关键词: 腹腔镜, 上腹部手术史, 胆总管结石, 胆总管探查术

Abstract: ［Abstract］ Objective To Summarize the clinical experience and effects of laparoscopic common bile duct exploration in patients with a history of upper abdominal surgery. Methods The clinical data of 17 patients undergoing this procedure was collected， the preoperative diagnosis depended mainly on B?ultrasound， CT， ERCP and/or MRCP. Results The procedures were completed successfully in all of 17 patients. Bile leakage occurred in 1 case， which recovered one week after abdominal cavity unobstructed drainage. The operation time ranged from 110 to 215 minutes（mean 160 minutes），and the intraoperative blood loss ranged from 5 to 50 mL （mean 23 mL）， abdominal cavity drainage tube was drawn after one week. Hospital days ranged from 8 to 10 days. Nasal bile duct was drawn from 8 to 10 days after operation. T?tube was drawn from 4 to 8 weeks after operation， and without complications. Conclusion History of upper abdominal surgery is not a contradiction of laparoscopy. The exploration of the common bile duct by laparoscopy can be safe and effective for patients who had undergone operations on the upper abdomen.

Key words: common bile duct stones, common bile duct exploration, abdominal surgery, laparoscopy