The practice of coelioscopic approach in acute appendicitis is still v
ery much debated. A study of the results of 73 patients carried out ov
er two and half years leads one to conclude to the interest of this te
chnique also for the treatment of appendicular peritonitis. Full explo
ration of the abdominal cavity, easy discovery of ectopic appendix, tr
eatment of associated lesions, extended peritoneal washing, are the ob
served advantages together with reducted length of hospitalisation and
few post-operative complications, in particular parietals problems an
d obstructions at long terme. The experience of the surgeon becomes of
prime importance to reduce operating time, frequency of open-surgery
converting and complications.