Base-First Versus Tip-First Appendicectomy: A Retrospective Analysis of Surgical Technique, Pathological Yield, and Oncological Safety

This is, to our knowledge, is the first study to categorise appendicectomy techniques into tip-first and base-first groups with comparative outcomes. While overall clinical results were comparable, tip-first appendicectomy risks incomplete oncological staging due to the absence of the mesoappendix, occasionally necessitating further major surgery. Surgical training should emphasise the base-first technique to ensure pathological completeness and oncological safety.