To explore the techniques and feasibility of routine laparoscope common bile duct exploration and cho-ledocholithotomy and T tube drainage management for calculi of extrahepatic bile duct. Methods To summarize and analyze 36 patients with stone in extrahepatic bile duct who underwent routine common bile exploration by laparoscopy and choledochofiberscopy from 2007. 5 to 2010. 12. Results Thirty-four cases were successfully undergone routine laparoscope common bile duct exploration and cho-ledocholithotomy and T tube drainage. Two case was transformed laparotomy due to hemobilia and failure of calculus removed. The operation time was 105 -210 min. The intraoperative blood loss was 30 -200 ml. The average hospital stay after operation was 7 d. Two cases had relic stones in the bile duct and stones were removed through the sinus tract by choledochoscope. T duct was taken away after cholangiography and 6 weeks of operation. And there were no related complications. All patients were followed up for 3 months to 3 years, and no biliary tract stegnosis was found. Conclusion Routine laparoscope common bile duct exploration and choledocholithotomy and T tube drainage for calculus of extrahepatic bile duct is a safe type of operation with reliability, small hurt, light lesion and quick recovery.%目的 探讨腹腔镜联合胆道镜治疗肝外胆管结石的方法技巧及可行性.方法 总结分析本院2007年5月～2010年12月实施的36例胆囊结石并胆总管结石患者行常规腹腔镜胆总管探查术(LCBDE)的临床资料.结果 34例胆石症患者均在腹腔镜下完成手术,2例分别因胆道出血和取石失败中转开腹,手术时间为105 ～ 210 min,术中失血30 ～ 200 nd,术后平均住院时间7d,术后残余结石2例并经窦道胆道镜取石成功,所有患者均于术后6周经T管造影后拔除T管,均无胆漏发生,随访3个月至3年,均未发现胆道狭窄和结石复发.结论 腹腔镜胆总管探查术治疗肝外胆管结石是一种安全、可行、创伤小、痛苦轻、恢复快、并发症少的手术方法.
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