关键词: 胆囊结石, 腹腔镜, 胆道镜, 十二指肠镜, 胆总管结石

Abstract: 【Abstract】 Objective To explore the advantages of the combination of three kinds of endoscopies in treatment of gallbladder stone combined with common bile duct stones. Methods〓Eighty-eight cases of patients with gallstone combined with common bile duct stones were selected from the Second People's Hospital of Shanwei from February 2010 to October 2015..The patients were assigned to two groups, EST+LAP group and control group. The patients in EST+LAP group (n=44) were subjected to laparoscopic procedure for treating concomitant gallstone and common bile duct stone by using combining endoscopic sphincterotomy and choledochoscope..The controls were performed common laparoscopic cholecystectomy and exploration of the common bile duct..The clinical effects were compared between two groups. Results〓There were no statistical differences in the rates of transfer to open operation, residual stone and postoperative complications between two groups. The operative time, blood loss, postoperative hospitalization time in EST+LAP group were lower than those in the control group (all P values less than 0.05). Conclusion〓EST-assistant laparoscopic procedure for treating gallbladder stone combined with common bile duct stones has obvious advantages to traditional surgical method.

Key words: Duodenal endoscopy, Common bile duct stones, Laparoscopy, Gallstone, Bile duct endoscopy