With the continuous advancement of laparoscopic technology, it is increasingly used in gastrointestinal surgery, and the treatment of adhesive bowel obstruction is one of them. Since there is less chance of adhesions after laparoscopic surgery, the chance of postoperative recurrence is reduced while minimally invasive. Feasibility of laparoscopic surgery for the treatment of intestinal obstruction Since the beginning of laparoscopic surgery, the general opinion was that this technique was not suitable for patients with a history of abdominal surgery, and a history of abdominal surgery and intestinal obstruction were once contraindications to laparoscopic surgery. However, with the development of laparoscopic surgery, surgical techniques and instrumentation have continued to advance, and since 1991, case reports of laparoscopic surgery techniques for intestinal obstruction have gradually been reported, with the advantages of minimal trauma and smooth postoperative recovery. The reasons for laparoscopic surgery include, on the one hand, intra-abdominal adhesions that are so dense and extensive that they prevent laparoscopic surgery or the disease itself, such as strangulation and necrosis of the obstructed intestine, and, on the other hand, medical factors such as rupture of the intestine due to surgical operations, especially the placement of puncture cannulae and release of adhesions. Therefore, establishing criteria for selecting patients suitable for laparoscopic surgery is a prerequisite for fully exploiting the advantages of laparoscopic surgery. Some scholars have analyzed 40 patients with intestinal obstruction and pointed out that laparoscopic surgery is suitable for patients without significant intestinal dilatation because highly dilated intestinal collaterals affect the safe placement of trocar needles, prevent the establishment of pneumoperitoneum, and limit the operating space. Severe and extensive intra-abdominal adhesions, frozen abdomen, and significant intestinal necrosis are contraindications to this procedure. In conclusion, most authors now believe that laparoscopic surgery for adhesive intestinal obstruction is suitable for those cases in which the intra-abdominal situation is relatively simple, the degree of obstruction is mild, and the cause of obstruction can be easily removed. During the operation, once complicated intra-abdominal conditions or complications such as organ perforation are found, laparoscopic surgery should be decisively transferred to open the abdomen in order to give full play to the advantages and avoid the disadvantages of laparoscopic surgery. Laparoscopic intestinal obstruction surgery technique The patient’s position for laparoscopic intestinal obstruction surgery is usually supine, with both upper limbs fixed on the side of the body and two monitors placed on the patient’s left shoulder and right hip, parallel to the mesenteric root of the small intestine, in order to facilitate the operation. Because the dilated intestinal collaterals are thin and fragile, easily damaged by the puncture cannula, and because there may be intestinal tubes adhering to the anterior abdominal wall, the open Hasson technique should be used to enter the abdominal cavity to establish the pneumoperitoneum in patients with intestinal obstruction. The pneumoperitoneum is created and the laparoscope is placed. The first trocar can be placed in the left upper abdomen or right upper abdomen if the previous procedure was performed with a median incision. The adhesions around the laparoscopic trocar can be separated by the fingers or bluntly with the laparoscope, or more commonly, sharply under direct vision. To avoid thermal damage to the tissue, scissors should be used to separate the adhesions and electric or ultrasonic knives should be used as little as possible. The procedure should not begin until the entire small intestine is revealed. The entire jejunum and ileum should be systematically explored, starting from the ileocecal region, with two large non-invasive grasping forceps grasping the opposite mesenteric margin of the intestine, and the two forceps alternately probing the proximal end of the small intestine. During the exploration, special attention should be paid to the significantly dilated intestinal collaterals, whose intestinal wall is so thin that there is a risk of intestinal wall injury or even perforation even with the use of non-invasive grasping forceps, so the mesentery can be grasped when necessary to operate without touching the intestinal canal.