Retrospective analysis from November 2014 to January 2021 were surgical treatment of children with acute intussusception in 206 cases， all patients onset time > 48 hours， a jam or blood sample， the whole body with poor general condition and symptoms of dehydration video branch refused to air enema treatment failure or air enema reduction of children， Under endotracheal intubation and general anesthesia， the lesion site and status were observed under laparoscopy and the surgical method was determined.

In this group， 71 cases were successfully reduced by pushing and pulling under laparoscopy， 28 cases were successfully reduced by laparoscopy combined with air enema， and 8 cases could not be reduced under laparoscopy， and were reduced under direct vision through right lower abdominal transverse incision. All cases underwent appendectomy.

Laparoscopic treatment of acute intussusception in children is safe and feasible with short operation time， little trauma， quick recovery. For some cases， due to long intussusception time and severe edema， laparoscopic combined with air enema is required for treatment. For refractory intussusception， surgery is required， requiring surgeons to adjust the treatment plan timely according to the condition.