Laparoscopic technology is an important milestone in the history of medicine in the 20th century. 1976 was the first time that laparoscopy was used in Germany for the localization and diagnosis of patients with cryptorchidism, which opened the prelude to laparoscopic treatment of surgical diseases. 1979 was the year that another foreign doctor, Dr. Wickman, completed the first case of laparoscopic ureterotomy and lithotripsy, but the development of laparoscopy then came to a standstill due to the limitations of surgical instruments. In 1991, the world’s first laparoscopic nephrectomy was successfully performed, and in the same year, the first case of renal cyst decortication and adrenalectomy were reported to be completed, and Cany in India established a retroperitoneal gap with a homemade water bladder, creating a transperitoneal The application of urological laparoscopic techniques has gradually matured. In China, Professor Na Yanqun of the Institute of Urology of Peking University was the first to carry out the first laparoscopic nephrectomy in 1992 and reported the successful experience of laparoscopic treatment of renal cysts in 1994. Subsequently, laparoscopic technology was carried out rapidly in Beijing, Guangzhou, Wuhan and Shanghai, etc. The development of this technology is constrained by the larger factors of instruments, and disposable consumables increase the cost of surgery, which makes the development of this technology faster in Wuhan, Guangzhou, Hangzhou, Shanghai and other cities with higher economic level, while the development of northern regions with backward economy is constrained. In recent years, Wuhan Tongji Hospital has established the authoritative position of retroperitoneal route laparoscopic technology in China, and the transperitoneal route is better known by Prof. Zhang Dahong of Run Run Run Shaw Hospital of Zhejiang University, who has carried out operations involving almost all urological diseases, and the technology has gradually matured, and the operations that have been routinely carried out include: laparoscopic adrenal tumor (adrenal cortical tumor, non-functional adenoma, pheochromocytoma The procedures we have performed include: laparoscopic resection of adrenal tumors (adrenocortical tumors, non-functional adenomas, pheochromocytomas, etc.), simple nephrectomy, radical nephrectomy, partial nephrectomy, open window drainage of renal cyst, total ureterotomy for renal pelvis cancer, upper ureterotomy for stone extraction, pyeloureteroplasty for hydronephrosis, ureteral release anastomosis, high spermatic vein ligation, celiac lymphadenectomy, localization and resection of cryptorchidism, intra-abdominal cryptorchidism descending fixation, pelvic and retroperitoneal lymphatic dissection, etc. etc. Due to the improvement of equipment and the maturity of technical operation, for a good laparoscopic surgeon, the operation time can be shorter than that of conventional open surgery, such as adrenal adenoma removal, nephrectomy, ureterotomy for stone extraction, renal cyst de-roofing, and high spermatic vein ligation can be completed within one hour or even within half an hour. The procedure can be completed within one hour or even within half an hour. However, the advantages of less trauma, faster postoperative recovery and less patient pain still exist, and it is believed that as the technology continues to mature, it will gradually replace traditional surgery. It is believed that as the technology continues to mature, it will still gradually replace traditional surgery.