From great surgical incisions to laparoscopic cholecystectomy: reflection on the impact of new technologies <b>[Abstract in English]</b>

Abstract

Aims: To review the history of laparoscopic cholecystectomy and the difficulties faced by the surgeons involved in its development. Source of data: A search was carried out at PubMed databasis. Selected papers about the history of the pioneers of laparoscopic cholecystectomy were reviewed. Summary of findings: Introduction of endoscopic surgery into clinical routine has dramatically changed the field of surgery. Less postoperative pain, less impairment of vital functions, shorter hospital stay and faster return to normal activities are some of the advantages. Early pioneers of this method worked against the surgical thinking of the era of: “Great surgeons, great incisions”. Conclusions: Nowadays, laparoscopic cholecystectomy is the method of choice for gallbladder removal. Minimally invasive procedures have changed the field of surgery. However, a long time was required to bring laparoscopic surgery into its current practice. The knowledge of the troubles faced in the past will help to develop future technologies. KEY WORDS: CHOLECYSTECTOMY, LAPAROSCOPIC/ history; ENDOSCOPY/history; GALLSTONES/surgery; BILIARY TRACT SURGICAL PROCEDURES.