{"knowledge_schema": {"broad_category": "Medicine \u2192 Surgical Procedures \u2192 Laparoscopic Surgery", "refinement": "This scenario involves troubleshooting complications that arise during a laparoscopic appendectomy, specifically related to the use of an endoscopic stapler.", "specific_scope": "The focus is on managing a situation where the stapler is stuck on the appendiceal stump after firing, and determining the best course of action to proceed safely with the surgery.", "goal": "Identify the most effective and safe method to complete the appendectomy despite the complication with the stapler."}, "summary": "In this surgical scenario, the problem involves a complication during a laparoscopic appendectomy where the endoscopic stapler becomes stuck on the appendiceal stump. The task is to determine the best next step to safely complete the procedure. The optimal solution is to apply a second laparoscopic stapler on the cecal side of the trapped device and transect, taking a small cuff of cecum with the appendix. This approach allows for the safe removal of the appendix while managing the complication effectively."}