Keyhole vs open surgery: which appendectomy works better for obese patients?
NCT ID NCT07822503
First seen Sep 16, 2026 · Last updated Sep 17, 2026 · Updated 1 time
Summary
Researchers compare two surgical methods for removing an inflamed appendix in obese patients: laparoscopic (keyhole) surgery and traditional open surgery. The trial enrolls 166 obese adults with acute appendicitis, randomly assigning each to one of the two procedures. The main goals are to see which approach leads to fewer surgical site infections and shorter hospital stays.
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 and open appendectomy surgical procedures
- What this could lead to
- If laparoscopic surgery proves better for obese patients, it could become the preferred approach, reducing infections and shortening hospital stays.
- What could go wrong
- This is a single-center study with 166 participants, so results may not apply everywhere. Surgical risks exist for both procedures, and outcomes can vary by surgeon skill and patient factors.
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.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 166 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Oct 2026
An estimate. Start dates often move.
- Expected to finish
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Apr 2027
An estimate. End dates often move.
- 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.
- Ages
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15 to 50 years
- 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: 1. Obese patients with Body Mass Index (BMI) ≥ 30 kg/m². 2. Clinical diagnosis of acute appendicitis based on Alvarado score (history of right lower quadrant or periumbilical pain shifting to RLQ, nausea and/or vomiting, fever \> 38 °C, RLQ guarding and tenderness, and/or leukocytosis \> 10,000 cells/mL). 3. Age between 15 and 50 years. 4. Both male and female patients. Exclusion Criteria: 1. Immunocompromised patients (e.g., HIV infection or current steroid therapy). 2. History of prior chemotherapy, radiotherapy, or recurrent infections. 3. History of drug or alcohol abuse. 4. Severe hepatic, renal, or cardiovascular dysfunction. 5. History of previous abdominal surgery. 6. Appendicular malignancy. 7. Pregnant women. 8. Preoperative findings indicating appendiceal perforation.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The official record
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
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