Acute Appendicitis
Conditions
Keywords
appendicitis, laparoscopy, single incision
Brief summary
Laparoscopic techniques have allowed surgeons to perform complicated intrabdominal surgery with minimal trauma. In numerous studies, when conventional laparoscopic appendectomy using 3 ports is compared with open appendectomy, it has advantages of reduced pain, reduced hospital stay, and enhanced cosmetic effects. Single incision laparoscopic surgery (SILS) was developed with the aim of reducing the invasiveness of conventional laparoscopy. In this study the investigators aimed to compare results of SILS appendectomy and three port conventional laparoscopic appendectomy prospectively.
Detailed description
Total of 50 patients who undergoing laparoscopic appendectomy for acute appendicitis will randomly assign to undergo SILS appendectomy group (n = 25) or Three port laparoscopic appendectomy group (n= 25) according to a computer-generated table of random numbers. Demographics (ie, age, gender, body mass index (BMI), American Society of Anesthesiology (ASA) score, need for conversion to a standard or three port laparoscopic appendectomy, need for conversion to an open appendectomy will be recorded. Outcome measures include operative morbidity, operative time, pain score, hospital stay. Morbidity will be evaluated by rates of colonic leak, wound infection, intrabdominal abscess hospital readmission, and hernia.
Interventions
PROCEDURESILS appendectomy
Single incision laparoscopic appendectomy will be performed
PROCEDUREThree port laparoscopic appendectomy
Three port laparoscopic appendectomy will be performed
Sponsors
Maltepe University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
Yes
Inclusion criteria
* Required laparoscopic cholecystectomy for gallbladder disease.
Exclusion criteria
* American Society of Anesthesiologists score (ASA) more than III, * Patients had prior abdominal surgery, * Pregnancy, * Ongoing peritoneal dialysis, * Lack of written informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain score | Postoperative first 24 hours | Postoperative pain will be assessed according Visual analog scale from 0 (no pain) to 10 (worst pain imaginable. Postoperative six hour VAS (POSH-VAS) and postoperative first day VAS (POFD-VAS) will be recorded and compared. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intraoperative complications | Average of 50 minutes | Per operative complications will be recorded. * Bleeding * Iatrogenic injury * Bowel perforation * Complications associated with increased intra-abdominal pressure |
| Operating time | Average of 50 minutes | The operating time will be defined as the time from the first incision to the last suture's placement. |
| Postoperative complications | 24th hour, 2nd day, 3rd day, 7th day, 1st month, 3rd month, 6th month, 1st year | Postoperative complications will be recorded postoperative follow up. * Bleeding * Fecal leakage * Intrabdominal injury * Wound infection * Port site hernia |
Other
| Measure | Time frame | Description |
|---|---|---|
| Length of hospital stay | Average of 2 days | Length of hospital stay will be recorded postoperative period. |
Outcome results
None listed