التفاصيل البيبلوغرافية
| العنوان: |
Single port/incision laparoscopic surgery compared with standard three-port laparoscopic surgery for appendicectomy - a randomised controlled trial. |
| المؤلفون: |
Malik, Momin, McCormack, Kirsty, Krukowski, Zygmunt H., McDonald, Alison, McPherson, Gladys, Cook, Jonathan A., Ahmed, Irfan |
| المصدر: |
Trials; 2012, Vol. 13 Issue 1, p201-208, 8p, 1 Diagram, 1 Chart, 1 Graph |
| مصطلحات موضوعية: |
LAPAROSCOPIC surgery, CLINICAL trials, POSTOPERATIVE care, APPENDIX diseases, HOSPITAL admission & discharge |
| مستخلص: |
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 use 2. 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) [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
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