Abstract:Objective:To investigate the rationality and advantage of laparoscopic common bile duct exploration for common bile duct stone.
Methods :The clinical data of 238 cases of common bile duct stone were analysed retrospectively. Among them, 125 cases underwent endoscopic sphincterotomy (EST group), while 113 cases had laparoscopic common bile duct exploration（LCBDE group）.The therapeutic effect and complications were compared between the two groups.
Results:There was no significant difference in operation time, postoperative hospital stay, surgical achievement ratio, bile duct retained stones, or shortterm complications between the two groups (P＞0.05). Longterm complications were significantly different between the two groups (P＜0.05), in EST group, bile duct recurrent stones were seen in 14 cases (11.20％), duodenal papilla stenosis in 9 cases (7.20％)and cholangitis in 13 cases(10.4％); in LCBDE group, bile duct recurrent stones were seen in 4 cases (3.53％), cholangitis in 2 cases(1.8％)and no case of duodenal papilla stenosis.
Conclusions:The longterm outcome of LCBDE treatment for common bile duct stone is superior to that of EST and is a rational operative method.