About this trial
This prospective, randomized controlled trial aims to compare the clinical outcomes of laparoscopic appendectomy performed under two standard pneumoperitoneum pressures (10 mmHg and 15 mmHg). The primary objective is to evaluate postoperative pain, while secondary outcomes include operative time, conversion rate, time to first flatus and bowel movement, length of hospital stay, postoperative ileus, and intra-abdominal abscess formation. The study will determine whether lower-pressure pneumoperitoneum provides comparable surgical conditions while improving postoperative recovery.
Eligibility criteria
Qualifiers
Age 18-60 years.
Clinical and/or radiological diagnosis of acute appendicitis.
Planned laparoscopic appendectomy(Uncomplicated acute appendicitis considered suitable for laparoscopic management).
ASA physical status I-III.
Disqualifiers
Age <18 years and >60 years
Pregnancy
Appendiceal mass or suspected appendiceal malignancy
Diffuse peritonitis requiring planned open surgery
Trial design
Treatments tested in this trial
- Laparoscopic appendectomy with 10 mmHg pneumoperitoneum
- Laparoscopic appendectomy with 15 mmHg pneumoperitoneum