Background :
Laparoscopic cholecystectomy (LC) is the standard treatment for symptomatic gallstones. The initial abdominal entry, which is critical to safety, employs either blind trocar entry (BTE) or the Hasson method. This study compares these techniques in 100 patients.
Methods :
A single-center randomized controlled trial allocated 100 patients to BTE (n=50) or Hasson (n=50). Outcomes included operative time, complications (visceral/vascular injury, extraperitoneal insufflation), conversion rates, and hospital stay. Statistical analysis was performed using t-tests and chi-square tests.
Results :
The Hasson method had a longer mean operative time (47.5 ? 8.2 vs. 42.3 ? 6.5 minutes; p=0.001) but fewer major complications.
Visceral injury was 0% in the Hasson group versus 4% in the BTE group (p=0.04), and vascular injury was 0% in the Hasson group versus 2% in the BTE group (p=0.32).
BTE had higher visceral injury rates (4% vs. 0%, p=0.04). Hospital stay and conversion rates were comparable between the two groups.
Conclusion :
The Hasson method reduces complications during laparoscopic cholecystectomy compared with blind trocar entry while maintaining comparable hospital stay and conversion rates.