Minimally invasive surgery has evolved significantly since the early 1900s. Key developments include the first laparoscopic procedures in the 1980s and 1990s like cholecystectomy, appendicectomy, and hysterectomy. Minimally invasive procedures now include laparoscopy, thoracoscopy, cystoscopy, and hysteroscopy. The document outlines the chronological milestones in minimally invasive surgery and the increasing use of techniques like hand assisted laparoscopic surgery, single incision laparoscopic surgery, natural orifice transluminal endoscopic surgery, and robotic surgery. Minimally invasive surgery is now the standard approach for many common procedures worldwide.
2. Surgical rose with different names
Key Hole Surgery
Endoscopic Surgery
Button Hole Surgery
Minimally Invasive Surgery
Minimal Access Surgery
• Laparoscopy
• Thoracoscopy
• Cystoscopy
• Hysteroscopy
1953 by Professor
Hopkins
4. Chronological Milestones
1901 1983, 1985 1987, 1989 1993, 1994, 2001, 2005
- First
Inspection of
abdominal
cavity by
VONN OTT in
1901 using a
speculum and
candlelight.
- First
Laparoscopic
Appendicectomy
in 1983 by SEMM,
Cholecystectoy
by ERICH MUHE
in 1985
- First Laparoscopic
Hernia by GER in
1987. First
Laparoscopic
Hysterectomyin 1989
by RIECH
- First Robotic
Laparoscopic surgery
Dan Stoianovici 1993.
First Colorectal by GIES
1994. NOTES in 2001
and SILS in 2005
9. 19851985
Laparoscopic Cholecystectomy
• Laparoscopic choleystectomy is
now gold standard for the
treatment of gallstone
diseases.
• Most commonly performed
Minimal Access Surgery by
General surgeons worldwide.
• In Europe 97% of
cholecystectomy is now done
laparoscopically.
24. Present status in world
Coronary bypass surgery on
beating heart
Cardiac Valve Surgery
Cardiac Tumor Surgery
World Laparoscopy Hospital
25. Future of Minimal Access Surgery
Now surgeons can
operate exclusively via
a computer interface
controlling a master–
slave manipulator
through Internet.
World Laparoscopy Hospital