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

Background: The trocar site hernia following laparoscopic cholecystectomy is an important complication afterthis type of operation. Thus, the scientific community is always welcoming any new approach aiming to reduce itsrate.Patients and methods: The objective of this retrospective study is to assess the rate of trocar site hernia as wellas other complications after a new approach 5-10-5-5 with a 5 mm High-Definition Angled Scope. Records andvideos of the operations of eligible patients who underwent laparoscopic cholecystectomy at the Aswan UniversityHospital’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 operativetime was 88.90±28.30 minutes, and the median (IQR) was 83.5 (32.5) minutes. After the follow-up period of 9-49months, 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, andeffective technique for laparoscopic cholecystectomy.