Go home the same day after appendix surgery? new study says it might be just as safe
NCT ID NCT05691348
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compares same-day discharge versus staying overnight in the hospital after laparoscopic surgery for uncomplicated appendicitis. About 1,400 patients aged 15 to 74 with mild appendicitis will take part. The goal is to see if going home the same day is just as safe and leads to similar recovery within 30 days.
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 1,400 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2023
- Expected to finish
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Jan 2028
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 74 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: * Patients aged 15-74 years * BMI ≤ 35 kg/m2 * Uncomplicated acute appendicitis confirmed by imaging (ultrasound and/or CT and/or MRI) * Temperature ≤ 38,1°C and \> 35,5°C * Appendix diameter \> 6mm and ≤ 15mm * Without effusion or with only localized peri-appendicular effusion * Infiltration of peri-appendicular fat without abscess or plastron * No sign of perforation * Leukocytes ≤ 18,000G/L AND * CRP (C reactive protein) ≤ 60mg/L * If pain, calmed by level 3 analgesic at maximum * Ambulatory criteria * Availability of monitoring by a relative during the 12 hours after discharge from the hospital * Residence located less than 20 minutes by car from a health center (hospital or clinic) * Access to a telephone mobile or fixed in case of problems * Signature of the written informed consent form by the patient * If the patient is a minor, signature of the written informed consent form by both parents or their legal representative * Affiliation to a French health insurance scheme or equivalent Exclusion Criteria: * Criteria that exclude ambulatory care such as an ASA score (Physical status score) \> 2, severe or uncontrolled comorbidities, severe pulmonary disease including obstructive sleep apnea, anticoagulation or antiplatelet drug or contraindication to ambulatory surgery such as intubation difficulties * Presence of active cancer, a malignant hemopathy, drug addiction, coagulopathy, immunosuppressive treatment * Non-acute or interval appendectomy, i.e. after antibiotic treatment of a complicated appendicitis of the plastron or drainage of an appendicular abscess; * History of pelvic surgery * Vulnerable people: pregnant or breast-feeding women (patients will undergo a pregnancy test: plasmatic β-hCG (human chorionic gonadotropin) or urinary test), adult under guardianship or deprived of freedom. Pregnant women are considered to have a full stomach, with risk of inhalation at anesthetic induction and represent a contraindication to ambulatory surgery. In addition, the need to perform abdominal surgery on a pregnant woman requires obstetric monitoring that is difficult to reconcile with management in an outpatient surgery unit (need for obstetric ultrasound or monitoring). * Suspicion of a tumor of the appendix : Mucocele and pseudomyxoma, Carcinoid tumor, Adenocarcinoma of the appendix, Another type of tumor
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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 places running it
33 sites in 2 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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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.
Contacts and locations
Locations
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APHM Hôpital Nord
RECRUITINGMarseille, Bouches-du-Rhône, 13326, France
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APHP Lariboisière
RECRUITINGParis, Île-de-France Region, 75475, France
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APHP Pitié Salpetrière
NOT_YET_RECRUITINGParis, Île-de-France Region, 75013, France
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CH de Dax
RECRUITINGDax, New Aquitaine, 40107, France
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CH de Mont de Marsan
RECRUITINGMont-de-Marsan, New Aquitaine, 40000, France
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CH de Troyes
NOT_YET_RECRUITINGTroyes, Aube, 10000, France
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CH de Voiron
RECRUITINGVoiron, Auvergne-Rhône-Alpes, 38500, France
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CHU Amiens-Picardie
RECRUITINGAmiens, Hauts-de-France, 80054, France
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CHU Grenoble Alpes
RECRUITINGLa Tronche, Auvergne-Rhône-Alpes, 38700, France
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CHU Minjo
NOT_YET_RECRUITINGBesançon, Bourgogne-Franche-Comté, 25000, France
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CHU d'Angers
RECRUITINGAngers, Pays de la Loire Region, 49933, France
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CHU de Bordeaux
NOT_YET_RECRUITINGBordeaux, Aquitaine, 33076, France
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CHU de La Réunion
RECRUITINGSaint-Denis, La Réunion, 97400, Reunion
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CHU de La Réunion
RECRUITINGSaint-Pierre, La Réunion, 97448, Reunion
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CHU de Nice
RECRUITINGNice, Alpes-Maritimes, 06000, France
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CHU de Reims
NOT_YET_RECRUITINGReims, Marne, 51100, France
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CHU de Rennes
NOT_YET_RECRUITINGRennes, Brittany Region, 35000, France
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CHU de Saint-Etienne - Hôpital Nord
RECRUITINGSaint-Priest-en-Jarez, Auvergne-Rhône-Alpes, 42270, France
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CHU de Tours
NOT_YET_RECRUITINGTours, Indre Et Loire, 37044, France
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Clinique de Saint-Omer
NOT_YET_RECRUITINGBlendecques, Hauts-de-France, 62575, France
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Clinique de l'Estrée
NOT_YET_RECRUITINGStains, Île-de-France Region, 93240, France
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Clinique du Val d'Ouest
NOT_YET_RECRUITINGÉcully, Rhones-Alpes, 69130, France
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HIA Percy
NOT_YET_RECRUITINGClamart, Hauts-de-Seine, 92140, France
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Hia Begin
NOT_YET_RECRUITINGSaint-Mandé, Île-de-France Region, 94160, France
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Hôpital Avicenne
RECRUITINGBobigny, Île-de-France Region, 93000, France
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Hôpital Beaujon (APHP)
NOT_YET_RECRUITINGClichy, Hauts de Seine, 92110, France
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Hôpital Cochin APHP
NOT_YET_RECRUITINGParis, Paris, 75014, France
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Hôpital Edouard HERRIOT
RECRUITINGLyon, Auvergne-Rhône-Alpes, 69003, France
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Hôpital Louis-Mourier
NOT_YET_RECRUITINGColombes, Île-de-France Region, 92700, France
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Hôpital Robert Debré - CHU de Reims
RECRUITINGReims, Grand Est, 51092, France
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Hôpital d'Instruction des armées Laveran
RECRUITINGMarseille, Provence-Alpes-Côte d'Azur Region, 13384, France
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Hôpital d'Instruction des armées Sainte Anne - BCRM Toulon
RECRUITINGToulon, Provence-Alpes-Côte d'Azur Region, 83800, France
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Hôpitaux Pédiatriques de Nice CHU - Lenval
NOT_YET_RECRUITINGNice, Alpes Maritimes, 06200, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Scoring system may spare appendicitis patients unnecessary scans and surgery
- Smartphone Follow-Up could replace hospital stays after common surgeries
- New Wound-Cleaning method may let surgeons close incisions right away after severe appendicitis
- Could less be more? shorter antibiotic course after appendix surgery put to the test
- Appendicitis dilemma: survey reveals patient regret over treatment choice
- Scientists create detailed map of appendix cells