To cut or not to cut: a trial questions routine appendectomy for normal appendices
NCT ID NCT06000020
First seen Aug 10, 2026 · Last updated Aug 11, 2026 · Updated 1 time
Summary
This study looks at people who undergo laparoscopic surgery for suspected appendicitis but are found to have a normal appendix. It compares two approaches: removing the appendix anyway (routine appendectomy) or leaving it in place. The goal is to see which approach leads to fewer future surgeries for appendicitis and fewer complications. By analyzing a large regional group of patients, the study aims to guide surgeons on the best course of action when the appendix looks healthy.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Laparoscopic appendectomy (surgical removal of the appendix)
- What this could lead to
- If removing a normal appendix proves better, it could reduce the risk of future appendicitis-related surgeries. If not, leaving it in place may avoid unnecessary surgery.
- What could go wrong
- This is an observational cohort study, not a randomized trial, so results may be influenced by patient differences. Removing a normal appendix carries surgical risks like bleeding or infection.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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1,435 people
The number who actually took part.
- Started
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Mar 2017
- Finished
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Apr 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Patients undergoing diagnostic laparoscopy on suspicion of acute appendicitis
- Ages
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Children (under 18), adults (18 to 64) and older adults (65 and over)
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Diagnostic laparoscopy with normal intraoperative findings (including mesenteric adenitis * Laparoscopic appendectomy and a histopathological normal appendix and otherwise normal intraoperative findings (including mesenteric adenitis) Exclusion Criteria: * Diagnostic laparoscopy with abnormal intraoperative findings. * Laparoscopic appendectomy and a histopathological non-normal appendix. * Laparoscopic appendectomy and a histopathological normal appendix and abnormal intraoperative findings.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Copenhagen University Hospital - Bispebjerg
Copenhagen NV, 2400, Denmark
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Copenhagen University Hospital - Herlev
Herlev, 2730, Denmark
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Copenhagen University Hospital - Hvidovre
Hvidovre, 2650, Denmark
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Copenhagen University Hospital - North Zealand
Hillerød, 3400, Denmark
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