【摘要】目的：研究腹腔镜、胆道镜、十二指肠镜术中联合治疗胆囊结石合并胆总管结石的方法及临床意义。方法：用腹腔镜联合术中胆道镜、十二指肠镜治疗胆囊结石并发胆总管结石45例，在全麻下，行腹腔镜胆囊切除，并切开胆总管前壁，以术中胆道镜联合十二指肠镜取净胆总管结石，一期缝合胆总管，42例并置鼻胆管引流。1例因术中十二指肠镜进镜失败而置入胆道支架。结果：本组45例病例2例中转开腹手术，43例成功，术后5-7天拔管出院，1例术后7天内镜取出支架出院，无手术死亡病例，无术后胆漏，无术后上消化道出血、穿孔及急性胰腺炎发生。结论：腹腔镜联合术中胆道镜、十二指肠镜治疗胆囊结石并发胆总管结石，是一种创伤小，恢复快，减少病员痛苦，安全可靠的方法。

    【关键词】腹腔镜；术中联合；胆道镜；十二指肠镜；胆囊结石；胆总管结石

    【Abstract】ObjectiveTo investigate the method and it's clinical significance that treat the common bile duct stone by “tri-scope”: laparoscope combine with cholioscope and duodenoscopeused in operation,. Methods Treat the common bile duct stone by laparoscope combine with cholioscope and duodenoscope used in operation 45 cases. Under general anesthesia ......