Laparoscopic Surgery

02/05/2026

Narito ang mga 10 must-know FACTS sa tungkol sa Choledocholithiasis o bato sa bile duct at laparoscopic common bile duct exploration (LCBDE) extraction of bile duct stone and cholecystectomy na may primary repair.( less invasive)

1.Ang choledocholithiasis ay pagkakaroon ng bato sa common bile duct (CBD) na maaaring magdulot ng bara, paninilaw o Obstructive jaundice, Cholangitis, at Acute pancreatitis.

2. Karaniwang Presentasyon (pero hindi palaging kumpleto)
Charcot’s triad: lagnat, paninilaw, sakit sa kanang itaas ng tiyan

3. Imaging
test: ultrasound (CBD dilation >6–7 mm)
Mas ibang tests:
Magnetic Resonance ( MRCP) o CT scan

4. Mga Paraan ng Gamutan
Two-stage: Endoscopic Retrograde Cholangiopancreatography + cholecystectomy

Single-procedure: LCBDE + cholecystectomy
👉 Advantage ng LCBDE: isang operasyon lang, hindi naaapektuhan ang sphincter

7. Mga Approach sa LCBDE
Transcystic approach
Dumadaan sa cystic duct
Para sa maliliit na bato
Choledochotomy approach
Hihiwa sa CBD
Para sa malalaki o impacted stones

8. Primary Repair ng CBD
Direktang pagsara ng CBD pagkatapos alisin ang bato
Walang T-tube kung:
Malinis ang duct via choledoscopy clearance
Walang natirang bato( IOC o choledoscope)
Maganda ang daloy ng bile
Surgeons experience

👉 Mas kaunting komplikasyon at mas mabilis ang recovery

21/12/2025

🩺 WHAT IS MINIMALLY INVASIVE SURGERY
(Laparoscopic Surgery)

📌 Ano ang Laparoscopic Surgery? | What is Laparoscopic Surgery?
Tagalog:
Ang laparoscopic surgery, na kilala rin bilang minimally invasive surgery, ay isang modernong pamamaraan ng operasyon kung saan ang surgeon ay gumagamit lamang ng maliliit na hiwa (karaniwang 0.5–1.5 sentimetro). Ginagamitan ito ng laparoscope, isang manipis na tubo na may kamera at ilaw, upang malinaw na makita ang loob ng tiyan nang hindi na kinakailangang gumawa ng malalaking hiwa.
English:
Laparoscopic surgery, also known as minimally invasive surgery, is a modern surgical technique that uses small incisions (usually 0.5–1.5 centimeters). A laparoscope, a thin tube with a camera and light, allows the surgeon to see inside the abdomen without making large cuts.

✅ Mga Benepisyo | Benefits of Laparoscopic Surgery
1. Mas Mabilis na Paggaling | Faster Recovery
Mas maikli ang pananatili sa ospital at mas mabilis makabalik sa normal na gawain kumpara sa open surgery.
Patients usually have shorter hospital stays and faster recovery compared to open surgery.
2. Mas Kaunting Pananakit | Less Pain
Dahil maliit ang mga hiwa, mas kaunti ang sakit pagkatapos ng operasyon at mas kaunti ang kailangang pain medications.
Smaller incisions result in less post-operative pain and reduced need for pain medications.
3. Mas Mababang Panganib ng Impeksyon | Lower Risk of Infection
Mas maliit ang sugat kaya mas mababa ang tsansa ng impeksyon.
Smaller wounds mean a lower risk of infection.
4. Kaunting Peklat | Minimal Scarring
Ang maliliit na hiwa ay nag-iiwan ng halos hindi halatang peklat.
Small incisions leave minimal and less noticeable scars.
5. High definition surgery causing less bleeding and efficient OR.

Ilokano: Ti laparoscopic surgery, a nabigbig pay kas minimally invasive surgery, ket teknika nga agtulnog ti doctor nga mangaramid ti operasyon babaen laeng kadagiti bassit a gilas, agpatingga iti 0.5 agingga 1.5 sentimetro. Gamitna ti laparoscope, maysa a nalaing nga angin-a-tubo nga adda kamera ken silaw tapno makita ti surgeon ti uneg ti bagis a saan nga agaramid ti dakkel nga gilas.
Dagiti nasyaat nga epekto ti laparoscopic surgery ket kas kadagiti sumaganad:
1. Napababa a Panawen ti Panagpabawi wennu pagpalaing : Agtalinaed ti pasyente iti pagagasan ti naidumduma a bassit laeng ken agpapada iti kinapaspas ti panag laing kaya ti tradisional nga open nga operasyon.
2. Bassit a Rikna a Sakit: Gapu ta bassit ti gilas, bassit met ti ar-aramiden a sakit kalpasan ti operasyon, isu a bassit met ti kasapulan a aginom ti gamot para iti sakit.
3. Nababa a Peligro ti Impeksyon: Dagiti nabassit a sugat ket saan a kasla kadagiti dakkel nga sugat nga mas maapektaran ti impeksyon.
4. Bassit a Peklat: Dagiti gilas ket nabassit laeng, isunga saan a matakneng a makita ti peklat.

🌟 MINIMALLY INVASIVE, MAXIMALLY EFFECTIVE

Location: Manila / Quezon City / Ilocos Sur / San Fernando Launion

19/12/2025

📌 PHEOCHROMOCYTOMA

🧠 Description
Pheochromocytoma is a rare tumor of the adrenal glands that produces excessive catecholamines (adrenaline and noradrenaline), leading to uncontrolled hypertension and other systemic symptoms.
Ang pheochromocytoma ay isang bihirang tumor sa adrenal glands na naglalabas ng sobrang adrenaline at noradrenaline, na nagdudulot ng bigla at matinding pagtaas ng blood pressure at iba pang sintomas.

⚠️ Symptoms / Mga Sintomas
• Severe or episodic hypertension
• Headache
• Palpitations
• Excessive sweating
• Anxiety or panic attacks
• Weight loss
Mga karaniwang sintomas:
• Biglaang mataas na blood pressure
• Matinding sakit ng ulo
• Mabilis na tibok ng puso
• Labis na pagpapawis
• Pagkabalisa o panic attacks
• Pagbaba ng timbang

🏥 Procedure of choice: Laparoscopic Adrenalectomy
Laparoscopic adrenalectomy is a minimally invasive surgical procedure used to remove the affected adrenal gland. It offers less pain, smaller incisions, shorter hospital stay, and faster recovery.
Ang laparoscopic adrenalectomy ay isang minimally invasive na operasyon kung saan tinatanggal ang adrenal gland na may tumor gamit ang maliliit na hiwa. Mas kaunti ang sakit, mas mabilis ang paggaling, at mas maikling pananatili sa ospital.
ito ay ginagawa pagkatapos ma control ang symptoms in 5-14days.

🩺 Post-Operative Management / Pangangalaga Pagkatapos ng Operasyon
• Close monitoring of blood pressure and heart rate
• Pain management
• Gradual mobilization
• Monitoring for hypotension or hypoglycemia
• Adjustment or discontinuation of antihypertensive medications
• Regular follow-up and hormonal evaluation
Pagkatapos ng operasyon:
• Mahigpit na pagbabantay sa blood pressure at tibok ng puso
• Tamang pain control
• Unti-unting paggalaw ng pasyente
• Pagbabantay sa posibleng mababang blood pressure o blood sugar
• Pag-aayos o pagtigil ng maintenance medications
• Regular na follow-up at laboratory monitoring

15/11/2025

https://www.facebook.com/share/v/1FkyCY9LR6/?mibextid=wwXIfr

06/11/2025

12/10/2025

02/09/2025

Endoscopic Transaxillary Thyroidectomy ( scarless neck thyroidectomy )
( see the recurrent laryngeal nerve in full HD )

23/08/2025

🥰 Happy to be part of your healing journey.

03/08/2025

Do you suffer from chronic acid reflux (GERD), bloating, chest pain, or difficulty swallowing? You might have a hiatal hernia — a condition where part of the stomach pushes up into the chest through the diaphragm.

Fortunately, Laparoscopic Hiatal Hernia Repair and Fundoplication offers a minimally invasive solution to stop reflux at its source.

✅ Minimally invasive (laparoscopic) approach
✅ Faster recovery time and less pain
✅ No large scars
✅ Improves quality of life
✅ Long-term relief from GERD symptoms

This advanced procedure restores the normal position of the stomach and strengthens the valve between the esophagus and stomach — preventing acid from flowing back up.

09/10/2023

Laparoscopic surgery for acute cholecystitis.
Symptoms: Abdominal pain ( right upper quadrant abot gang likod, bloatedness associated with intake of fatty meals)
Surgery: Laparoscopic cholecystectomy (laser, tatlong halos hindi makita na sugat)