Which surgeries can be performed laparoscopically? Compared with traditional surgery, laparoscopic surgery has the advantages of small incision, little pain and fast recovery, which is very popular among patients, especially because the postoperative scar is small and meets the aesthetic requirements, which is more readily accepted by young patients. Minimally invasive surgery is the general trend and the goal to pursue in the development of surgery. At present, the gold standard of laparoscopic surgery is cholecystectomy, and generally speaking, laparoscopic surgery can be completed for most general surgical procedures. Such as appendectomy, gastric and duodenal ulcer perforation repair, hernia repair, colectomy, splenectomy, adrenalectomy, as well as ovarian cyst removal, ectopic pregnancy, hysterectomy, etc. With the increasing perfection of laparoscopic technology and the improvement of the operation level of laparoscopic surgeons, almost all surgical procedures can be performed with this procedure. Indications for gynecological laparoscopic surgery 1, pelvic mass: ovarian cyst opening, drainage, ovarian tumor exfoliation, adnexal resection, tubal tract cyst excision, etc. 2.Uterine fibroids: uterine fibroids and adenomyoma exfoliation, adenomyosis excision, hysterectomy, etc. 3, early diagnosis of ectopic pregnancy while performing conservative or radical surgery. 4.Infertility: pelvic adhesion decomposition and tubal plastic surgery at the same time as the diagnosis of the cause. 5.Electrocoagulation or excision of endometriosis lesions. 6.Checking the etiology of pelvic infectious diseases and performing pelvic adhesion decomposition, abscess incision and drainage, and tubo-ovarian cyst excision at the same time. 7.Family planning: removal of birth control ring, repair of perforated uterus, sterilization, tubal anastomosis. 8.Reproductive fertility: mature egg aspiration, gamete intrafallopian tube transplantation, polycystic ovary puncture and perforation. 9.Surgery for malignant tumors of the reproductive tract: surgery for early endometrial cancer, cervical cancer, ovarian cancer, including extensive total hysterectomy, pelvic and para-aortic lymph node dissection, major omentum and appendectomy. Contraindications 1.Severe cardiac, pulmonary, hepatic and renal insufficiency. 2. Huge pelvic and abdominal masses: if the upper boundary of the mass exceeds the level of the umbilicus or if the pregnant uterus is larger than 16 weeks of gestation, or if the volume of uterine fibroids exceeds 4 months of gestation, the space available for surgical operation in the pelvic and abdominal cavities is limited, the mass obstructs the visual field, and the establishment of pneumoperitoneum or puncture may cause rupture of the mass. 3, abdominal hernia or diaphragmatic hernia: the pressure of artificial pneumoperitoneum can press the abdominal contents into the hernia hole and cause the impaction of abdominal hernia. The abdominal contents enter the thoracic cavity through diaphragmatic hernia, which may affect the cardiopulmonary function. 4, diffuse peritonitis with intestinal obstruction: because the intestinal segment is obviously dilated, the pneumoperitoneum needle or trocar needle puncture can easily cause the risk of intestinal perforation. 5, inexperienced surgeons.