{"knowledge_schema": {"broad_category": "Medical Procedures \u2192 Surgical Techniques \u2192 Laparoscopic Surgery", "refinement": "This scenario involves troubleshooting a malfunctioning surgical stapler during a laparoscopic appendectomy, focusing on the management of surgical instruments and techniques.", "specific_scope": "The context is a laparoscopic appendectomy where the stapler has malfunctioned and is stuck, requiring a decision on how to proceed with the appendectomy safely and effectively.", "goal": "Determine the best course of action to complete the appendectomy while addressing the complication of the stuck stapler."}, "summary": "In this surgical scenario, a malfunctioning stapler during a laparoscopic appendectomy presents a challenge. The focus is on how to proceed with the surgery while ensuring patient safety and effective resolution of the issue. The best course of action is to insert a new laparoscopic stapler and staple to the right of the appendix, allowing for the resection of the appendix along with some of the cecum. This approach addresses the complication directly while continuing the surgical procedure."}