Laparoscopic surgery, also known as keyhole surgery, is respected by modern surgery for its minimally invasive and delicate nature because the incision is only about 1cm and the surgery is performed under magnification. In recent years, laparoscopic surgery has developed rapidly at home and abroad, and has become a priority development discipline for hospitals at all levels. Since the launch of laparoscopic surgery in 2000, our hospital has embarked on an innovative road with the mode of “self-learning and development, supplemented by inviting experts to help and teach”. In the past 10 years, more than 2500 cases of laparoscopic cholecystectomy have been completed independently, and the patients have obtained good therapeutic effects, and the diseases have been removed with minimal pain, which has achieved good economic and social benefits. This year, the following surgeries have been carried out successively to expand the scope of laparoscopic surgery: I. Laparoscopy is widely used in the diagnosis and treatment of acute abdomen Reduced about 20% of negative laparotomy rate, shortened the diagnostic time, maximize timely diagnosis of the patient, and at the same time carried out laparoscopic laparoscopic omentectomy, hepatic localization to take a biopsy, intestinal obstruction adhesion laxative, gastric perforation repair (2 cases have been completed) and other surgeries, diagnosis and at the same time in the “key hole”. Diagnosis at the same time under the “keyhole” direct surgery to relieve the patient’s pain. In particular, two weeks ago, he independently completed laparoscopic splenectomy, in which he relied on four “keyholes” to completely remove the spleen without the aid of ultrasonic knife, splenic crusher, etc., with intraoperative bleeding of about 50 ml. The patient got out of bed one day after the operation, and was discharged from the hospital with a good recovery by ultrasound review eight days after the operation. This is the first case of laparoscopic splenectomy in our hospital, and also the first case of laparoscopic splenectomy done independently in the city. Third, the intraoperative bleeding was very small, and the patient was in the process of recovery We are glad to see the vigorous development of our hospital’s laparoscopic surgery, and dare to be the first under the existing conditions, and continue to make “big surgery” in the “keyhole”, so as to make our hospital’s laparoscopic surgery go to a new level again.