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.
Kurt 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.
1977.
Henk de Kok, from Amsterdam, Netherlands, wrote the
first article on laparoscopic surgery: the laparoscopic appendectomy.
Further data can be found on the site www.cirugest.com
There also a large bibliography on the laparoscopic history including
Henk de Kok's.
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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