A patient with acute appendicitis was seen in the department today. The patient was a 28-year-old male with sudden onset of right lower abdominal pain for half a day. There was no nausea or vomiting, no chills or fever, no heartburn or chest tightness, no vomiting of blood, and no urinary frequency or urgency or pain. He had undergone extracorporeal lithotripsy for ureteral calculi in the past. No history of hypertension, diabetes mellitus, coronary heart disease, no history of infectious diseases such as hepatitis and tuberculosis, no history of drug and food allergies, and no history of trauma. After physical examination, the clinician made a preliminary diagnosis of acute appendicitis. The physical examination was as follows: T38.5℃, P78 times/min, R20 times/min, BP120/80mmHg. clear, poor mental health, normal development, good nutrition, walk into the ward and cooperate with physical examination. No yellow staining and bleeding spots were seen on the whole body skin mucosa and sclera, and the superficial lymph nodes were not enlarged. The neck was soft, the trachea was in the middle, there was no anger in the cervical vessels, no vascular murmur, and the thyroid gland was not enlarged. The inspiratory sounds of both lungs were clear, and no obvious dry or wet rales were detected. The heart rate was 78 beats/min, rhythmical and without murmurs. The abdomen was flat and soft, with significant pressure pain and rebound pain at the Mack’s point, positive colonic inflation test and closed-hole internal muscle test, no percussion pain in both kidney areas, negative mobile turbid sounds, and acceptable bowel sounds. Physiological reflexes were present, and pathological signs were not elicited. The tongue is dark, the coating is white, and the pulse is string. In the auxiliary examination, abdominal ultrasound showed abnormal echogenicity in the right lower abdomen, and appendicitis was considered. Among the laboratory results, blood routine showed WBC 16.20×109/L, NEUT 81.40%, liver function AST/ALT 0.68, TBiL 32.11 umol/L, IBiL 26.13 ummol/L; renal function, electrolytes, blood amylase, fasting glucose, blood lipids, chest X-ray and electrocardiogram did not show any significant abnormalities. The comprehensive judgment results showed that the patient was diagnosed as having acute appendicitis with indications for surgery, which required surgical treatment. Considering that the patient was relatively young and the backbone of his family, our doctors recommended that the patient undergo laparoscopic appendectomy. After learning about the advantages of laparoscopic appendectomy, the patient readily accepted. Thus, the operation was performed as scheduled, the procedure went smoothly and the results were satisfactory. Nowadays, laparoscopic appendectomy is a very mature surgical procedure in large and medium-sized cities. Compared with traditional open surgery, the advantages of laparoscopic appendectomy are very obvious. First, it is minimally invasive (small surgical trauma), no need to make large surgical incisions, and basically no scars can be seen after healing; second, less bleeding, basically no blood transfusion; third, fast recovery after surgery, you can get out of bed on the second day of surgery, and your family can take care of you easily; fourth, less complications, basically no problems such as inflammation of the incision. Now, basically half of the abdominal surgeries in our department choose laparoscopic surgery. Figure 1: Images of the surgical incision of a normal open appendectomy Figure 2: Images of the surgical incision of a laparoscopic appendectomy (3 small marks)