The Evolution of Minimal Access Surgery and the Laparoscopic Cholecystectomy

Surgery is the first and the highest division of the healing art, pure in itself and perpetual in its applicability (1). In its history, large incisions were an absolute necessity to a successful procedure. Exposure was the key to a safe and successful operation. Surgeons have traditionally attempte...

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Bibliographic Details
Main Author: Ndungu BM
Format: Article
Language:English
Published: Surgical Society of Kenya 2014-01-01
Series:The Annals of African Surgery
Online Access:https://www.annalsofafricansurgery.com/editorial-the-evolution-of-minimal-
Description
Summary:Surgery is the first and the highest division of the healing art, pure in itself and perpetual in its applicability (1). In its history, large incisions were an absolute necessity to a successful procedure. Exposure was the key to a safe and successful operation. Surgeons have traditionally attempted to find new methods to treat their patients' afflictions while reducing the injury caused by the treatment hence the evolution of minimally invasive techniques. Access to body cavities in order to undertake surgical procedures by other means than making a large cut has been a technique waiting for its time(2). Though exposure is still essential for a safe and successful operation, it is now possible to access body cavities to perform surgical operations by making smaller incisions; the fundamental concept of minimal access surgery. Minimally invasive surgery may be as old as humanity itself. The holy bible mentions the ‘operation’ of Eve’s creation and the possibly the first ‘endoscopy’ where “The King of Babylon stood at the parting of the ways, to use divination, he made his arrows bright, he consulted with images, he looked in the liver” (3, 4).
ISSN:1999-9674
2523-0816