Objective：To study the safety and approach of laparoscopic biliary tract surgeries for patients with history of upper abdomi－nal laparotomy. Methods：From May 2008 to September 2012，103 patients with upper abdominal laparotomy history underwent la－paroscopic biliary tract surgeries were retrospectively analyzed. Results：Ninety-six patients out of 103 patients were successfully op－erated under laparoscope，7 patients were converted because of excessive adhesion. No complication occurred in all patients. Con－clusion：Laparoscopic biliary tract surgeries are safe and feasible for patients with history of upper abdominal laparotomy.