【摘要】 目的 探讨腹腔镜联合纤维胆道镜治疗胆总管结石的治疗效果及手术方式。 方法 对34例胆总管结石患者在腹腔镜下行胆囊切除、胆总管切开、纤维胆道镜取石后行一期缝合或T管引流。 结果 手术时间平均135min，出血少，无手术并发症。14例胆总管一期缝合，20例T管引流。 结论 腹腔镜联合纤维胆道镜治疗胆总管结石创伤小，安全有效，术后恢复快。但应根据患者的实际情况选择行一期缝合或T管引流。

    关键词 腹腔镜 纤维胆道镜 胆总管结石 手术治疗

    Treatment of choledocholith under laparoscopy combined with fibro-optic choledocoscopy

    He Yongyue，Wan Deyan，Shi Yifeng

    Microinvasive Surgical Center，Shanwei Yihui Foundation Hospital，Guangdong516600.

    【Abstract】 Objective To probe the effect of treatment and operative means of choledocoscopy.Methods 34choledocholithasis patients were treated by cholecystectomy and choledochotomy under laparoscopy combined with fibro-optic choledocoscopy ......