Objective To analyze our experience in laparoscopic common bile duct ( CBD) explo-ration using a 5 mm choledochoscope through a micro-incision at the junction between the cystic duct and the CBD for patients with choledocholithiasis and cholecystolithiasis. Methods From January 2014 to May 2018, laparoscopic common bile duct exploration through a micro-incision at the cystic duct-CBD junction was performed in 77 patients with choledocholithiasis and cholecystolithiasis at Beijing Tongren Hospital, Capital Medical University. Results Laparoscopic common bile duct exploration was performed successfully through a micro-incision in 77 patients with primary suturing of the micro-incision. The range of operation time, blood loss, and hospital stay were 65～150 min, 10～50 ml, and 4～9 d respectively. Seven patients developed minor bile leakage postoperatively and were treated successfully after 3 ～7 days of conservative treatment. Conclusion Common bile duct laparoscopic exploration using a choledochoscope for choledocho-lithiasis and cholecystolithiasis through a micro-incision at the junction of cystic duct and CBD was a safe and effective method.%目的 总结使用5 mm胆道镜行腹腔镜下经胆囊管汇入部微切开治疗胆囊结石合并胆总管结石的经验.方法 回顾性分析2014年1月至2018年5月首都医科大学附属北京同仁医院收治的77例胆囊结石合并胆总管结石患者,采用腹腔镜下胆囊管汇入部微切开方法完成胆道探查取石术的病历资料.结果 77例患者均顺利完成腹腔镜下胆囊管汇入部微切开胆道探查取石术,取净结石一期缝合汇入部.手术时间65～150 min;术中出血量10～50 ml;住院时间4～9 d. 7例发生胆漏,保留腹腔引流3～7d后痊愈.结论 腹腔镜下胆囊管汇入部微切开治疗胆总管结石安全有效.
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