Background: Appendicular peritonitis is a serious complication of appendicitis. Laparoscopic procedure had been applied routinely, but it is still in need to measure the efficiency and safety of laparoscopic surgery in treating appendicular peritonitis. Patients and methods: Retrospective, from 1-2010 to 1-2013 at hospital, 64 cases of appendular peritonitis have been treated by laparoscopic
approach. Results: Conversion rate was 11.9 percent. Mean operative time was 75.4 + or - 27.5 minutes, mean time of flatus passage was 45.3 + or - 20.4 hours. Overall complication rate was 18.92 percent (trocar site infection, postoperative intra-abdominal abscess and earty intestinal obstruction were 13.52 percent, 2.7 percent and 2.7 percent respectively). Mean hospital stay was 6.5 + or - 1.3 days. Conclusion: Laparoscopic surgery is safe and efficient option in appendicular peritonitis.