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作者对１１例术前或术中诊断胆囊结石伴胆总管结石患者，在腹腔镜下应用纤维输尿管镜经胆囊管探查胆总管取石和胆总管切开用胆道镜探查取石。结果：输尿管镜经胆囊管探查４例，取石２例，阴性１例，改胆总管切开取石１例。腹腔镜下胆总管切开用胆道镜探查取石８例（包括改行１例），阴性１例。放置Ｔ管６例，一期缝合胆总管２例。均治愈。作者认为，腹腔镜下用纤维输尿管镜经胆囊管行胆总管探查取石和胆总管切开用胆道镜探查取石是安全可行的手术方法，明显优于剖腹手术。
The author of 11 cases of preoperative or intraoperative diagnosis of gallbladder stones with common bile duct stones, laparoscopic fiber ureteroscopy through cystic duct exploration of common bile duct stone and common bile duct incision with biliary tract exploration stone. RESULTS: Four patients underwent ureteroscopy through cystic duct exploration, 2 cases were taken stone, 1 was negative, and 1 case was changed by common bile duct. Laparoscopic choledochoscopy was used for exploration of stone removal in 8 cases (including one case of diversion) and negative in 1 case. T-tubes were placed in 6 cases, and the common bile ducts were sutured in 2 cases. All cured. The authors believe that laparoscopic fiber ureteroscopy through the cystic duct for common bile duct exploration and choledochoscopy is a safe and feasible surgical method for exploration and removal of stones, which is significantly superior to laparotomy.