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History of Laparoscopy

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Presentation on theme: "History of Laparoscopy"— Presentation transcript:

1 History of Laparoscopy
Minimally Invasive Surgery

2 The Pioneers 1 The great physician, Hippocrates of Ancient Greece( circa BC) made the original reference to a speculum to examine the rectum.

3 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.

4 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).

5 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.

6 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).

7 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)

8 Laparoscopic Surgery Diagnostic Lap.Surgery Advanced Lap.Surgery

9 Diagnostic tool Laparoscopy has been used primarily as a diagnostic tool since its introduction by Kelling & Jacobaeus in the early 20th century.

10 Theraputic Tool In the field of : General Surgery
Gynaecological Surgery Colorectal Surgery Digestive Surgery Morbid Obesity Surgery Urological Surgery Endocrine Surgery Aortoiliac Surgery Pediateric Surgery Plastic Surgery

11 General Surgery Laparoscopic Billiary Surgery Inguinal Hernia Repair
Cholecystectomy Common bile duct surgery Inguinal Hernia Repair TAPP TEP Emergency Surgery Appendectomy Peritonitis(Perforated Ulcer,Diverticulitis) Small bowel obstruction

12 Pediatric Surgery Appendectomy-Pyloromyotomy-Nissen
Non Palpable testis-Varicocele Nephrectomy-Splenectomy Hypertrophic pyloric stenosis

13 Thoracoscopic Surgery
Pleural diseases Mediastinal & Parietal Pathologies Lung diseases Malignancies

14 Gastric Surgery Antireflux Procedures( Nissen-Toupet-Hill )
Giant hiatus hernia Achalasia

15 Morbid Obesity Surgery
Gastric Banding Gastric Bypass Vertical Band Gastroplasty Biliopancreatic Diversion Sleeve Gastrectomy

16 Colorectal Surgery Right Colectomy Left Colectomy
Rectal resection for cancer(TME) Sigmoidectomy Rectal Prolapsus Procedures(Rectopexia) Transanal endoscopic Microsurgery(TEM)

17 Endocrine Surgery Thyroidectomy Parathyroidectomy
Transabdominal Adrenalectomy

18 Urological Surgery Pyeloplasty Pyelotomy
Uretrotomy-Uretrolyse- Uretroplasty Burch Cystotomy Radical & Partial Nephrectomy Aortic & Cava Lymphadenectomy Illio-obturator Lymphadenectomy Laparoscopic Radical Prostatectomy Laparoscopic Prostatocystectomy RPLND

19 Hepatic Surgery Hydatid cysts(Drainage/Resection) Biopsies
Intraoperative Sonography

20 Pancreatic Surgery Lap. Distal Pancreatectomy

21 Splenic Surgery Lap. Splenectomy

22 Cardiac Surgery Transthoracoscopic Ligation of patent ductus arteriosus(PDA). Transthoracoscopic CABG.

23 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.

24 Gynaecologic Surgery Diagnostic Laparoscopies Ovarian Laparoscopies
Laparoscopic Hysterectomy( LAVH / TALH ) Endometriosis Hysteroscopic Surgeries( Uterin Malformations / Mayomas & Polips / Tubal sterilisation/ Endometrial ablations)

25 Robotic Surgery

26 Complications 1 Access related: 1-Veress needle 2-Trocar
3-Vascular injuries( grate vessels, Port site) 4-Gastrointestinal injuries 5-Urinary tract injuries

27 Complications 2 Surgery related Instrument related

28


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