课件：腹腔镜的清洗、消毒和保养.ppt

* * 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 * * 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 * * 1901- 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 patients 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 * * 1910 - 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