本文报道了12例腹腔镜下行妇科手术的病例,均获得了成功。强调了术者必须具有丰富的妇科手术经验,并应配合默契。12例术式为:输卵管切除术、盆腔粘连松解术、卵巢子宫膜异位囊肿剥除术及子宫浆膜下肌瘤剜除术等。麻醉选择:2例硬膜外麻醉,10例气管插管吸入麻醉。本术式具有损伤小,手术后遗痘少,术后恢复快等优点,优于开腹手术。本文同时对手术适应证等进行了探讨。 This article reports 12 cases of laparoscopic gynecological surgery cases, have been successful. Emphasized the surgeon must have a wealth of experience in gynecological surgery, and should cooperate tacitly. 12 cases of surgical procedures: tubal resection, pelvic adhesiolysis, ovarian ectopic cyst edema and uterine subserosal fibroids surgery and so on. Anesthesia options: 2 cases of epidural anesthesia, 10 cases of endotracheal intubation inhalation anesthesia. This procedure has the advantages of less damage, less acne after operation, quick recovery after operation, etc., which is better than laparotomy. This article also discussed the surgical indications.