A laparoscopic appendectomy (LA) was first reported by Semm in 1983. Since then, its advantages, such as the aesthetic appearance of the wound, less postoperative pain, and faster recovery which facilitates early discharge, have been highlighted, and the number of procedures performed has been continuously increasing.

The LA was performed mostly on uncomplicated appendicitis due to negative opinions about its safety when it was first introduced. However, the application of the procedure has been extended to complicated appendicitis (CA), and it is now considered as an alternative procedure to an open appendectomy (OA) as its safety record has improved . Nevertheless, it is still controversial because there are still concerns about surgical difficulties in managing CA with laparoscopy, overall surgery time, possible post-op complications and conversion to an OA during the surgery.

this study aimed to evaluate the safety and the efficacy of LA for managing perforated appendicitis.

Inclusion Criteria:

• Clinical diagnosis of acute perforated appendicitis
• fit for laparoscopy and general anesthesia.
• written informed consent.
• short term outcome data and agree to provide contact information.

Exclusion Criteria:

• high risk for general anesthesia.
• Appendicular abscess and appendicular mass .
• ongoing infections including chest infections .
• Children and pregnant females .