Laparoscopic technique, as represented by minimally invasive surgery, has been widely applied in general surgical departments. However, physiological changes caused by pneumoperitoneum often bring about challenges to the assessment of fluid responsiveness. Although stroke volume variation (SVV) has been drawn increasing attentions in fluid therapy, it is still controversial that whether SVV can accurately predict fluid responsiveness in these surgeries. This article was to review the accuracy of SVV to estimate fluid responsiveness in pneumoperitoneum condition and the latest research progress in SVV directing fluid therapy during different surgeries. We found the value of SVV as a predictor of fluid responsiveness increases after pneumoperitoneum, and SVV can accurately evaluate fluid responsiveness under a range of intra-abdominal pressure. In addition, position, ventilation mode and measurement tools could affect the accuracy of SVV to a limit degree. Previous studies showed that SVV is beneficial for patients on guiding fluid therapy in laparoscopic hepatectomy, urinary surgery, and gastrointestinal surgery. In conclusion, SVV has feasibility in predicting fluid responsiveness in pneumoperitoneum patients, but more optimized methods and accurate measurement tools are needed to improve the accuracy and utility of SVV in the future.