Intermediate
Technical
IVT
appendiceal stump
Remaining portion of the appendix after laparoscopic appendectomy, secured with clips or endoloop.
Full Definition
The residual appendiceal tissue that remains attached to the cecum after division during laparoscopic appendectomy. Proper management of the appendiceal stump is crucial to prevent post-operative complications such as stump appendicitis or cecal perforation. The stump is typically secured using endoclips, endoloops, or stapling devices, and may be inverted into the cecum using purse-string sutures. Adequate hemostasis and secure closure are essential for preventing complications.
Usage
Usage note: Critical structure in appendectomy; proper closure prevents post-operative complications.
In Context
- "The appendiceal stump was secured with three titanium clips and showed good hemostasis." — operative report
- "Irrigation of the appendiceal stump area was performed before closure." — procedure documentation
Also known as
residual appendix
appendix stump
Don't confuse with
cecal base
appendix tip