关键词: 十二指肠镜乳头括约肌切开术, 开腹手术 , 胆总管结石

Abstract: 【Abstract】 Objective To summarize up the experience in management of choledocholithiasis by laparoscopic cholecystectomy combined with endoscopic sphincterotomy. Methods A retrospective data of medical records for 20 patients with common bile duct stones undergoing laparoscopic cholecystectomy combined with endoscopic sphincterotomy between Jun 2014 and Aug 2016 was undertaken and served as treatment group（EST + LC）. Another 25 patients in the same term who underwent open surgical cholecys? tectomy and T-tube drainage（OC+OCHTD）was selected as control group. The operative outcomes，proce? dure- related complications were compared between two groups. Results The patients in two group were followed up for 2 to 6 months. In EST+LC group，18 cases completed smoothly，and two cases transferred to open operation due to difficult intubation. The complications occurred in three cases，two cases of acute pancreatitis and one case of duodenal papilla bleeding. In OC+OCHTD group，five cases complicated with incision infection（2 cases），bile leakage（one case），and pulmonary infection（2 cases）. All patients in two groups got recovery by conservation treatment. Conclusion Our outcomes showed that at least in the short term，endoscopic sphincterotomy combined with laparoscopic cholecystectomy was a safe，effective and feasible method for the treatment of cholecystolithiasis and choledocholithiasis.