【摘要】 目的　探讨有胆囊切除术史的腹腔镜胆总管切开取石术的可行性。方法　回顾分析 1 2例有胆囊切除史的腹腔镜胆总管切开取石术 ,其中伴开腹胆囊切除术 7例 ,腹腔镜胆囊切除术 3例 ,开腹胆囊切除术加胆总管切开取石术 2例。取同期无腹部手术史的腹腔镜胆总管切开取石术 36例作对照比较 ,所得数据选用t检验。结果　全部手术成功 ,无中转开腹 ,无术后并发症。有胆囊切除术史组手术时间较长 ,术中出血 ,术后住院时间两组类似。结论　胆囊切除术后的腹腔镜胆总管切开取石术可行 ,值得进一步探索更多还原

【Abstract】 Objective\ To evaluate the effect of laparoscopic choledocholithotomy with post-cholecystectomy .Methods\ 12 patients (group 1) with cholecystectomy undergoing laparoscopic choledocholithotomy were reviewed retrospectively and compared with 36 patients (group 2) without abdominal operation undergoing laparoscopic choledocholithotomy .Results\ Laparoscopic choledocholithotomy was successfully performed in all cases without conversion to laparotomy as well as postoperative complications.The operative time of group 1 was longer than that of group 2 (P<0.01),while the amount of intraoperative bleeding and postoperative subhepatic drainage,the duration of postoperative hospitalization were equivalent.Conclusions\ Laparoscopic choledocholithotomy is enabled to be done safely without laparotomy for those cases with cholecystectomy history.更多还原