Die Laparoskopie hat die Chirurgie revolutioniert indem sie das Prinzip des minimalinvasiven
Zuganges etablierte. Insgesamt dauerte die Entwicklung fast 200 Jahre bis 1982 die
erste Appendektomie und 1985 die erste Cholezystektomie laparoskopisch durchgeführt
wurden. In der Zwischenzeit haben sich die Cholezystektomie, die Fundoplicatio, die
Adrenalektomie und die Adipositaschirurgie als Standardindikationen des Verfahrens
etabliert. Aber auch die Appendektomie erfolgt vielerorts bereits standardmäßig laparoskopisch.
Noch nicht durchgesetzt hat sich das Verfahren in der Hernien-, Kolorektal-, Milz-,
Leber- und Pankreaschirurgie, es wird aber zumindest bei Ersteren als echte Alternative
diskutiert. Auch die wenigsten Malignome werden laparoskopisch operiert, obwohl die
Laparoskopie beispielsweise im Fall von kolorektalen Karzinomen einem offenen Eingriff
ebenbürtig ist.
Laparoscopy has basically changed surgery by implementing the minimally invasive access.
The development lasted 200 years until the first appendectomy was performed laparoscopically
in 1982 and the first cholecystectomy was performed in 1985. In the meantime, laparoscopy
has become the standard for cholecystectomy, fundoplication, adrenalectomy, and bariatric
surgery. Appendectomy is also carried out laparoscopically by many surgeons. For hernias,
colorectal resections and splenectomy laparoscopy is a serious alternative but not
the standard yet. The same is true for colorectal carcinomas.
Key words
laparoscopic surgery - benign diseases - oncologic diseases
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1 Clinical Outcomes of Surgical Therapy
Korrespondenz
Prof. Dr. Carsten N Gutt
Klinik für Allgemein-, Viszeral-und Transplantationschirurgie Universität Heidelberg
Im Neuenheimer Feld 110
69120 Heidelberg
eMail: carsten.gutt@med.uni-heidelberg.de