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Trial on Postoperative Outcomes According to the Number of Trocar During Laparoscopic Appendectomy

Primary Purpose

Appendicitis, Pain, Complications

Status
Unknown status
Phase
Phase 1
Locations
Korea, Republic of
Study Type
Interventional
Intervention
appendectomy
Sponsored by
The Catholic University of Korea
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Appendicitis focused on measuring pain, operative times, complication, time to return for normal life, pain using VAS score

Eligibility Criteria

8 Years - 75 Years (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Appendicitis (clinical or radilogical diagnosis)
  • ASA < 4

Exclusion Criteria:

  • Appendicitis with palpable mass( clinical or radilogical diagnosis)
  • Patient has bleeding tendency
  • Pregnant

Sites / Locations

  • Dept. of Surgery, Holy Family Hospital, College of Medicine, The Catholic University of KoreaRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

one port

Three ports

Arm Description

Patients undergo one port appectomy. Skin incision about 2cm size is made upon umbilicus and dissection is performed to make opening. Then, wound retractcor(Alexis) is iserted on opening site and wound is extended. Rubber glove built-in three 5mm trocars is applied over wound retractor. Pneumoperitoneum is achieved via trocar and appendectomy is performed. After appendectomy, wound is repaired.

Paitents will undergo three port appendectomy. 10 mm trocar is inserted on umbilicus, and two 5mm trocas is inserted low abdomen, left flank respectively. Appendectomy is performed vis these trocas. After operation, wounds are repaired.

Outcomes

Primary Outcome Measures

post-operative pain

Secondary Outcome Measures

cosmetic effect

Full Information

First Posted
January 2, 2009
Last Updated
January 5, 2009
Sponsor
The Catholic University of Korea
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1. Study Identification

Unique Protocol Identification Number
NCT00816933
Brief Title
Trial on Postoperative Outcomes According to the Number of Trocar During Laparoscopic Appendectomy
Official Title
Prospective Randomized Trial on the Assessment of Postoperative Outcomes According to the Number of Trocar During Laparoscopic Appendectomy
Study Type
Interventional

2. Study Status

Record Verification Date
January 2009
Overall Recruitment Status
Unknown status
Study Start Date
January 2009 (undefined)
Primary Completion Date
January 2010 (Anticipated)
Study Completion Date
January 2010 (Anticipated)

3. Sponsor/Collaborators

Name of the Sponsor
The Catholic University of Korea

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Appendicitis is the most common benign inflammatory disease that requires an operation. Laparoscopic appendectomy using three trocar is generally performed, and reveals good surgical outcomes incluing less pain, early recovey, cosmetic effect et al. However, with using three trocar, there are some problems including pain around trocar insertion sites(three portions), wound infecton and scar at trocar insertion sites. For these reasons, more minimal invasive appendectomy is required, with development of laparoscopic instrument,eventually one port sppectomy is developed. So, the investigators assess post-operative Outcomes according to the Number of Trocar.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Appendicitis, Pain, Complications
Keywords
pain, operative times, complication, time to return for normal life, pain using VAS score

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
Investigator
Allocation
Randomized
Enrollment
140 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
one port
Arm Type
Experimental
Arm Description
Patients undergo one port appectomy. Skin incision about 2cm size is made upon umbilicus and dissection is performed to make opening. Then, wound retractcor(Alexis) is iserted on opening site and wound is extended. Rubber glove built-in three 5mm trocars is applied over wound retractor. Pneumoperitoneum is achieved via trocar and appendectomy is performed. After appendectomy, wound is repaired.
Arm Title
Three ports
Arm Type
Active Comparator
Arm Description
Paitents will undergo three port appendectomy. 10 mm trocar is inserted on umbilicus, and two 5mm trocas is inserted low abdomen, left flank respectively. Appendectomy is performed vis these trocas. After operation, wounds are repaired.
Intervention Type
Procedure
Intervention Name(s)
appendectomy
Intervention Description
appendectomy according to the number of trocar
Primary Outcome Measure Information:
Title
post-operative pain
Time Frame
For 7days
Secondary Outcome Measure Information:
Title
cosmetic effect
Time Frame
for 14days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
8 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Appendicitis (clinical or radilogical diagnosis) ASA < 4 Exclusion Criteria: Appendicitis with palpable mass( clinical or radilogical diagnosis) Patient has bleeding tendency Pregnant
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Wook Kim, professor
Phone
+82-32-340-7022
Email
kimwook@catholic.ac.kr
First Name & Middle Initial & Last Name or Official Title & Degree
Junhyun Lee, Instructor
Phone
+82-32-340-7026
Email
surgeryjun@catholi.ac.kr
Facility Information:
Facility Name
Dept. of Surgery, Holy Family Hospital, College of Medicine, The Catholic University of Korea
City
Bucheon
State/Province
Gyunggi Do
ZIP/Postal Code
420-717
Country
Korea, Republic of
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Wook Kim, professor
Phone
+82-32-340-7022
Email
kimwook@catholic.ac.kr
First Name & Middle Initial & Last Name & Degree
Junhyun Lee, Instructor
Phone
+82-32-340-7026
Email
surgeryjun@catholic.ac.kr
First Name & Middle Initial & Last Name & Degree
Wook Kim, professor
First Name & Middle Initial & Last Name & Degree
Dongjae Kim, professor
First Name & Middle Initial & Last Name & Degree
Junhyun Lee, Instructor

12. IPD Sharing Statement

Citations:
PubMed Identifier
23473061
Citation
Kye BH, Lee J, Kim W, Kim D, Lee D. Comparative study between single-incision and three-port laparoscopic appendectomy: a prospective randomized trial. J Laparoendosc Adv Surg Tech A. 2013 May;23(5):431-6. doi: 10.1089/lap.2012.0284. Epub 2013 Mar 8.
Results Reference
derived
PubMed Identifier
20393336
Citation
Lee J, Baek J, Kim W. Laparoscopic transumbilical single-port appendectomy: initial experience and comparison with three-port appendectomy. Surg Laparosc Endosc Percutan Tech. 2010 Apr;20(2):100-3. doi: 10.1097/SLE.0b013e3181d84922.
Results Reference
derived

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Trial on Postoperative Outcomes According to the Number of Trocar During Laparoscopic Appendectomy

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