Gall Bladder Retrieval in Laparoscopic Cholecystectomy

Background: Gall bladder retrieval during laparoscopic cholecystectomy is crucial as it influences trocar site hernia (TSH), keloid formation, hypertrophic scarring, and postoperative port site pain. Methods: This retrospective study aims to evaluate postoperative pain, TSH, keloid, and hypertrophic scar formation six months after gall bladder retrieval through the right lumbar port using the 5-5-5-10 technique. The study includes records and videos of patients who underwent laparoscopic cholecystectomy at Aswan University Hospital's general surgery department. Results: Among 977 patients, 93.1% were female with a mean age of 44.3±11.9 years. The mean operative time was 104.2±32.4 minutes. Postoperative pain had a mean VAS score of 2.5±1.1. The average follow-up was 28.5 ± 12 months. At six months, the mean cosmetic appearance score was 3.9±1. Keloid formation occurred in 2.9% of cases, and hypertrophic scarring was seen in 2%, mainly at the right lumbar port. No TSH cases were reported. Conclusion: Gall bladder extraction through the right lumbar port offers superior cosmetic outcomes and a lower incidence of complications like TSH. The 5-5-5-10 technique is recommended for future procedures.