history of laparoscopy minimally invasive surgery
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History of Laparoscopy
Minimally Invasive Surgery
The Pioneers 1
The great physician, Hippocrates of Ancient Greece( circa 460-377 BC) made the original reference to a speculum to examine the rectum.
The Pioneers 2
In the early 1800s, Philip Bozzini of Austria examined the urethra of a patient using a simple tube and candlelight. (Basic design of Lichtleiter was a instrument for future development of endoscopes)
Segalas in Paris, John Fisher in USA, Desormeaux in Paris developed their improved cystoscopes.
The Pioneers 3
Bruck, a dentist, developed a platinum wire cooled by water to illuminate the inside of the mouth.
Based on Bruck design, Nitze finally developed his first improved cystoscope in 1855 in which the light rays were gathered into his instrument via mirrors.
Thomas Edison invented the incandescnt light bulb.(1879) Newman of Glasgow miniaturzed Edison`s invention and
incorporated it into the Nitze`s cystoscope(first Laparoscop).
The Pioneers 4
Georg Kelling of Dresden performed the first cholecystectomy in living dog(COELIOSCOPIE -1902) / the first human laparoscopy with pneumoperitoneum using room air insufflation with Nitze cystoscope.
The Pioneers 5
Jacobaeus of Sweden presented his series of patients who had laparoscopy in 1910 (published a series of over 100 laparoscopy and thoracoscopy(LAPAROSCOPY).
The Pioneers 6
Dimitri von Ott from St.Petersburg examined the intraabdominal contents and the pelvis via an inscision in the vaginal vault to insert a speculum to examine the pelvis./Gynecologic laparoscopy/ (1901)
Laparoscopic Surgery
Diagnostic Lap.Surgery Advanced Lap.Surgery
Diagnostic tool
Laparoscopy has been used primarily as a diagnostic tool since its introduction by Kelling & Jacobaeus in the early 20th century.
Theraputic ToolIn the field of : General Surgery Gynaecological Surgery Colorectal Surgery Digestive Surgery Morbid Obesity Surgery Urological Surgery Endocrine Surgery Aortoiliac Surgery Pediateric Surgery Plastic Surgery
General Surgery Laparoscopic Billiary Surgery Cholecystectomy
Common bile duct surgery
Inguinal Hernia Repair
TAPP
TEP
Emergency Surgery
Appendectomy
Peritonitis(Perforated Ulcer,Diverticulitis)
Small bowel obstruction
Pediatric Surgery Appendectomy-Pyloromyotomy-Nissen Non Palpable testis-Varicocele Nephrectomy-Splenectomy Hypertrophic pyloric stenosis
Thoracoscopic Surgery
Pleural diseases Mediastinal & Parietal Pathologies Lung diseases Malignancies
Gastric Surgery Antireflux Procedures( Nissen-Toupet-Hill ) Giant hiatus hernia Achalasia
Morbid Obesity Surgery
Gastric Banding Gastric Bypass Vertical Band Gastroplasty Biliopancreatic Diversion Sleeve Gastrectomy
Colorectal Surgery Right Colectomy Left Colectomy Rectal resection for cancer(TME) Sigmoidectomy Rectal Prolapsus Procedures(Rectopexia) Transanal endoscopic Microsurgery(TEM)
Endocrine Surgery Thyroidectomy Parathyroidectomy Transabdominal Adrenalectomy
Urological Surgery Pyeloplasty Pyelotomy Uretrotomy-Uretrolyse- Uretroplasty Burch Cystotomy Radical & Partial Nephrectomy Aortic & Cava Lymphadenectomy Illio-obturator Lymphadenectomy Laparoscopic Radical Prostatectomy Laparoscopic Prostatocystectomy RPLND
Hepatic Surgery Hydatid cysts(Drainage/Resection) Biopsies Intraoperative Sonography
Pancreatic Surgery
Lap. Distal Pancreatectomy
Splenic Surgery Lap. Splenectomy
Cardiac Surgery Transthoracoscopic Ligation of patent ductus
arteriosus(PDA). Transthoracoscopic CABG.
Vascular Surgery
Aortoiliac Surgery Laparoscopic Transperitoneal abdominal
aortic replacement with L. renal artery direct reimplantation in pigs.
Laparoscopic Retroperitoneal replacement of abdominal Aorta in pigs.
Gynaecologic Surgery
Diagnostic Laparoscopies Ovarian Laparoscopies Laparoscopic Hysterectomy( LAVH / TALH ) Endometriosis Hysteroscopic Surgeries( Uterin
Malformations / Mayomas & Polips / Tubal sterilisation/ Endometrial ablations)
Robotic Surgery
Complications 1
Access related: 1-Veress needle
2-Trocar
3-Vascular injuries( grate vessels, Port site)
4-Gastrointestinal injuries
5-Urinary tract injuries
Complications 2
Surgery related Instrument related