Background: Gaining access to the peritoneal cavity is a critical step in laparoscopic surgeries and is associated with the risk of complications. The two most commonly used techniques for pneumoperitoneum creation are the open (Hasson cannula) and closed (Veress needle) methods. This study aims to compare these techniques in terms of procedural efficiency, intraoperative and postoperative complications, and long-term outcomes. Methods: This randomized controlled trial included 50 patients undergoing elective lapa…