【摘要】 目的 探讨腹腔镜联合胆道镜在胆总管探查取石术中的应用价值。方法 回顾分析2004-2008年98例腹腔镜联合胆道镜胆总管探查取石术患者临床资料。结果 Ⅰ期胆总管缝合的有46例，腹腔镜下放置T管引流的有52例。91例微创手术成功，4例中转开腹，T管术后14~19 d拔管，平均住院时间10 d，1例结石残留，并发胆漏2例。结论 腹腔镜联合胆道镜在胆总管探查取石术中的应用安全可靠，且创伤小，恢复较快。

    【关键词】 腹腔镜；胆道镜；胆总管

    Laparoscopic united choledochoscope saluran empedu umum eksplorasi operasi 98 kasus klinis pengalaman

    HE Ju.Yunnan Provincial People’ s Hospital in the Fourth (DalI College Hospital),Yunnan 671000，China

    【Abstract】 Objective Discussion of the Joint choledochoscope in laparoscopic common bile duct exploration surgery value.Methods A retrospective analysis from 2004 to 2008,98 cases of laparoscopic United choledochoscope common bile duct exploration surgery in patients with clinical data.Results Ⅰperiod of the common bile duct suture,46 cases of laparoscopic placed T-tube drainage of 52 cases.91 cases of minimally invasive surgery successful,4 cases of conversion,T tube 14 to 19 days after extubation,the average length of stay is 10 days,1 case of residual stones,complicated by bile leakage in 2 cases.Conclusion Choledochoscope in the united laparoscopic common bile duct exploration surgery is safe and reliable,and less trauma and faster to restore. ......