关键词: 腹腔镜, 十二指肠镜, 胆道镜, 胆总管结石, 胆囊结石

Abstract: Objective To study how to select the most appropriate treatment in treating choledocholithiasis with cholecystolithiasis and its curative effect. Methods Clinical data of 52 patients with choledocholithiasis and cholecystolithiasis in our hospital from October 2010 to October 2011 were retrospectively analyzed .Through the different treatment methods we analyzed the effect and safety . Results In this group of 52 patients ,24 patients were treated by LC+LCBDE, 2 of them converted to laparotomy. 25 patients were treated by EST+LC; 3 patients were treated by ENBD+LC+LCBDE. None of the 52 patients appeared the complication of bile leakage, bleeding, pancreatitis, cholangitis or residual stones . Conclusion Selecting the optimal combination of the three endoscopes after examinations to deal with the disease has concentrated the superior of the three endoscopes . It's the least traumatic way to treat the disease , the effect is positive.