Laparoscopic surgery is increasingly popular and more applied in the surgical pathology of abdominal pressure which treat acute appendicitis. Objective: To evaluate results of the inflamed appendix surgery laparoscopy to review the advantages and the role of laparoscopy in the detection, treatment and coordination of lesions diagnosed cases of inflammatory appendicitis difficult. Subjects and Methods: retrospective study in 1098 patients with acute appendicitis treated for laparoscopic surgery in Tra Vinh Hospital for 4 years (2007-2010). Results: In 1098 patients including 598 men and 500 women, minimum age 78 years 16 years maximum. After surgery and monitor noticed: average operating time 60.4 + or - 12.4 minutes, postoperative ileus time 19.5 + or -12.6, time