Despite advances in the diagnostic imaging for acute abdomen, acute appendicitis in young children remains a diagnostic challenge. The incidence of acute appendicitis gradually increases after birth, peak during teens and then gradually decreases. Though neonatal appendicitis is rare, it is often more complicated. Laparoscopic appendectomy has gained much popularity for adult appendicitis. In paediatric age group citing the technical difficulties and common late prsentations of the disease, the usage of laparoscopic appendectomy is not common.

In this prospective study, we have analyzed the intraoperative and post–operative outcome, hospital stay, complications in open versus lap appendectomy in 100 randomised appendectomy done in our department during the period of  one year from 2017 April to 2018 march. Mean age group for the patients were 10:8 years. Mortality was 0 in both the groups. Male: female ratio is 9:7. In the laparoscopic group there is 10% minor complication and no severe complication. But in open group there were 18% major complication and 20% minor complication. Post–operative pain and duration of stay were also significantly less in Lap appendectomy group.

Based on our study, we propose and conclude Laparoscopic appendectomy in paediatric age group does not carry a greater risk of intra or post–operative complications and can therefore safely be used and established as a standard operative procedure for appendicitis in Children.