It was a proud moment for Ludhiana and Punjab when Dr. Ranbir Singh, Ludhiana based surgeon and specialist in Minimally Invasive surgery delivered a lecture and chaired a session in the 27th International European endoscopic surgeons meet held in Seville, Spain from 15 to 18 June, 2019.
Laparoscopic surgeons across the world deliberated on the issue of safety of gall bladder surgery in difficult conditions, in a scientific session titled “How to resect gallbladder without complications”. The session was chaired by Prof. Michael Brunt, Past president SAGES & Director, Minimally invasive surgery, Washington university, St. Louis, USA and Dr. Ranbir Singh from India. He said that it is an honor to be the only invited faculty from India and to be the co- chairperson with his mentor Prof. Michael Brunt. Dr Ranbir Singh demonstrated Laparoscopic gallbladder surgery in difficult gallbladder condition i.e. Mirrizi syndrome.
Dr. Singh elaborated that Mirrizi syndrome is a condition of gallstone disease where a large stone is impacted in the gallbladder and adherent to the main ducts of the liver which take bile to the intestines. This condition is major risk factor of injuring major ducts of the liver during laparoscopic gallbladder surgery and very few reports are documented in the literature of treating such patients laparoscopically. Dr. Singh further elaborated that the theme of this session was to educate surgeons and make them aware of the possible complications which can be avoided by taking precautionary operative measures.
He said that the existing practicing method of gallbladder surgery by surgeons works well in majority of the cases but fails in difficult situations which needs a thorough dissection and mindset to deal with the situation. He says the rule of the thumb in laparoscopic surgery is- patience and meticulous dissection to achieve the 3 components of Critical View of Safety (CVS). Do not harm, safety is paramount, whenever in doubt of identifying the structures, adopt different strategies or open and do safe surgery.
Prof. Michael Brunt who is the chief coordinator of safe laparoscopic surgery task force founded by SAGES outlined the guidelines passed in American college of surgeons in which eminent surgeons contributed their inputs that how the operation be conducted safely. Dr Ranbir Singh did his advanced laparoscopic surgery fellowship from the Washington university school of medicine, Barnes Jewish Hospital, St Louis, USA and has published his pioneer work in national and international journals.
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