The advantages of laparoscopic surgery are well known, but it also has many disadvantages: instability of the laparoscopic head; two-dimensional field of view, no three-dimensional sense; straight instruments without internal wrist, little freedom; not in line with engineering standards, etc. In recent years, the birth of robot-assisted laparoscopic surgery, combining sophisticated automated mechanical technology, telecommunication technology and computer technology, has overcome the shortcomings of traditional laparoscopy and made the procedure more perfect. In the field of urology in the United States, 50% of patients choose da Vinci robotic surgery, and more than 85% of radical prostate cancer surgery in the United States is done with da Vinci surgical robots. In China, due to the relatively high cost of medical care, robotic surgery is only performed in a very few large hospitals. This article introduces the basic information of robotic laparoscopic surgery and its current application in our department, so that more patients can learn about robotic surgery system and benefit from it. 1. What is robotic surgery? A surgical robot, is an automatic, position-controlled, multifunctional manipulator with programmable capabilities. Under human control, the robot is capable of performing surgical procedures, targeting, drug injection, lesion destruction and other tasks with the help of a computer. 2, the main advantages of robotic surgery: (1), image stability. With robot-controlled laparoscopy, the operation is performed in full accordance with the operator’s instructions, and there is no problem of field instability after assistant fatigue during conventional laparoscopic surgery. The lens is very close to the operative field especially when performing fine operations, and a slight movement of the lens will move out of the operative field and substantial shaking will occur on the mobile monitor, which can be completely avoided by robotic surgery. (2) Fine operations can be performed. The robot arm increases the degree of freedom of movement, greatly improving the operating ability of the surgeon, in the original hand can not reach into the area, the robot hand can be flexible in 360 degrees of space to complete the rotation, moving, swing, clutching and other actions, and the robot hand has a stabilizer, with the stability and accuracy of human hands can not be compared. (3) Save manpower. Robot-controlled laparoscopic surgery can usually be completed by one operator, which is the so-called one-doctor surgery. Of course, sometimes an assistant is needed to change instruments. (4) High operator comfort. Compared with traditional surgery, the robotic surgery operator does not need to stand, but sits on a comfortable chair, and can perform meticulous operations with ease and less fatigue. (5), Promote the birth and development of remote control surgery. In 2001, a trans-Atlantic operation was completed by robot, in which the surgeon Geller was at Mount Sinai Hospital in New York and the patient was at Strasbourg Hospital in France, a distance of 6,230 km. The doctor in New York remotely guided a robot in Strasbourg to perform a cholecystectomy on a 68-year-old woman in about 45 minutes, after which the patient recovered normally. 3.The current situation of Da Vinci robotic surgery in our department: In May 2010, Nanjing General Hospital of Nanjing Military Region introduced Da Vinci HD surgical robot system, and on May 29, 2010, our department successfully performed the first robotic-assisted radical nephrectomy for a kidney tumor patient in Jiangsu Province, and this case was reported by major media one after another. By the end of 2013, our department has performed more than 200 robotic surgeries, including radical prostate cancer treatment, kidney tumor removal, radical kidney cancer treatment, pelvic ureteroplasty and so on. Through the clinical observation of many cases in the past 4 years, we found that robotic laparoscopic radical prostate cancer surgery has many advantages over ordinary laparoscopic radical prostate cancer surgery, which include clear vision, fine operation, better preservation of sexual nerve, tight suture, no urinary leakage after surgery, early removal of drainage tube and catheter (5-6 days after surgery for robotic surgery and 5-6 days after surgery for ordinary laparoscopic surgery). (The time of catheter removal for robotic surgery is 5-6 days after surgery, while that for ordinary laparoscopic surgery is 14 days after surgery), fast recovery after surgery, significantly reduced incidence of postoperative incontinence, short hospital stay, etc. (1) Rich experience in laparoscopic surgery, Professor Zhou Wenquan’s team performs more than 500 cases of laparoscopic surgery every year, with excellent technology and rich experience, and can handle various difficult cases. (2), more experience in robotic surgery, our hospital is the early introduction of the da Vinci surgical robot system in China, since the first case of robotic surgery has completed more than 200 cases, can carry out all kinds of urological surgery. (3) Accelerated rehabilitation surgery is used in the perioperative period to promote early recovery of patients. Accelerated rehabilitation surgery is to reduce the patient’s stress reaction, accelerate the early recovery of the intestine, improve the overall status of the patient, shorten the hospitalization time, reduce the patient’s hospitalization cost and accelerate the patient’s recovery through a series of comprehensive measures of preoperative, intraoperative and postoperative interventions, which have been fully promoted in our department and the patient’s recovery is significantly better than conventional treatment.