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Objective: To evaluate clinical safety and ease of the entry technique using an optical access system and skin hooks. Materials and methods: A 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. Results: The 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. Conclusion: This method is a simple and secure approach and can be applied during laparoscopic surgery and in patients other than gynecological patients.