Emergencies
Conditions
Keywords
Laparoscopic appendectomy, Surgical difficulty, Training program
Brief summary
No prior studies have stratified the difficulty of laparoscopic appendectomy (LA). The investigators aimed to investigate preoperative factors as indicators of difficult LAs based on the experience of surgical trainees and to develop a predictive model accordingly.
Detailed description
Acute appendicitis is the most common cause of surgical emergencies and laparoscopic appendectomy (LA) is usually attempted by surgical trainees. This study aim to explore the preoperative and intraoperative factors affecting the degree of surgical difficulty and to establish a model for validation, so that it can be subsequently replicated in training programs.
Interventions
OTHERObservations on preoperative and intraoperative factors influencing the difficulty of surgery
Age, body mass index, gender, inflammatory indicators, previous history of abdominal surgery, underlying disease
Sponsors
Shanghai 6th People's Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Clinical diagnosis of acute appendicitis * Participants who underwent laparoscopic appendectomy
Exclusion criteria
* Participants refused or could not tolerate laparoscopic appendectomy * Incomplete preoperative examination or missed information
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Operative time | During surgery | operative time was defined as the duration from incision to closure, and was collected from anesthesia record sheet |
| Number of participants with postoperative complications | through study completion, an average of 1 year | Postoperative bleeding, surgical site infection and other complications |
| Hospitalization | 1 day of discharge | days of hospitalization |
| Degree of pain | approximately 4 hours after surgery and on postoperative day 1 | pain intensity was assessed using a standard visual analogue score, with a score of 0 to 10 corresponding to no pain to the most severe pain |
Countries
China
Contacts
CONTACTLing Zhan, Dr
Outcome results
None listed