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Laparoscopic endostapler partial cecal resection in complicated appendicitis with appendiceal base involvement: a
Runjie Hou1,2, Kaimeng Wang3, Jing Guo1,2
1Baotou Central Hospital, Baotou, China.
BMC Surgery
|May 7, 2026
Summary
Laparoscopic endostapler partial cecal resection is a safe and feasible surgical option for complicated appendicitis with base involvement. This technique shows promising short-term outcomes, including low complication rates.
Area of Science:
- Surgical innovation in emergency medicine.
- Gastrointestinal surgery advancements.
Background:
- Acute appendicitis (AA) is a frequent cause of acute abdomen.
- Severe AA involves appendiceal base gangrene or perforation, requiring secure stump closure.
- Optimal surgical strategies for complicated appendicitis remain under investigation.
Purpose of the Study:
- To assess the safety and feasibility of laparoscopic endostapler partial cecal resection.
- To evaluate this technique in patients with complicated appendicitis involving appendiceal base gangrene or perforation.
Main Methods:
- Retrospective study of patients treated for appendicitis (January 2021-January 2025).
- Identification of Gomes grade 3B cases (appendiceal base gangrene/perforation).
- Analysis of perioperative outcomes, focusing on postoperative complications and 3-month readmissions.
Main Results:
- 24 patients with Gomes grade 3B appendicitis underwent successful laparoscopic surgery.
- No conversions to open surgery or intraoperative complications were reported.
- Low rates of mild postoperative complications (Clavien-Dindo grade I-II) and no severe complications or readmissions.
Conclusions:
- Laparoscopic endostapler partial cecal resection is technically feasible and safe for complicated appendicitis with base involvement.
- This method offers acceptable short-term safety and may be a viable surgical option.
- Further research is warranted to confirm long-term efficacy and benefits.
