〔Abstract〕 To investigate the safety and effectiveness of laparoscopic surgery for congenital intestinal malrotation and evaluate the value of laparoscopic surgery in the treatment of congenital intestinal malrotation. The clinical data of 183 cases with congenital intestinal malrotation were retrospectively analyzed, including 124 cases of laparoscopic operation and 59 cases of open operation. In patients with intestinal malrotation without midgut volvulus or with midgut volvulus less than 360°, there was no significant difference in operation time, postoperative complication rateand postoperative hospital stay between laparoscopic operation group and open operation group. In patients with intestinal malrotation and midgut volvulus reaching or exceeding 360°, the operation time of laparoscopic surgery group was significantly prolonged, but the postoperative hospital stay was significantly shortened, and the difference was statistically significant. Laparoscopic surgery is safe and effective in the treatment of congenital intestinal malrotation. Although the operation time is prolonged in the group with midgut volvulus reaching or exceeding 360°, postoperative hospital stay is shortened. Laparoscopic surgery has certain advantages and is worth promoting.