Safety and Feasibility of Using a 5 mm High-Definition 30-Degree Angled Scope in Laparoscopic Cholecystectomy. | ||||
Ain Shams Journal of Surgery | ||||
Volume 17, Issue 4, October 2024, Page 329-336 PDF (1.08 MB) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ASJS.2024.312863.1155 | ||||
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Authors | ||||
Mohie El-Din Mostafa Madany* 1; Hussien A Mostafa1; Mansor M Kabbash2; Hassan A Abdallah1; Anwar A Elshenawy1; Mahmoud S. Ahmed1; Ibrahim Elzayat1; Mohamed Rabie Saad1; Yasser M Seddeik1; Ahmed M Maghraby1; Mohamad A Nader1; Ola A Muhammad1; Sarah M Abdelmohsen1; Aiman Ismaeil1; Abdelrahman Amin1; Mohamed K Ibrahim1; Abdel-Raheem Donkol1; Mohamed A Khalil1; Medhat R Nazeer1; Ahmed S Mostafa1; Mohammad Abdelbar Mohamed1; Hany Shokry1; Khaled A Talha1 | ||||
1Department of General Surgery, Faculty of Medicine, Aswan University, Aswan, Egypt | ||||
2Department of General Surgery, Faculty of Medicine, Aswan University, Aswan, Egypt, Department of General Surgery, Department of Maxillofacial Surgery, Faculty of Dentistry, Sphinx University, Egypt | ||||
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 | ||||
5 mm High-Definition Angled Scope; 5-10-5-5 approach; trocar site hernia; laparoscopy; cholecystectomy | ||||
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