Transumbilical Laparoscopy-assisted Appendectomy

Last updated: August 31, 2020
Sponsor: Myongji Hospital
Overall Status: Active - Recruiting

Phase

N/A

Condition

Appendicitis

Treatment

N/A

Clinical Study ID

NCT04485247
Myongji Surgery
  • Ages 1-18
  • All Genders

Study 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.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • 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 Alanineaminotransferase ≤ 100 IU/L

  • no significant dysfunction in the heart, lungs, kidneys.

Exclusion

Exclusion Criteria:

  • Previous abdominal operation

  • Generalized peritonitis

  • Anticipated extended resection

  • Periappendiceal abscess on preoperative exam

Study Design

Total Participants: 78
Study Start date:
August 03, 2020
Estimated Completion Date:
March 31, 2022

Study Description

Single port appendectomy can be considered as the better option than conventional laparoscopic appendectomy (CLA) for pediatric patients with uncomplicated acute appendicitis in cosmetic aspect. However, this technique has not gained popularity because it has been regarded as a tricky and time-consuming procedure. Recently, the frequency of implementation of transumbilical laparoscopy-assisted appendectomy (TULAA) is increasing in pediatric patients with uncomplicated appendicitis. The reason that this operation is possible in children, is that the length between umbilicus and appendix is shorter than that of an adult, and the abdominal wall is flexible, so that the appendix can be extracted through umbilical incision. It was reported that the operation time was shorter and the postoperative frequency of complications was not high compared to the laparoscopic appendectomy with three conventional ports. 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.

Connect with a study center

  • Myongji Hospital, Hanyang university college of medicine

    Goyang, Gyeonggi-do 412-826
    Korea, Republic of

    Active - Recruiting

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