Efficacy of laparoscopy combined with choledochoscopy for treatment of non-dilated choledocholithiasis and cholecystolithiasis

XU Huai-wen; LIU Shao-wen; MENG Lin-hai; HONG Xi-xiang

doi:10.11659/jjssx.07E025057

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Efficacy of laparoscopy combined with choledochoscopy for treatment of non-dilated choledocholithiasis and cholecystolithiasis

Digestive System Diseases | 更新时间：2026-03-17

- Efficacy of laparoscopy combined with choledochoscopy for treatment of non-dilated choledocholithiasis and cholecystolithiasis
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 35, Issue 3, Pages: 209-212(2026)
- 作者机构：
  
  安徽医科大学附属安庆第一人民医院普外科，安徽安庆 246003
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.07E025057
  CLC： R657.4
- Received：11 July 2025，
  
  Published：25 March 2026
- 稿件说明：
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徐怀文,刘绍文,孟林海等.腹腔镜-胆道镜联合治疗非扩张性胆总管结石合并胆囊结石的疗效[J].局解手术学杂志,2026,35(03):209-212.

XU Huai-wen,LIU Shao-wen,MENG Lin-hai,et al.Efficacy of laparoscopy combined with choledochoscopy for treatment of non-dilated choledocholithiasis and cholecystolithiasis[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(03):209-212.
徐怀文,刘绍文,孟林海等.腹腔镜-胆道镜联合治疗非扩张性胆总管结石合并胆囊结石的疗效[J].局解手术学杂志,2026,35(03):209-212. DOI： 10.11659/jjssx.07E025057.

XU Huai-wen,LIU Shao-wen,MENG Lin-hai,et al.Efficacy of laparoscopy combined with choledochoscopy for treatment of non-dilated choledocholithiasis and cholecystolithiasis[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2026,35(03):209-212. DOI： 10.11659/jjssx.07E025057.

摘要

目的

探讨腹腔镜下胆囊切除（LC）+腹腔镜下胆总管切开取石（LCBDE）联合胆道镜治疗非扩张性胆总管结石合并胆囊结石的疗效。

方法

选取2020年1月至2024年4月在我院就诊的69例行LC+LCBDE联合胆道镜治疗的胆总管结石合并胆囊结石患者为研究对象，依据患者的胆总管管径不同，分为观察组（胆总管管径≤8 mm）28例和对照组（胆总管管径>8 mm）41例。比较2组患者围术期指标、术后并发症发生率，记录随访期间胆管狭窄、死亡等情况。

结果

本组患者均顺利完成手术，未发生死亡、胆管狭窄等远期并发症。观察组患者手术时间长于对照组（

0.05）；2组患者术中出血量、术后肛门首次排气时间、腹腔引流管拔除时间、术后住院时间均未见明显差异（

0.05）。2组患者术后胆漏、切口感染及胰腺炎等并发症发生率均未见显著变化（

0.05）。

结论

LC+LCBDE联合胆道镜治疗非扩张性胆总管结石合并胆囊结石安全有效，未明显增加术中出血量、术后并发症发生率及延长术后住院时间，但手术时间较长。

Abstract

Objective

To evaluate the efficacy of laparoscopic cholecystectomy （LC） combined with laparoscopic common bile duct exploration （LCBDE） and choledochoscopy in patients with non-dilated choledocholithiasis and cholecystolithiasis.

Methods

A total of 69 patients with choledocholithiasis and cholecystolithiasis in our hospital from January 2020 to April 2024 were selected as the study subjects.According to the common bile duct diameter，they were divided into the observation group （common bile duct diameter≤8 mm，

=28） and the control group （common bile duct diameter

8 mm，

=41）. The perioperative indicators and the incidence of postoperative complications of patients in the two groups were compared， and the conditions such as bile duct stenosis and death during the follow-up period were recorded.

Results

All the patients successfully completed the surgery， and no long-term complications such as death or bile duct stenosis occurred. The operation time of patients in the observation group was longer than that in the control group （

0.05）.The intraoperative blood loss，time to first flatus，duration of abdominal drainage tube removal， and postoperative hospital stay showed no statistically significant differences of patients between the two groups （

0.05）. No significant differences were found in the incidences of complications such as postoperative bile leakage， incision infection and pancreatitis between the two groups （

0.05）.

Conclusion

LC combined with LCBDE and choledochoscopy is safe and effective for the treatment of patients with non-dilated choledocholithiasis and cholecystolithiasis.Although this procedure was associated with a longer operation time，it neither significantly increases intraoperative blood loss and the rate of postoperative complications，nor prolongs postoperative hospital stay.

关键词

Keywords

references

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