Artificial pneumoperitoneum is a clinical method to establish surgical operation space before minimally invasive surgery. Mainly through the abdominal puncture needle in the navel below or above the puncture into the abdominal cavity, through the puncture needle access to carbon dioxide gas so that the patient’s abdominal cavity like a balloon expansion, generally maintained in the abdominal pressure of 12 mm Hg. Excessive high pressure in the abdominal cavity will cause the patient’s cardiorespiratory function is overloaded, resulting in serious complications. The establishment of the abdominal cavity puncture provides a good space and vision for the patient’s surgical operation, which facilitates the smooth operation to reduce the intraoperative collateral damage. However, for older patients or patients with abnormal cardiopulmonary function who cannot tolerate abdominal hypertension, it is recommended to use traditional open surgery to avoid lung infection and cardiac failure.