Qualitative study of surgeons' perceptions and experiences of participation in a feasibility study for a randomised controlled trial (SCARLESS study) comparing single port laparoscopic surgery with standard 3 port surgery for appendicectomy



This qualitative study was embedded in a single centre RCT (comparing single port/incision laparoscopic surgery versus standard 3 port laparoscopic surgery for appendicectomy - the SCARLESS study). The aims were to explore surgeons’ reasons for agreeing to participate in the trial and their views and experiences with regard to feasibility and acceptability issues of conducting the trial.

Semi-structured interviews were conducted with 10 participating surgeons in a single centre (Aberdeen). Data analysis was based on the constant comparative method. Findings from this study provided important insights into the challenges of conduction a trial from a surgeon’s perspective. Surgeon-related variables such as treatment preferences, perceptions of differences in interventions, having a strong sense of personal responsibility to their patients along with the broader culture in the surgical community towards RCTS and how surgeons use RCT findings in their day-to-practice were all identified as significant.


Sharon McCann; s.k.mccann@abdn.ac.uk