What are the limitations of laparoscopic surgery compared to traditional cesarean section? Laparoscopic surgery is difficult to visualize the lesion. When performing laparoscopic surgery, the surgeon can only operate with the help of two-dimensional images on the monitor, which lacks three-dimensionality; the texture of the lesion cannot be touched directly, so it is difficult to judge the extent of the lesion. Laparoscopic surgery relies heavily on surgical equipment and instruments. The standard configuration of the instruments on the main surgeon’s technical requirements are high. Newer instruments have excellent performance and can reduce the difficulty and shorten the operation time, but they are expensive. For example: LigaSure/”Ligation Speed” vascular closure system, is through the output of high-frequency electrical energy, combined with the pressure of the vascular jaws, so that the human tissue collagen and fibrin dissolution and denaturation of the blood vessel wall fusion to form a translucent band, resulting in permanent lumen closure. It is safer, faster and easier to close (or cut) any blood vessel or tissue bundle less than 7mm in diameter. Ultrasonic Knife is an ultrasonic frequency generator that causes the metal blade to oscillate at an ultrasonic frequency, vaporizing water in the tissue, breaking protein hydrogen bonds, disintegrating cells, and cutting or coagulating the tissue. The cutting is highly precise, coagulation is controlled, there is minimal smoke and crusting, and no electrical current passes through the body. The exact procedure and timing of laparoscopic surgery is difficult to determine preoperatively. Adnexal surgery can become quite complex and difficult due to the diversity of lesions and the varying complexity of the lesions; sometimes the removal of the surgical specimen alone may lead to complications.