Single port/incision laparoscopic surgery compared with standard three-port laparoscopic surgery for appendicectomy: a randomised controlled trial

Momin Malik, Kirsty McCormack, Zygmunt H Krukowski, Alison McDonald, Gladys McPherson, Jonathan A Cook, Irfan Ahmed, SCARLESS Study Group

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6 Downloads (Pure)

Abstract

ABSTRACT: BACKGROUND: Laparoscopic surgery has become the preferred approach for many procedures because of reduced post-operative pain, better recovery, shorter hospital stay and improved cosmesis. Single incision laparoscopic surgery is one of the many recent variants where either standard ports or a specially designed single multi-channel port is introduced through a single skin incision. While the cosmetic advantage of this is obvious, the evidence base for claims of reduced morbidity and better post-operative recovery is weak. This study aims to compare the effectiveness of single port/incision laparoscopic appendicectomy with standard three-port laparoscopic appendicectomy in adult patients at six weeks post-surgery. We also wish to assess the feasibility of a multicentre randomised controlled trial comparing single port/incision laparoscopic surgery with standard three-port laparoscopic surgery for other surgical techniques. METHODS AND DESIGN: Patients diagnosed with suspected appendicitis and requiring surgical treatment will be randomised to receive either standard three-port or single incision laparoscopic surgery. Data will be collected from clinical notes, operation notes and patient reported questionnaires. The following outcomes will be considered:1. Effectiveness of the surgical procedure in terms of:•patient reported outcomes•clinical outcomes•resource use2. Feasibility of conducting a randomised controlled trial (RCT) in the emergency surgical setting by quantifying:•patient eligibility•randomisation acceptability•feasibility of blinding participants to the intervention received•completion rates of case report forms and patient reported questionnaires TRIAL REGISTRATION: ISRCTN66443895 (assigned 10 March 2011, first patient randomised 09 January 2011).
Original languageEnglish
Pages (from-to)201
JournalTrials
Volume13
DOIs
Publication statusPublished - 30 Oct 2012

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Laparoscopy
Randomized Controlled Trials
Appendicitis
Cosmetics
Length of Stay
Emergencies
Morbidity
Pain
Skin

Keywords

  • appendicitis
  • appendicectomy
  • laparascopic
  • single port
  • single incision
  • SCARLESS

Cite this

Single port/incision laparoscopic surgery compared with standard three-port laparoscopic surgery for appendicectomy : a randomised controlled trial. / Malik, Momin; McCormack, Kirsty; Krukowski, Zygmunt H; McDonald, Alison; McPherson, Gladys; Cook, Jonathan A; Ahmed, Irfan; SCARLESS Study Group.

In: Trials, Vol. 13, 30.10.2012, p. 201.

Research output: Contribution to journalArticle

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