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History of Laparoscopy

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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 ... – PowerPoint PPT presentation

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Title: History of Laparoscopy


1
History of Laparoscopy
  • Minimally Invasive Surgery

2
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.

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 Edisons invention
    and incorporated it into the Nitzes
    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
  • Cholecystectomy
  • Common bile duct surgery
  • Inguinal Hernia Repair
  • TAPP
  • TEP
  • Emergency Surgery
  • Appendectomy
  • Peritonitis(Perforated Ulcer,Diverticuliti
    s)
  • 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
(No Transcript)
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