Arianoff A A
Acta Chir Belg. 1983 Jul-Aug;83(4):241-52.
Hundred years ago, in July 1882, Carl Langenbuch, chief surgeon in the Lazarus Hospital of Berlin, has performed the first cholecystectomy. The opportunity is given to do a general picture of the history of biliary surgery. We can distinguished five periods: a prehistorical period ending with the beginning of the XIVth century; an ancient period from the XIVth to XVIIIth century, caracterised by the multiplication of anatomical schools, chiefly italian. A medieval period caracterised by the birth of the asepsis, the anesthesia and the beginning of the radiology (XIXth century). A modern period expanding after the first World War with the great figure of Mirizzi. Finally the contemporary period prevailed by technology. The future is unknown but we can say that at that time, the anesthesia and the radiology with all their applications, have played the biggest part in the progress of the biliary surgery.
百年前，即1882年7月，柏林拉撒路医院的首席外科医生卡尔·兰根布赫实施了首例胆囊切除术。借此机会，我们可以对胆道外科的历史全貌进行一番梳理。我们可以区分出五个时期：一个以14世纪初为终点的史前时期；一个从14世纪到18世纪的古代时期，其特点是解剖学派的增多，主要是意大利的解剖学派。一个以无菌术、麻醉术的诞生以及放射学的开端（19世纪）为特征的中世纪时期。一个在第一次世界大战后随着米里齐的伟大身影而扩展的现代时期。最后是由技术主导的当代时期。未来尚不可知，但我们可以说，在那个时候，麻醉术和放射学及其所有应用在胆道外科的进步中发挥了最大的作用。
