MBBS; MS; M.MAS; MRCS; FACS; Ph. D.

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

Hopkins Rod Lens System

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

Frequently done Key Hole procedures

World Laparoscopy Hospital

Cholecystectomy

World Wide Incidence

Appendicectomy

Fundoplication

Hernia Repair

Bariatric Surgery

Diagnostic laparoscopy

World Wide Incidence

Tubal and Ovarian Surgery

Laparoscopic Myomectomy

Laparoscopic Hysterectomy

Genitourinary Prolapse Repair

19011901

Diagnostic LaparoscopyElectronic Eye Inside Abdomen

First Diagnostic Laparoscopy

Kelling 1901

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.

19831983

Laparoscopic Appendicectomy

Right Lobectomy of Thyroid

Axillary-Breast Approach

Hand Assisted Laparoscopic Surgery

Hand Assisted Laparoscopic Surgery

World Laparoscopy Hospital

Hand Assisted Laparoscopic Surgery

World Laparoscopy Hospital

Hand Assisted Laparoscopic Surgery

World Laparoscopy Hospital

Hand Assisted Laparoscopic Surgery

Omniport can accommodate Hand as well as Instruments

World Laparoscopy Hospital

Hand Assisted Laparoscopic Surgery

World Laparoscopy Hospital

Hand Assisted Laparoscopic Surgery

World Laparoscopy Hospital

Gasless Laparoscopic Surgery

World Laparoscopy Hospital

Gasless Laparoscopic Surgery

AbdoliftWorld Laparoscopy Hospital

World Laparoscopy Hospital

Single Incision Laparoscopic Surgery

Magnetic Assisted Laparoscopic Surgery

Natural Orifices Transluminal Endoscopic Surgery

Present status in world

Coronary bypass surgery on beating heartCardiac Valve SurgeryCardiac Tumor Surgery

World Laparoscopy Hospital

Future of Minimal Access Surgery

Now surgeons can operate exclusively via a computer interface controlling a master–

slave manipulator through Internet.

World Laparoscopy Hospital

World Laparoscopy Hospital

Trans Atlantic Minimal Access Surgery

World Laparoscopy Hospital

Robotic console

ZEUS™ console

AESOP® console

World Laparoscopy Hospital

Conclusion