Rarely seen in industrialised countries, ileo-caecal tuberculosis does
not require surgery unless complications or diagnosis incertainly occ
ur. When laparotomy is contre indicated in presence of chronical respi
ratory disease, laparo-assisted ileo-caecal resection is art interesti
ng alternative to classical surgery as it has less effect on ventilati
on. This laparo-assisted ileo-caecal resection appears to the first re
ported in presence of intestinal tuberculosis.