At present, the treatment of gynecologic malignant tumors in China basically follows the NCCN (National Comprehensive Cancer Network) treatment guidelines, and its annual release of clinical practice guidelines for various malignant tumors has been recognized and followed by clinicians around the globe, which clearly regulates the scope of surgical resection of gynecologic malignant tumors, rather than a simple resection of the uterus and ovaries can solve the problem. For early stage gynecologic malignant tumors, laparoscopic surgery has gained consensus due to its less traumatic and quicker recovery, and laparoscopy is fully capable of achieving the surgical resection range of the open route with a wider field of view. Since I took the lead in obtaining the qualification of gynecological laparoscopy in the hospital at the end of 2007, I have been committed to the promotion and improvement of gynecological laparoscopic surgery. At present, gynecological surgery for benign lesions, such as infertility, ectopic pregnancy, ovarian cysts, ovarian tumors, adnexal resection, uterine fibroids, total hysterectomy, etc., are all completed by laparoscopy, and the technology is getting more and more mature and perfected and refined, and it has been improved from the beginning of the 4 small openings of abdomen to the present 3 small openings, with microscopic sutures. In June 2010, I started to complete more than 50 laparoscopic comprehensive staging surgeries for cervical cancer, endometrial cancer and early ovarian cancer (including wide hysterectomy or total hysterectomy + bilateral adnexectomy + bilateral pelvic lymph node dissection + para-abdominal lymphadenectomy). resection + para-abdominal aortic lymph node dissection, the latter also includes salpingo-oophorectomy and appendectomy), the patients recovered well after the operation without any complications, and the number of lymph nodes reported by the pathology fully reached the effect of open surgery. Wang Xiaoyuan, Department of Obstetrics and Gynecology, Thousand Buddha Mountain Hospital, Shandong Province, China Typical case 1 Patient So-and-so, female, 60 years old, underwent hysteroscopy + diagnostic scraping mainly due to postmenopausal irregular vaginal bleeding for 6 months, and the pathology showed endometrioid adenocarcinoma. After admission, she underwent laparoscopic total hysterectomy + bilateral adnexectomy + bilateral pelvic lymph node dissection + para-aortic lymph node dissection under general anesthesia with tracheal intubation on 2011.11.8. The operation took 3 hours, with 100 ml of intra-operative bleeding without blood transfusion, and she recovered well, and the abdominal cavity irrigation fluid didn’t find any tumor cells, and the routine pathology showed that the adenocarcinoma was endometrioid in nature, with moderate differentiation and invasion into the superficial muscular layer, cervical ovaries and the uterus. Conventional pathology showed endometrioid adenocarcinoma with moderate differentiation and invasion into the superficial muscle layer, no metastasis in the cervix, ovary and fallopian tube, 11 pelvic lymph nodes on the left side, 11 pelvic lymph nodes on the right side, and 10 lymph nodes next to the abdominal aorta, all of which did not show any metastasis. She was discharged from the hospital 5 days after the operation, and her outpatient review after discharge was good, and no radiotherapy was needed. Typical case 2 patient so-and-so, female, 41 years old, the main reason for the examination found ovarian cysts for 2 years, self-conscious lower abdominal mass half a year admitted to the hospital, 16 years ago, cesarean section, ultrasound suggests 10.8 * 10.3 * 7.3cm cystic mass in the pelvis, preoperative ovarian tumor marker CA125 is 75.2U/ml, considering the possibility of junctional or malignant. After completing the examination, laparoscopic exploration was performed under general anesthesia with tracheal intubation on 2012.1.31, and the bilateral ovarian tumors were excised and sent for rapid frozen pathological examination, which suggested ovarian junctional plasmacytoid cystic adenoma after 1 hour and did not exclude the possibility of cancer, and the patient’s family members were given the explanation of her condition and then she underwent a comprehensive staging surgery for ovarian cancer, which was completed by total hysterectomy + bilateral adnexal excision + bilateral pelvic lymph node dissection + abdominal Para-aortic lymph node dissection + greater omentum + appendectomy lasted 5 hours (excluding 1 hour waiting for pathology), with intraoperative bleeding of 150 ml without blood transfusion. She was discharged from the hospital in 6 days with good postoperative recovery. Routine pathology showed bilateral ovarian junctional plasmacytoid cystadenoma, no abnormalities in uterine tubes, greater omentum and appendix, and 20 pelvic lymph nodes on the left side, 19 pelvic lymph nodes on the right side, and 8 para-abdominal aortic lymph nodes with no metastasis. Regular postoperative review was good and no chemotherapy was needed. Laparoscopic surgical treatment of gynecologic malignant tumors not only requires doctors to have good knowledge of oncology and open surgical skills, but also requires skilled laparoscopic surgical skills, which can be used to determine whether distant metastasis and pelvic para-abdominal aortic lymph nodes have metastasis by staging the surgery in a comprehensive way, and to exclude or identify potential metastatic lesions, to guide whether radiotherapy is needed after the surgery, and to predict the prognosis. treatment guidelines have been clearly standardized. In the past, open surgery required a longitudinal incision of up to 20 cm in length, whereas laparoscopic surgery requires only 4-5 small incisions in the abdomen, and routine pathologic results are the gold standard for determining whether the scope of surgery is adequate. At present, the trend of minimally invasive gynecological surgery is becoming more and more obvious, and we believe that under the joint efforts of colleagues in the department, the application of our laparoscopic surgery will be increasingly broadened to provide the majority of patients with the gospel of their friends, and return them to the health and beauty of the body with minimal trauma.