Single Incision Laparoscopic Surgery (SILS) Versus Laparoscopic Appendectomy
Single Incision Versus Standard Laparoscopic Appendectomy for Non-Perforated Appendicitis
1 other identifier
interventional
360
1 country
1
Brief Summary
This is a prospective trial of single incision versus standard 3-port laparoscopic appendectomy. The hypothesis is that there may a difference in wound infection rates, operative time, doses of analgesics post-operatively, and patient/parent perception of scars.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Aug 2009
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
August 1, 2009
CompletedFirst Submitted
Initial submission to the registry
September 21, 2009
CompletedFirst Posted
Study publicly available on registry
September 22, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2011
CompletedFebruary 15, 2013
February 1, 2013
1.3 years
September 21, 2009
February 13, 2013
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Post-operative infection
6 weeks
Secondary Outcomes (6)
Doses of analgesic
3 days
Operative time
1 day
Cosmetic scores
6 months
Length of Hospitalization
1 week
Surgeon perception of difficulty
1 day
- +1 more secondary outcomes
Study Arms (2)
SILS
ACTIVE COMPARATORSingle Incision Laparoscopic Surgery (SILS) where a single incision in the umbilicus is all that is used to remove the appendix. The specific methods (staple/tie/port use/etc) will vary depending on surgeon.
3 port
ACTIVE COMPARATORStandard laparoscopic appendectomy with 3 ports and intracorporeal stapling.
Interventions
A single incision through the umbilicus to remove the appendix
Standard 3 port laparoscopic appendectomy with intracorporeal stapling
Eligibility Criteria
You may qualify if:
- Children under 18 years
- Non-perforated appendicitis
You may not qualify if:
- Perforated appendicitis as identified as a hole in the appendix for fecalith in the abdomen
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Children's Mercy Hospital
Kansas City, Missouri, 64108, United States
Related Publications (3)
St Peter SD, Shah SR, Adibe OO, Sharp SW, Reading B, Cully B, Holcomb GW 3rd, Rivard DC. Saline vs Tissue Plasminogen Activator Irrigations after Drain Placement for Appendicitis-Associated Abscess: A Prospective Randomized Trial. J Am Coll Surg. 2015 Aug;221(2):390-6. doi: 10.1016/j.jamcollsurg.2015.03.043. Epub 2015 Mar 30.
PMID: 26141467DERIVEDSt Peter SD, Adibe OO, Iqbal CW, Fike FB, Sharp SW, Juang D, Lanning D, Murphy JP, Andrews WS, Sharp RJ, Snyder CL, Holcomb GW, Ostlie DJ. Irrigation versus suction alone during laparoscopic appendectomy for perforated appendicitis: a prospective randomized trial. Ann Surg. 2012 Oct;256(4):581-5. doi: 10.1097/SLA.0b013e31826a91e5.
PMID: 22964730DERIVEDSt Peter SD, Adibe OO, Juang D, Sharp SW, Garey CL, Laituri CA, Murphy JP, Andrews WS, Sharp RJ, Snyder CL, Holcomb GW 3rd, Ostlie DJ. Single incision versus standard 3-port laparoscopic appendectomy: a prospective randomized trial. Ann Surg. 2011 Oct;254(4):586-90. doi: 10.1097/SLA.0b013e31823003b5.
PMID: 21946218DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Shawn d St. Peter, MD
Children's Mercy Hospital Kansas City
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD
Study Record Dates
First Submitted
September 21, 2009
First Posted
September 22, 2009
Study Start
August 1, 2009
Primary Completion
November 1, 2010
Study Completion
December 1, 2011
Last Updated
February 15, 2013
Record last verified: 2013-02