Laparoscopic surgery is recognized as a minimally invasive treatment and has played an important role in the development of abdominal surgery over the past three decades. The development of catheterization interventions has likewise contributed to the development of minimally invasive treatments throughout vascular surgery. Although endovascular interventions are often used as minimally invasive treatments for occlusive disease and aneurysms, laparoscopic surgery plays an increasingly important role in the contemporary treatment paradigm of vascular disease. Laparoscopy is used in the field of vascular surgery in the following ways: 1, hand-assisted laparoscopic surgery (hand-assisted laparoscopic surgery HALS): by hand-assisted way to help the separation and anastomosis; 2, laparoscopically assisted surgery (laparoscopically assisted): laparoscopically assisted in the small incision Separation of anatomy, conventional way of vascular anastomosis; 3, total laparoscopic surgery (total laparoscopic surgery): anatomical separation and vascular anastomosis completely using laparoscopic technology, some in the open aortic surgery can not be dissected and separated from the path of laparoscopy can be completed. Examples include the direct abdominal approach, the retro-colonic approach, the retro-renal approach, and the retroperitoneal approach. There is still a lot of support and opposition to the use of these laparoscopic techniques in vascular surgery. The current mainstream vascular surgery community has not widely accepted the use of laparoscopic techniques in aortic surgery, and unless there is a breakthrough in key technologies such as laparoscopic suturing, blocking, bleeding control, and hemostasis, laparoscopic aortic surgery will not be able to be used as widely as vascular intervention. However, not all patients are suitable for vascular intervention. Disadvantages of vascular interventions such as anatomical limitations, quality of survival, expensive, long-term survival, type II endoleaks, graft displacement, aortic aneurysm neck dilatation, and aneurysm rupture have prompted the search for other, better, minimally invasive treatments.