Discussion in indication of laparoscopic common bile duct exploration WANG Guang-yi, LIU Ya-hui , LIU Kai , et al. Department of Surgery, the First Hospital, Jilin University,Changchun 130021,China Corresponding author:WANG Guang-yi, E-mail：wgymd@sina.com Abstract Objective To investigate and summarize the indication and clinical therapeutic effect analysis of laparoscopic common bile duct exploration . Methods Summarized and analyzed the clinical data in 83 cases of laparoscopic common bile duct exploration carried out successfully during November 2005 to March 2008 . Results 81cases of laparoscopic common bile duct exploration were done successfully, three of them were secondary operation on biliary tract . 2 cases of conversion to laparotomy had to be adopted. Conversion to laparotomy were required in 2 cases, 81cases were done successfully ,the average operation time was 90 minutes ,the average recovery time of enterokinesia was 2.6 days, the average time of hospitalization after operation was 8 days. Primary bile duct suture was performed in 1 cases, in which bile leakage occurred after operation, and self-cured after 1 week. 2 cases of retained calculus in biliary tract after operation were cured by choledochoscope through T tract. There were no complications such as abdominal cavity bleeding, injury of gastrointestinal tract .All the patients were cured and discharged with T-tube . T-tube opacification and extubation should be done in the forth week after operation. Conclusion cholecystolithiasis and cholecystitis with calculus of bile duct is the best indication of the laparoscopic cholecystectomy -bile duct exploration.