Laparoscopic Surgery Cholecystectomy
Cholecystectomy 1882 was the first open Cholecystectomy by Conrad long book accomplished. Over 100 years passed, before the surgeon he the end Boeblingen in the September 1985 the first laparoscopy cholecystectomy in only two hours on People performed. Effort used there- from him developed galloscope, a modified rectoscope with built -in angle optics and additional light, insufflation and working channel.
For a large number of reasons use of simulators is a prudent choice like Laparoscopic Needle Driver.
Effects of Laparoscopic Method
In the April 1986 asked effort his new operative technique at the Surgeon Congress before. His lecture bumped on little interest and widest rejection. Man threatened him even with the exclusion from the surgery company, sauce he his “unscientific” and “dangerous” surgical methods. From his new method convinced let himself, effort However not affect. To in the 1987 would have he already 97 Laparoscopic cholecystectomies without serious complications performed.
In the consequence one patient died from a postoperative Complication, which, however, not directly relates to the laparoscopy, was standing. He was judicially involved and died at the hands of his colleagues limited Long Time in disgrace. The deserved recognition for his pioneering work remained an effort still above lots years denied.
Further Development the Laparoscopy
Decisive for the dissemination and further development the laparoscopy was the in the years Computer chip controlled camera (CMD camera) introduced in 1986, which is connected to the laparoscope will could and one Video recording and image transmission of the laparoscopic intervention. Video- assisted surgery enabled to the first Times the active participation and assistance of operations teams at the laparoscopic intervention as the planning and performing complex gastrointestinal interventions. That is how it was it.
Video Assisted Laparoscopic Cholecystectomy
Surgeon in the in the March 1987 performs the first Video–Assisted-Laparoscopic-Cholecystectomy in humans. In 1989, standardize the surgical technique to that which is still used today 4-trocar technique, which in the consequence also names Teck and quickly became widespread. In the same year, the laparoscopic cholecystectomy performs. The enthusiastic pioneers the Minimally Invasive Surgery blew initially there was still a strong headwind. Especially from the university clinics, which observed the introduction of this new surgical method with distrust.
Laparoscopic Advantages over the Open Procedure
The groundbreaking entry the Laparoscopic Cholecystectomy in the surgery bases on several advantages over the conventional, open procedure. Conventional surgery meant surgical trauma with pain, metabolic changes, organ dysfunction, increased susceptibility to infection, and much more. It is obvious that a reduction in this operative stress situation with its entire potential consequences can achieves by using the laparoscopic procedure in the gallbladder operation.
Laparoscopy Treatment Method of Choice
Within a few months, laparoscopic cholecystectomy had awakened minimally invasive surgery from its slumber. The nationwide spread of the new method and their application to the Treatment of other clinical pictures could no longer stops. Within a period of only ten years, the laparoscopic cholecystectomy the cholecystectomy as treatment method of choice in gallstone disease is almost completely suppresses.
In the meantime, virtually all, even the most complex, abdominal procedures can approaches laparoscopically. The pioneering role played by laparoscopic cholecystectomy in the field of minimally invasive surgery reflects also at the view in the published one Literature. So Find himself in the database for the search term laparoscopic cholecystectomy 6874 entries; at the laparoscopic fundoplication are it still 1209, the laparoscopic appendectomy comes on 868 article that laparoscopic colorectal surgery can it up 723, the laparoscopic bariatric surgery Find himself still 673 Items. The laparoscopic Cholecystectomy today laparoscopic cholecystectomy is now considered
A standard for the treatment of complicated and complex gallstone disease were initially around 50 & o all cholecystectomies, the carries out laparoscopically, today there are over 90'Z . The previously mentioned contraindications such as severe acute cholecysitis, cirrhosis of the liver with portable hypertension or simultaneously present pregnancy are no longer valid today.
Contraindications Minimally Invasive Surgery
One primary open cholecystectomy only a few indications exist since then. These also include Mirizzi syndrome, gallbladder carcinoma and cbolecysto- or cholangioenteral fistulas or cardiopulmonary contraindications due to the location of a pneumoperitoneum. In minimally invasive surgery, specialized centers achieved the laparoscopic cholecystectomy success rates of at 98% with one conversion rate from 1.57.
Superiority Demonstrated
The minimally invasive technique has demonstrated its superiority over open cholecystectomy in eleven randomized studies. After one laparoscopic performed Cholecystectomy compared to open surgery,
· Less pain,
· Less restriction of their lung function fewer complications,
· A shorter hospital stay,
· A shorter absence from work,
· Fewer scar hemispheres
· In addition, a better so postoperative quality of life
Stayed the patients earlier after more open cholecystectomy If hospitalized for 7-10 days , the above - mentioned advantages of the laparoscopic method are added to this led to already being treated on an outpatient basis in some will and still at the same day that hospital again leaving. The minimal invasive surgery has in the case of cholecystectomy ezueincr maximummd more to outdoing patient protection led. If this also for the rest gastrointestinal and colorectal clingy hold true will, got to first still proven will.
The Future of Minimally Invasive Surgery
the minimally invasive surgery Has himself meanwhile so strong developed, that weather not more the question bump, if a intervention on can be carried out laparoscopically , but whether it makes sense to carry out the planned intervention laparoscopically . The pressure is from the patients in the benefit from minimally invasive surgery also in future.
Consequently is also in the coming years with a further development of Minimally Invasive Surgery. With the help of tele transmitted, Robot-assisted surgery was already the first patient in transatlantic from Laparoscopic cholecystectomy. Laparoscopic cholecystectomy was also a pioneer in “robot”-assisted surgery as trendsetter so just.
Conclusion
How far this development still walk will and which therapies in our increasingly expensive healthcare system social compatible be will, is heavy predictable . Let us face it that despite all of these advances and changes with its illness after how in front in the center ours actions remains. How beautifully said by the philosopher in the 4th-3rd cent. Century BC: Responsible is man not only for that, what man does, but also for that, what man does not.
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