Objective To summarize the operation method of choledochoscope incommon bile duct exploration in laparoscopic surgery. Methods Retrospective analysis of clinical data of 2009 January to 2013 December in Department of general surgery,Zhengzhou Hospital of traditional Chinese medicine for therapeutic laparoseopy combined with choledoehoscopy for bile duct exploration 65 eases. Results Among the 65 cases, 37 cases （56. 9% ） common bile duct incision combined with cholangioscopy stone, the average operation time was 98min, the average postoperative hospital stay 11 days, stage one suture in 28 cases, T tube drainage in 9 cases, remove the stones out the maximum diameter of 2. 3cm, up to 21 stones （43.1%） ; 28 cases of biliary bile duct exploration through cystic duct ,the average operation time was 126min,the average postoperative hospitalization time was 7 days, remove the stones maximum diameter 6mm, remove the stones up to 7. No serious procedure related complications after operation. Conclusion Laparoscopie common bile duct incision Lapa- roscopic common bile duct incision combined with cholangioscopy,can achieve the same effect with open surgery, has the advantages of small trauma,less complications and quick recovery. Biliary lithotomy of common bile duct exploration gives the longitudinal support choledochoscope satisfaction is the premise to complete the operation via the cystic duct ,bile duct incision and avoid the damage. It is particularly suitable for small common bile duct stone extraction.
Journal of Medical Forum