Objective: To investigate the clinical application of laparoscope combined with choledocho-scope in common bile duct. Method: Retrospective analysis of 48 cases of cholecystolithiasis and choledo-cholithiasis patients, application of laparoscopy combined with choledochoscopy in treatment of clinical data. Result: All 48 patients were successfully, without conversion to open operation, operation time, ( 2. 1 +0. 4 ) h, hospitalization time (l4.6 + 3.l)d;T tube placement in patients after 2 weeks after T tube radiography, no residual stone and the end of unobstructed, 3 weeks after extubation; 3 patients had residual stone in 2 cases, postoperative 6 weeks after T tube sinus with endoscope of biliary tract stone, 1 case with metronidazole and saline flush after discharge, all patients had no serious complications occurred. Conclusion : Laparoscopic common bile duct exploration combined with stone removal is safe and reliable, less trauma , fewer complications, is the treatment of common bile duct stones used in minimally invasive surgery, it is worthy of clinical application.%目的 探讨腹腔镜联合胆道镜在胆总管探查取石术中的临床应用价值.方法 回顾分析48例胆囊结石合并胆总管结石患者,应用腹腔镜联合胆道镜治疗的临床资料.结果 48例患者均手术成功,无中转开腹,手术时间(2.1±0.4)h,住院时间(14.6±3.1)d;放置T管者术后2周经T管造影,无残石且末端通畅的,术后3周拔管;3例有残石,2例于术后6周经T管窦道用胆道镜取石,1例用甲硝唑及生理盐水冲洗后排出,全组患者无严重并发症发生.结论 腹腔镜联合胆道镜胆总管探查取石术安全可靠、创伤小、并发症少,是治疗胆总管结石较好大的微创术式,值得临床推广应用.
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