"For any scheme X the category Et(X) is the category of all étale morphisms from a scheme to X. It is an analogue of the category of open subsets of a topological space, and its objects can be thought of informally as "étale open subsets" of X. The intersection of two open sets of a topological space corresponds to the pullback of two étale maps to X. There is a rather minor set-theoretical problem here, since Et(X) is a "large" category: its objects do not form a set."
There's a lot of advanced math in that paragraph, but it should be clear that Category Theory is needed to define etale cohomology.
This might not meet your criterion exactly, as one can extract a more topological proof and relegate the category theory to a non-essential role, but this requires some more effort and is a harder proof. So I do think it still illustrates that the category theoretic approach does add something beyond just a common language.