Background
Acute appendicitis is the most frequent abdominal disease and requires urgent surgery. At the present time, laparoscopic appendectomy is a well accepted emergency procedure at most centers. In this study, we used a new spiral needle, to facilitate the procedure, and making it easy, minimal invasive and cost effective

Materials and Methods
The study included 70 patients of both sexes with acute appendicitis, treated by laparoscopic appendectomy using a new spiral needle. These cases were done at the General Surgery Department, Zagazig University, Egypt, in the period from May 2012 to August 2013. In the procedure we used only two ports (one port 10 mm for the camera inserted at direct below the umbilicus and one port 5 mm inserted in left iliac fossa at mid clavicular line). The new spiral needle was used to hold the appendix during the procedure and inserted in the right iliac fossa depending on the site of the appendix.

Result
The mean age was 27.3 years, mean operative time was 40 minutes and
mean hospital stay was 1.3 days. Ten patients (14 %) had minimal bleeding at the site of needle passage in the mesoappendix. Wound infection at the site of umbilical port occurred in 4 patients (5.7 %) postoperatively.

Conclusion
Laparoscopic appendectomy using our a new spiral needle is an easy, minimal invasive and cost effective