Abstract: Cervical cancer (CA) is one of common malignant tumors in women. With the development of minimally invasive concept and technology, laparoscopy has become a conventional method of cervical cancer surgery, which has the advantages of reducing intraoperative blood loss, decreasing wound infection rate, shortening hospital stay, and not increasing postoperative complications. However, the latest clinical experimental studies point out that laparoscopic radical hysterectomy (LRH) has low survival rate and high recurrence rate compared with traditional open surgery. The reasons leading to the poor prognosis of laparoscopic surgery may be related to the use of intraoperative uterine manipulator, CO2 pneumoperitoneum and the treatment of vaginal cuff. In view of the bottleneck problems encountered in the current minimally invasive surgery, this article explains the mechanism of the low survival rate and high recurrence rate of cervical cancer after laparoscopic surgery caused by the above reasons, and summarizes the surgical procedures and improved methods of equipment. It is helpful to strengthen the understanding of laparoscopic surgery of clinicians and provide directions for laparoscopic improvement.

Key words: Uterine cervical neoplasms；, Laparoscopy；, Hysterectomy；, Pneumoperitoneum；, Vagina；, Uterine manipulator