Which Trocar Access Site Should We Use in Laparoscopic Appendectomy?

Inonu University

Status: Completed

Conditions: Pain

Treatments: Procedure: Only different trocar sites

Study type: Interventional

Funder types: Other

Identifiers

NCT05311995

2021/267

Details and patient eligibility

About

Open appendectomy has been used in the treatment of appendicitis, which is among the most common emergency pathologies worldwide, since the end of the 19th century. In the 20th century, laparoscopic appendectomy came to the fore and the frequency of use increased gradually. Despite the frequency of laparoscopic appendectomy, there is no consensus on the best way to perform each procedural step. One of these steps is the trocar entry areas. In this study, investigator's aim is to compare the trocar entry areas, which are various reports in the literature, and to find the localization with the optimal usage area. 140 patients who underwent laparoscopic appendectomy between 2021-2022 were randomized into four groups and included in the study. Demographic data, peroperative findings, complications, length of stay and post-operative VAS values of the patients were evaluated.

Enrollment: 140 patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients who underwent laparoscopic appendectomy

Exclusion criteria

patients who underwent open surgery and did not want to be involved in the study process

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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140 participants in 4 patient groups

Group 1

Active Comparator group

Description:

trocar entry areas:Periumblical, left lower quadrant, suprapubic

Treatment:

Procedure: Only different trocar sites

Group 2

Active Comparator group

Description:

trocar entry areas: Periumblical, left lower quadrant, right lower quadrant

Treatment:

Procedure: Only different trocar sites

group 3

Active Comparator group

Description:

trocar entry areas: Periumblical, right lower quadrant, suprapubic

Treatment:

Procedure: Only different trocar sites

Group 4

Active Comparator group

Description:

trocar entry areas: Periumblical, left lower quadrant, left upper quadrant

Treatment:

Procedure: Only different trocar sites