摘要腹腔镜胆总管探查术（laparoscopic common bile duct exploration，LCBDE）的开展使创伤更小，而手术效果却与开腹手术相同，如今在中大型综合性医院开展已较普遍。本次研究探讨在基层缺乏胆道镜的条件下开展此术式的可行性及如何在安全、彻底清除结石的要求下简化探查取石过程。现报道如下。
5Moreaux J. Prospective study of open cholecystectomy for calculus biliary disease[J]. Br J surg, 1994,81 ( 1 ) : 116-121.
6Lauter DM, Fmines EJ. Laparoscopic common duct exploration in the management of choledocholithiasis[J]. Am J Surg, 2000,179 (5):372-374.
7Ponsky JL.Endoscopic management of common bile duct stones[J]. World J Surg, 1992,16(9) : 1062.
8Lien HH, Huang CC, Huang CS, et al. Laparoscopic common bile duct exploration with T-tube choledochotomy for the management of choledocholithiasis[J]. J laparoendosc Adv Surg Tech A, 2005, 15 (3): 298-302.
9Phillips EH. New techniques for the treatment of common bile duct calculi encountered during laparoscopic cholecystectomy [J]. Probl Gen Surg, 1991,8:387-390.
10Ha JP, Tang CN, Siu WT, et al. Primary closure versus T-tube drainage after laparoscopic choledochotomy for common bile duct stones[J]. Hepatogastwenterology, 2004,51 (60) : 1605-1608.
