Safety and feasibility of using a 5 mm high-definition angled scope in laparoscopic cholecystectomy

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.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 30-degree 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 30-degree Angled Scope technique provides a safe, and effective technique for laparoscopic cholecystectomy.