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ObjectiveTo evaluate clinical safety and ease of the entry technique using an optical access system and skin hooks.Materials and methodsA total of 80 gynecological patients who have undergone laparoscopic surgery with either the skin hook method using skin hooks or the conventional method using Pean clamps.ResultsThe skin hook method was compared with the conventional method using Pean clamps (n = 40 patients each). The skin hook method required less time and there was less device slippage than in the conventional method. No other severe complications occurred after either method.ConclusionThis method is a simple and secure approach and can be applied during laparoscopic surgery and in patients other than gynecological patients

Secure and quick transumbilical initial trocar insertion with skin hooks: The skin hook method