1806.
Philip Bozzini,
built an instrument that could be introduced in the human body to visualize
the internal organs. He called this instrument "LICHTLEITER". Bozzini
has been credited to be the inventor of the first endoscope, however it
was never tested in humans. It used a candle as the source of light. At
that time people did not understand this procedure and he was reviewed
by the medical faculty of Vienna and punished for his "curiosity" The
"Lichtleiter" endoscope, developed by Bozzini (1805)
1853.
Antoine Jean Desormeaux,
was a french surgeon who first introduced the 'Lichtleiter" of Bozzini
to a patient. For many he is considered the "Father of Endoscopy". This
instrument had a system of mirrows and lens, with a lamp flame as the
light source. Burns, as imagined, were the major complication of these
procedures. The lichtleiter was mainly used for urologic cases
1876.
Maximilian Nitze,
modified Edison's light bulb invention and created the first optical
endoscope with built-in electrical light bulb as the source of ilumination.
Like the Lichtleiter from Bozzini, this instrument was only used for
urologic procedures.
1881.
Mikulicz
and Leiter, adopted Max Nitze's principle of a rigid optical
system and succeeded in constructing the first useful clinical gastroscope.
Mikulicz also carried out numerous examinations on patients and obtained
diagnostic results in Billroth's surgical clinic in Vienna.
1901.
George Kelling:
"I asked myself, how do organs react to the air introduction? To find
this out, I devised a method to use an endoscope on an unopened abdominal
cavity (Koelioskopie) in the following way." George Kelling, of Dresden
coined the term "coelioskope" to describe the technique that used a
cystoscope to examine the abdominal cavity of dogs. Dr. Kelling reported
these results at the German Biologic and Medical Society Meeting in
Hamburg, in September 1901. Kelling also use filtered air to create
a pneumoperitoneum, with the goal of stopping intra-abdominal bleeding
(ectopic pregnancy, bleeding ulcers, pancreatitis) but these studies
did not find any response or supporters. Kelling noted that the abdominal
cavity could store more than 2.5 liters of blood. The only method to
establish a diagnosis and provide treatment at that time was linked
to laparotomy. However, as Kelling observed, opening the abdomen could
worsen the patient's condition. To halt blood seepage into the abdomen,
Kelling proposed a high-pressure insuflation of the abdominal cavity,
a technique he called the "Luft-tamponade" or "air-tamponade". Working
together with the Czech surgeon Vitezslav Chlumsky (1867-1943) in Breslau,
Kelling expanded his insufflation technique. The purpose of his "coelioskope"
was to view the effect of pneumoperitoneum acting as an air-tamponade
and not as an endoscopic method itself. That was probably the most important
reason why he did not pursue work on this method. Other research problems
concerned him, and he saw little future in this
technique. Kelling actually
presented his "coelioscopy" in Hamburg as an endoscopic method. The
description of this procedure, today known as laparoscopy, introduced
Kelling's name into the history of Medicine.
1911.
H.C. Jacobaeus,
from Stockolm, used for the first time the term "laparothorakoskopie".
Using this procedure on the thorax and abdomen. He also suggested employing
similar technique to examine body cavities endoscopically. Unlike Kelling
he introduced the trocars directly without employing a pneumoperitoneum.
1911.
Bertram M. Bernheim,
from Johns Hopkins Hospital introduced laparoscopic surgery to the United
States. He named the procedure "organoscopy". The instrument was a proctoscope
of a half inch diameter and ordinary light for illumination.
1918.
O. Goetze,
developed an automatic pneumoperitoneum needle characterized for its
safe introduction to the peritoneal cavity..
1938.
J Veress,
of Hungary, developed the spring-loaded needle. It main purpose was
to perform therapeutic pneumothorax to treat patients suffering from
tuberculosis. It current modifications makes the "Veress" needle a
perfect tool to achieve pneumoperitoneum
during laparoscopic surgery.
1939.
Richard W. Telinde,
tried to perform an endoscopic procedure by a culdoscopic approach,
in the lithotomy position. This method was rapidly abandoned because
of the presence of small intestine.
1944.
Raoul Palmer,
of Paris performed gynecological examinations using laparoscopy and
placing the patients in the Trendelemburg position, so air could fill
the pelvis. He also stressed the importance of continuos intra-abdominal
pressure monitoring during a laparoscopic procedure.
1960.
Kurst Semm,
a german gynecologist, who invented the automatic insufflator. His experience
with this new device was published in 1966. Although not recognized
in his own land, on the other side of the Atlantic, both American physicians
and instrument makers valued the Semm insufflator for its simple application,
clinical value, and safety.
1971.
Jordan M. Phillips,
founded the American Association of Gynecological Laparoscopist with
its goal of providing education about this technology.
1980.
Patrick Steptoe,
from England started to perform laparoscopic procedures in the operating
room under steril conditions.
1981.
The American Board of Obstetrics and Gynecology made laparoscopy training
a required component of residency training.
1982.
First solid state camera was introduced. This is the start of "video-laparoscopy".
1987.
Phillipe Mouret,
performed the first video-laparoscopic cholecystectomy in Lyons, France.
1994.
A robotic arm was designed to hold the laparoscope camera and instruments
with the goal of improving safety, reducing resource utilization and
improving efficiency and versatility for the surgeon.
1996.
First live broadcast of laparoscopic surgery via the Internet.
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