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[Music] removal of the appendix called appendectomy is performed when appendicitis is suspected right lower abdominal pain fever and elevated white-blood-cell count are common symptoms and signs of appendicitis which usually occurs when a blockage develops between the appendix and the intestine this leads to infections swelling and distension if the appendix is not removed it can lead to a life-threatening perforation or rupture the most common treatment for appendicitis is appendectomy which is almost always performed on an emergency basis laparoscopic techniques require only tiny keyhole incisions or puncture wounds to get inside your abdomen your surgeon will make a small keyhole incision near your bellybutton known as an umbilical port with a tube called a trocar gasps will then be pumped through this port to puff up your abdomen so its contents can be viewed more easily next your surgeon will insert a laparoscope through this port the laparoscope is a thin tube with a tiny camera