Surgical considerations for laparoscopic cholecystectomy in paraplegic patients: 1, paraplegic patients often have atrophy of the gallbladder due to recurrent attacks of cholecystitis, the patient’s gallbladder is atrophied and twisted with adhesions to compress the bile ducts, so the operation should be extra careful and meticulous; 2, the patient’s lower limbs are bent and fixed and cannot be separated, the umbilical puncture hole can be more to the left, which is conducive to the operation of the lens, otherwise it affects the exposure of the surgical field; 3, the patient’s abdominal muscles are atrophied due to prolonged bed rest, so the puncture should be careful to avoid accidental injury to the organs; 4, the patient’s abdomen is shortened in the upper and lower warp, and the left and right diameter is extended, so the operation is somewhat suffocating, so the puncture site can be chosen according to the location of the liver.