Transumbilical Laparoscopy-assisted Appendectomy
Is Transumbilical Laparoscopy-assisted Appendectomy in the Pediatric Acute Uncomplicated Appendicitis Superior to Conventional 3 Port Laparoscopic Appendectomy?
1 other identifier
interventional
78
1 country
1
Brief Summary
transumbilical laparoscopic-assisted appendectomy (TULAA) was reported that the operation time was shorter and the postoperative frequency of complications was not high compared to conventional laparoscopic appendectomy (CLA) with three conventional ports in retrospective studies. The purpose of this study is to evaluate the outcomes of transumbilical laparoscopic-assisted appendectomy (TULAA) and to compare them to the outcomes of CLA.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Aug 2020
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 20, 2020
CompletedFirst Posted
Study publicly available on registry
July 24, 2020
CompletedStudy Start
First participant enrolled
August 3, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
March 1, 2022
CompletedSeptember 2, 2020
August 1, 2020
1.3 years
July 20, 2020
August 31, 2020
Conditions
Outcome Measures
Primary Outcomes (1)
Operation time
Time from skin incision to skin closure
1 day
Secondary Outcomes (2)
Postoperative complication rate
1 month
postoperative hospital stay
1 month
Study Arms (2)
Conventional group
ACTIVE COMPARATORconventional laparoscopic appendectomy with 3-ports
TULAA group
EXPERIMENTALAn operator extracts and ligates appendix through umbilical port.
Interventions
appendectomy performed extracorporeally through umbilical port
appendectomy performed intracorporeally with 3-port
Eligibility Criteria
You may qualify if:
- Patients with clinically diagnosed as acute appendicitis
- Age 18 or under
- Lab tests Hemoglobin ≥ 10g/dl White blood cell count ≥ 4,000/mm3 Platelet count ≥ 100,000/mm3 Creatinine ≤ 1.5 mg/dl Aspartate aminotransferase ≤ 100 IU/L Alanine aminotransferase ≤ 100 IU/L
- no significant dysfunction in the heart, lungs, kidneys.
You may not qualify if:
- Previous abdominal operation
- Generalized peritonitis
- Anticipated extended resection
- Periappendiceal abscess on preoperative exam
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Myongji Hospitallead
Study Sites (1)
Myongji Hospital, Hanyang university college of medicine
Goyang-si, Gyeonggi-do, 412-826, South Korea
Related Publications (3)
Sekioka A, Takahashi T, Yamoto M, Miyake H, Fukumoto K, Nakaya K, Nomura A, Yamada Y, Urushihara N. Outcomes of Transumbilical Laparoscopic-Assisted Appendectomy and Conventional Laparoscopic Appendectomy for Acute Pediatric Appendicitis in a Single Institution. J Laparoendosc Adv Surg Tech A. 2018 Dec;28(12):1548-1552. doi: 10.1089/lap.2018.0306. Epub 2018 Aug 8.
PMID: 30088968BACKGROUNDDubbers M, Nikolaou E, Fuchs H, Fischer J, Alakus H, Leers J, Bruns C, Cernaianu G. Update on Transumbilical Single-Incision Laparoscopic Assisted Appendectomy (TULAA) - Which Children Benefit and What are the Complications? Klin Padiatr. 2018 Jul;230(4):194-199. doi: 10.1055/s-0044-101622. Epub 2018 Mar 15.
PMID: 29544230RESULTShekherdimian S, DeUgarte D. Transumbilical laparoscopic-assisted appendectomy: an extracorporeal single-incision alternative to conventional laparoscopic techniques. Am Surg. 2011 May;77(5):557-60. doi: 10.1177/000313481107700513.
PMID: 21679587RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Kyung-Goo Lee, MD
Myongji Hospital
Central Study Contacts
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
- Assistant professor
Study Record Dates
First Submitted
July 20, 2020
First Posted
July 24, 2020
Study Start
August 3, 2020
Primary Completion
December 1, 2021
Study Completion
March 1, 2022
Last Updated
September 2, 2020
Record last verified: 2020-08
Data Sharing
- IPD Sharing
- Will share
- Shared Documents
- STUDY PROTOCOL, SAP, ICF, CSR, ANALYTIC CODE
- Time Frame
- starting 6 months after publication
- Access Criteria
- all individual participant data that underlie results in a publication
all individual participant data that underlie results in a publication