Safety and Feasibility of Using a 5 mm High-Definition 30-Degree Angled Scope in Laparoscopic Cholecystectomy.

Document Type : Original Article

Authors

1 Department of General Surgery, Faculty of Medicine, Aswan University, Aswan, Egypt

2 Department of General Surgery, Faculty of Medicine, Aswan University, Aswan, Egypt, Department of General Surgery, Department of Maxillofacial Surgery, Faculty of Dentistry, Sphinx University, Egypt

10.21608/ASJS.2024.312863.1155

Abstract

Background: The trocar site hernia following laparoscopic cholecystectomy is an important complication after
this type of operation. Thus, the scientific community is always welcoming any new approach aiming to reduce its
rate.
Patients and methods: The objective of this retrospective study is to assess the rate of trocar site hernia as well
as other complications after a new approach 5-10-5-5 with a 5 mm High-Definition Angled Scope. Records and
videos of the operations of eligible patients who underwent laparoscopic cholecystectomy at the Aswan University
Hospital’s general surgery department were included.
Results: 1027 patients were included in the analysis of this study. Most of the participants were females,
representing 93.18% of patients. The mean age of participants was 44.48±11.94 years, the mean ± SD operative
time was 88.90±28.30 minutes, and the median (IQR) was 83.5 (32.5) minutes. After the follow-up period of 9-49
months, the average follow-up period was 28.63 ± 11.95 months, and no patient developed a trocar site hernia.
Conclusion: The new approach 5-10-5-5 with 5 mm High-Definition Angled Scope technique provides a safe, and
effective technique for laparoscopic cholecystectomy.

Keywords

Ain Shams Journal of Surgery
Volume 17, Issue 4
October 2024
Pages 329-336

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