Nomogram for Predicting Difficult Laparoscopic Appendectomy

NCT ID: NCT06818942

Last Updated: 2025-03-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Total Enrollment

500 participants

Study Classification

OBSERVATIONAL

Study Start Date

2025-01-26

Study Completion Date

2027-12-31

Brief Summary

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No prior studies have stratified the difficulty of laparoscopic appendectomy (LA). The investigators aimed to investigate preoperative factors as indicators of difficult LAs based on the experience of surgical trainees and to develop a predictive model accordingly.

Detailed Description

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Acute appendicitis is the most common cause of surgical emergencies and laparoscopic appendectomy (LA) is usually attempted by surgical trainees. This study aim to explore the preoperative and intraoperative factors affecting the degree of surgical difficulty and to establish a model for validation, so that it can be subsequently replicated in training programs.

Conditions

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Emergencies

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Difficult laparoscopic appendectomy

(1) operative time more than 75% of the overall study cases (2) severe intraoperative vascular or uncontrolled bleeding (3) conversion to open approach

Observations on preoperative and intraoperative factors influencing the difficulty of surgery

Intervention Type OTHER

Age, body mass index, gender, inflammatory indicators, previous history of abdominal surgery, underlying disease

Non-difficult laparoscopic appendectomy

the remaining of the entire study cases excluding the difficult cases

Observations on preoperative and intraoperative factors influencing the difficulty of surgery

Intervention Type OTHER

Age, body mass index, gender, inflammatory indicators, previous history of abdominal surgery, underlying disease

Interventions

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Observations on preoperative and intraoperative factors influencing the difficulty of surgery

Age, body mass index, gender, inflammatory indicators, previous history of abdominal surgery, underlying disease

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of acute appendicitis
* Participants who underwent laparoscopic appendectomy

Exclusion Criteria

* Participants refused or could not tolerate laparoscopic appendectomy
* Incomplete preoperative examination or missed information
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai 6th People's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Ling Zhan

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Shanghai Sixth People's Hospital

Shanghai, Shanghai Municipality, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Ling Zhan, Dr

Role: CONTACT

08615821120972

Facility Contacts

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Ling Zhan, Doctor

Role: primary

08615821120972

Other Identifiers

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2025-KY-094(K)

Identifier Type: -

Identifier Source: org_study_id

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