Abstract: 【Abstract】〓Objective〓To summarize the experience in treating extrahepalic biliary calculi with laparoscopic combined cholangiofiberscope..Methods From August 2010 to October 2012, the clinical data of 27 cases with extrahepalic biliary calculi undergoing laparoscope combined cholangiofiberscopy were analyzed retrospectively. Results〓The laparoscopic cholecystectomy and choledochotomy with exploration and choledocholithotomy by the cholangiofiberscope were performed in all cases..Among them,.primary suture of common bile duct was in 12 cases and indwelling T tube drainage was in 15 cases..The operations were completed smoothly in all cases. No one case was transferred to open abdominal surgery..The average operative time was 85 minutes..The average postoperative hospitalization time was 7.4 days..In the 12 cases of primary suture of common bile duct,.one case occurred mild biliary leakage and that case was cured by prolonging drainage time for 10 days. In the 15 cases of indwelling T tube drainage, the postoperative residual stones were found by T bube cholangiography in 2 cases. These residual stones were removed via T tube sinus with cholangiofiberscope 8 weeks after operation..No postoperative hemobilia, incisional infection and obvious abdominal infection were found..Conclusion〓Laparoscope combined cholangiofiberscope is a safe and effective method for the treatment of extrahepalic biliary calculi.

Key words: Laparoscope, Cholangiofiberscope, Minimally invasion

摘要：

【摘要】目的 总结腹腔镜联合胆道镜治疗胆道结石的临床应用体会。方法 回顾分析27例胆道结石患者联合应用腹腔镜纤维胆道镜微创治疗的临床资料。 结果 27例患者平均手术时间为85min，术后平均住院7.4d；胆总管Ⅰ期缝合12例患者均顺利完成手术，无中转开腹病例。结论 腹腔镜联合胆道镜治疗胆道结石具有创伤小、出血少、感染率低、术后恢复快等优点，治疗胆道结石安全有效。

关键词: 腹腔镜, 纤维胆道镜, 微创