腹腔镜胆囊切除术已成为胆囊结石疗效的金标准。胆总管结石的微创治疗目前存在多种方式，与其他方式相比，腹腔镜胆道探查术（LCBDE）具有创伤更小、医疗费用低等优势而在全球广泛开展。腔镜下胆道探查及取石器械更难掌控，缺乏立体视觉及手助触觉，防止胆胰肠结合部的损伤尤为重要。

Laparoscopic choledocholithotomy bile duct exploration and the injuries of choledocho-pancreatico-duodenal junction        ZHOU Yong, LIU Jin-gang. Department of General Surgery, Shengjing Hospital, China Medical University, Shenyang 110004, China
Corresponding author: LIU Jin-gang, E-mail：liujg@sj-hospital.org
Abstract    Laparoscopic cholecystectomy has become the golden standard in the treatment of cholecystolithiasis. There are a variety of minimally invasive treatment methods existed at present. Compared with other ways, laparoscopic choledocholithotomy bile duct exploration (LCBDE) has the advantages of less invasive in trauma, lower medical costs so that the operation has been extensively applied all over the world. The bile duct exploration and the manipulate under the laparoscope are much more difficult for its lack of three-dimensional stereoscopic vision and hand assisted tactile sensation, so that the prevention of injuries of choledocho-pancreatico-duodenal junctions becomes a especially crucial problem.