NON BILIARY LAPAROSCOPIC SUR6£RY

Abstract

Laparoscopic cholcystectomy had been introduced into the surgical parctice since 1989 but actually laparoscopic procedures in surgery began earlier, that , Kelling (190 I), reported laparoscopic diagnosis in living dogs.

Rendle Short, a surgeon from Bristol Royl informally reported his experience with "Coellioscopy" in 1925 which showing advantage overexploratory laparotomy. In addition he makes the important observation that coellioscopy is principally valuable for what is definitely seen and not for what is apparently absent

In 1951 Professor Keld reported a personal series of 2000 laparoscopic procedures without any mortality. After develop1nent of laparoscopic cholycystectomy which become the procedure of choice for treatment of gall bladder diseases, laparoscopic surgery extended to other procedures in non biliary laparoscopic surgery including laparoscopic appendicecton1y, vagotmny, hernia repair including hiatus hernia, colo-rectal surgery and others as excision of solitary hepatic cyst, splenectomy, adrenalectomy, nephrectorny, oopherectomy, high ligation of varicocel and other surgical procedures.

Early hernia repair reported by Mac-Fadyen et al using the plug and patch repair with no dissection and an intra-peritoneal mesh. Laparoscopic appendicectomy can done easily by laparoscopy with good result with less wound infection than open operation.

Laparoscopic fundoplication for hernia is feasible operation and provide similar results as open surgery with significant improvement in recovery. Laparoscopic surgery is valuable in •treatment of peptic ulcer disease as posterior truncal vagotomy and anterior seromyotomy.