- •Bases of endoscopic surgery
- •“Grosse Chirurge machen grosse Schnitte”
- •Endoscopic surgery
- •Development of endoscopic surgery
- •George Kelling (1901) – for the first time has made a laparoscopy in
- •Light source of Arno
- •Philipp Bozzini (1773-1809)
- •Эндоскоп Джона Фишера (1827)
- •Trouve’s “polyscope”
- •Эндоскоп Антонина Жана Дезормо (Antonin Jean Desormeaux) 1853
- •Гастроскоп Иохана Микулича (Johann
- •Гастроскоп Иохана Микулича (Johann Mikulicz) 1881
- •Георг Келлинг (George Kelling)
- •Эндоскопический инструментарий Максимилиана Нитце (Max Nitze) и Жозефом Ляйтером (Josef Leiter) 1883
- •Цистоскоп Максимилиана Нитце с
- •Ханс Кристиан Джакобеус – профессор медицины Стокгольмского университета
- •Хайнц Кальк (Heinz Kalk) -основатель немецкой лапароскопической школы
- •Raul
- •Карл Шторц (Karl Storz)
- •Первый экстракорпоральный источник холодного света фирмы Карл Шторц (Karl Storz)
- •Курт Земм
- •Экспериментальная лапароскопическая
- •Филипп Мурэ (Phillipe Mouret) 1987
- •Advantages of endosurgery in comparison with traditional operations
- •Complications
- •Relative contraindications
- •The minimal set for carrying out endoscopic operations
- •The general requirements to endoscopic tools
- •Essentially the complex will consist of the following blocks:
- •Харольд Хопкинс (Harold H.Hopkins)
- •Введение первого троакара
- •Ревизия брюшной полости
- •Введение первого троакара
- •Срабатывания защиты троакара
- •Положение Тренделенбурга
- •Положение Фаулера
- •Положение на боку
- •Традиционная холецистэктомия
- •Лапароскопическая
- •ОСНОВНЫЕ ЭТАПЫ ЛАПАРОСКОПИЧЕСКОЙ ОПЕРАЦИИ
- •Положение пациента и хирургической бригады при лапароскопической холецистэктомии:
- •Грыжесечение
- •Грыжа - выход внутренностей, покрытых париетальной брюшиной, из полости живота через слабые места
- •Пластика передней стенки пахового
- •Пластика передней стенки пахового
- •Способ Marcy
- •Способ Bassini
- •Способ Bassini
- •Способ Shouldice
- •Способ Shouldice
- •Способ Postempski
- •Способ Postempski
- •Безнатяжная пластика
- •Способ Lichtenstein
- •Способ Lichtenstein
- •Способ Lichtenstein
- •Способ Gilbert
- •Способ Rutcov - Robbins
- •Способ Trabucco
- •Способ Trabucco
- •Аппендэктомия
- •позадиободочно и ретроцекально (64%), субцекально (2%), в малом тазу (32%), ретроилеально (0,5%) и
Bases of endoscopic surgery
“Grosse Chirurge machen grosse Schnitte”
Endoscopic surgery
it is area of the surgery, allowing to execute radical operations or diagnostic procedures without a wide dissection of integument or through dot punctures of tissues (laparoscopic, thoracoscopic, rhinoscopic, arthroscopic operations), or through natural physiological apertures (FGDS, colonoscopy, bronchoscopy, cystoscopy, etc.)
Development of endoscopic surgery
Hippocrat (460-375 up to AD) - has described carrying out of the proctoscopy;
Abdul Quasim (936-1013) - investigated neck of uterus using a glass mirror reflector;
R.P. Arnaud (1651-1723) - has created the first extracorporal source of light for the medical purposes;
Phillip Bozini (1773-1809) - has created endoscope which design has been named "LICHTLEITER";
John Fisher, 1827 – has created one of the first endoscops;
Gustave Trouve in 1873 in has designed "polyscope", intended for gastroscopy and cystoscopy, brightness of a luminescence of a platinum wire in which was adjusted with a help of a rheostat.
George Kelling (1901) – for the first time has made a laparoscopy in experiment on a dog;
D.O.Ott (1901) – has informed about "ventroscopy" inspection of a abdominal cavity by means of a candle, a frontal mirror and a tube;
Heinz Kalk (1928 г) - has developed a technique laparoscopic puncture biopsy of a liver, and in 1939 has published the work based on research of 200 patients;
Janos Veress (1938) - has invented a needle with spring mandrin. For today is most widely used tool for imposing of pneumoperitoneum;
Raul Palmer (1947) - has offered ways of definition of position of a needle widely used now for insufflation (Palmer-test);
Kurt Semm - with the colleagues and pupils have developed methodics of the majority laparoscopic interventions on organs of a small pelvis, have created enormous amount laparoscopic tools and devices
De Kok in 1977 for the first time has executed laparoscopic appendectomy;
E. Muhe (1985 г) - has executed the first laparoscopic cholecystectomy;
U.I. Gallinger (1991 г) for the first time in Russia has executed laparoscopic cholecystectomy in the Science Centre of surgery of Russian Academy of Medical Science.