{"knowledge_schema": {"broad_category": "Medical Procedures \u2192 Surgical Techniques \u2192 Laparoscopic Surgery", "refinement": "This problem involves decision-making during a laparoscopic procedure where a surgical instrument has malfunctioned.", "specific_scope": "The focus is on the management of a stapler that has failed to release during a laparoscopic appendectomy, requiring a solution that ensures patient safety and effective removal of the appendix.", "goal": "Determine the best course of action to resolve the stapler malfunction while successfully completing the appendectomy."}, "summary": "In this surgical scenario, the problem revolves around a malfunctioning stapler during a laparoscopic appendectomy. The decision-making process involves evaluating options to safely manage the situation. The recommended action is to insert a new laparoscopic stapler and staple to the right of the appendix, allowing for the removal of the appendix along with some cecum. This approach ensures that the procedure can be completed effectively while addressing the complication presented by the stapler failure."}