ArticleBMC surgery2026
Laparoscopic endostapler partial cecal resection in complicated appendicitis with appendiceal base involvement: a single-center retrospective study.
Article in BMC surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAcute appendicitis (AA) is a common cause of acute abdomen. Appendiceal base gangrene or perforation represents a severe form of complicated appendicitis, in which secure closure of the appendiceal stump is crucial for surgical management, and no standardized optimal strategy has yet been established.
objectiveThis study aimed to evaluate the safety and feasibility of laparoscopic endostapler partial cecal resection in patients with complicated appendicitis involving appendiceal base gangrene or perforation.
methodsA retrospective study was conducted on consecutive patients who underwent surgical treatment for appendicitis at our center between January 2021 and January 2025. Patients classified as Gomes grade 3B (appendiceal base gangrene or perforation) were identified based on intraoperative findings. Baseline characteristics and perioperative outcomes were collected. Exploratory analyses across appendicitis subtypes were performed to provide contextual information. A single-arm descriptive analysis was conducted in the Gomes grade 3B cohort. The primary outcomes were postoperative complications and readmission assessed over a 3-month follow-up period.
resultsA total of 785 patients were included in the analysis, including 484 with uncomplicated appendicitis and 301 with complicated appendicitis, of whom 277 did not involve the appendiceal base and 24 were classified as Gomes grade 3B. In the Gomes grade 3B cohort, all patients successfully underwent laparoscopic surgery without conversion to open surgery or intraoperative complications. The mean operative time was 123.33 ± 16.59 min. The median time to oral intake was 3.0 days (2.5-3.0), and the median length of hospital stay was 5.0 days (5.0-5.0). Postoperative complications occurred in three patients (12.50%), all classified as Clavien-Dindo grade I-II. No severe complications (Clavien-Dindo grade III-V) or readmissions were observed during the 3-month follow-up period.
conclusionsLaparoscopic endostapler partial cecal resection showed technical feasibility and acceptable short-term safety in patients with complicated appendicitis with appendiceal base involvement. This technique may represent a potential surgical option for this specific patient population, although further studies are required.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.