Looking back in history – laparoscopic cholecystectomy

  One spring day 21 years ago (1987), what is known in the world of surgery as a revolution in abdominal surgery quietly took place in a private clinic in Lyon, France. Dr. Phillpe Mouret, an obstetrician and gynecologist, performed the world’s first combined laparoscopic surgery on a 50-year-old female patient with both painful pelvic adhesions and symptomatic gallbladder stone disease at the patient’s request. was exhausted. When Dr. Mouret checked in the next day, he was pleasantly surprised to find a female patient who was fully dressed and ready to go home. This made him realize that this procedure could greatly reduce the patient’s pain, and he went on to perform 15 consecutive laparoscopic cholecystectomies in a row. The following year Dubois, a professor of surgery in Paris, learned of this technique from a nurse who had worked at the Mouret clinic and performed it on 36 patients in a year. The same year another professor of surgery, Perissat, in Bordeaux, was also working on this research. These three French surgeons led to the development of laparoscopic cholecystectomy, first described by Dobois in a paper published in a French medical journal. In April 1989, a videotape of the procedure was shown at the National Congress of Gastrointestinal Endoscopic Surgery in Kentucky, USA, where many American surgeons congratulated the new technique with skepticism and disdain, based on the traditional concept of surgery. A year later, in October 1990 in San Francisco, the attitudes of the participants in the national clinical meeting of surgeons changed radically, thousands of people gathered inside and outside the venue, vying to witness the surgical video, many people lamented, complaining that the equipment manufacturers too slow delivery. 1991 February China’s introduction of the technology. Now there are nearly 4,000 sets of various types of laparoscopic equipment in China, with more than 500,000 surgical cases and more than 50 types of surgical procedures.  Laparoscopic technology is to use minimally invasive instruments placed in the abdominal cavity through tiny incisions in the abdominal wall, and to perform surgical operations in the body under a fully enclosed state using an endoscope, intra-abdominal illumination and an electronic camera system. Therefore, this surgical procedure is short in time, low in injury, low in pain, light in visceral disturbance, and can be used for eating and bed activities on the first day after surgery, with short postoperative medication time, much lower chance of abdominal infection than open surgery, and much lower incidence of postoperative intestinal adhesions and other complications. The 3 to 4 tiny wounds scattered in the abdomen are almost invisible after healing and have good cosmetic effects. Laparoscopic cholecystectomy is suitable for about 95% of gallbladder stone patients and is a mature surgical procedure in the field of minimally invasive biliary surgery.  In recent years, laparoscopy is not only limited to gallbladder resection, but also has been expanded to include opening and draining of liver cysts, liver lobectomy, biliary tract exploration, pancreatic head and duodenum resection, spleen resection, major gastric resection for gastric cancer, radical resection of colorectal cancer, etc. In addition, it also involves a variety of surgeries in obstetrics and gynecology, urology, etc. Almost all intra-abdominal surgeries can gradually be operated through laparoscopy. Thus, it has become an integral part of some large lumpectomy surgeries. It is believed that as the technology becomes more mature, laparoscopic technology will be more beneficial to patients.