腹腔镜下胆总管切开取石的临床应用

The clinical application of laparoscopic common bile duct stone removal

胆囊结石合并胆总管结石（CCL）是一种常见疾病。胆总管结石的取出是手术难点。本文探讨了直接取石、冲洗法取石、胆道镜下网篮取石等三种方法的应用。三种方法的配合使用（三步骤法）不但可以有效、安全取石，而且缩短了取石时间，避免了单一方法（如胆道镜下取石）反复取石可能导致的胆总管壁损伤，降低了取石难度，加速了患者的康复。

Cholecystolithiasis with choledocholithiasis （CCL） is a common disease. The removal of common bile stone is a challenge for the surgery. This paper discussed the clinical application of three stone removal techniques including direct stone removal, irrigation and stone extraction by basket under cholangioscopy in order to take the stones effectively and safely, shorten the procedure time, avoid the injuries of common bile duct wall caused by the repetition of a single method such as bil- iary endoscopic stone extraction, reduce the difficulty of taking stone and enhance recovery of patients.