Objective To summarize the experience in laparoscopy combined with choledochoscopy and duodenoscopy in the treatment of gallstones complicated by intra- and extrahepatic bile duct stones,and to investigate its therapeutic effect.Methods A total of 413 patients with gallstones complicated by intra- and extrahepatic bile duct stones who visited Meizhou People' s Hospital from March 2010 to March 2015 were enrolled,and according to the patients' individual conditions,they were given laparoscopy combined with choledochoscopy and / or duodenoscopy.Results A total of 31 patients underwent laparoscopic cholecystectomy(LC) + laparoscopic transcystic common bile duct exploration(LTCBDE),and the success rate was 29.0%(9 /31);101 patients underwent LC + LTCBDE + T tube drainage,and the success rate was 93.1%(94 /101);96 patients underwent LC + laparoscopic common bile duct exploration(LCBDE) + choledochoscopic cholecystolithotomy + primary suture,and the success rate was 97.9%(94 /96);61 patients underwent LC + LCBDE + partial hepatectomy,and the success rate was 91.8%(56 /61);155 patients underwent endoscopic sphincterotomy(EST) + LC or LC + EST,and the success rate was 93.5%(145 /155);10 patients underwent laparoscopy + duodenoscopy + choledochoscopy(at the same time),and the success rate was 90%(9 /10).Nineteen patients were converted to open surgery,and the overall success rate was 95.4%(394 /413).All the patients were cured,and there were no serious complications or deaths.Conclusion Laparoscopy combined with duodenoscopy and choledochoscopy is feasible,safe,and reliable in the treatment of gallstones complicated by intra- and extrahepatic bile duct stones.
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