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Introduction: The aim of the study is to analyse the own data and try to discuss if laparoscopic appendectomy offers any advantages in treating young women suffering from pain in right lower abominal quadrant. Materials and methods: the study was conducted on 148 patients admitted from October 1993 to December 1998 with diagnosis of of pain in right iliac fossa and operated on with a laparoscopic (LA group: 75 cases) or open approach (OA group: 73 cases). Patients were prospectively randomized on the surgical approach adopted, following a randomized list.
Results: The operative time in LA group was significantly (p <0,001) longer (87.2 minutes) than for OA group (65.2 minutes). In 2 patients (2,7%) the operation had to be converted.