Laparoscopic transcystic common bile duct exploration：A clinical analysis of 68 cases        SUN Min，LIU Xun-qiang，TENG Yi-shan et al. Department of Hepatopancreatobiliary Surgery 3, the 2nd Affiliated Hospital of Kunming Medical University，Kunming 650101, China
Corresponding author： TENG Yi-shan，E-mail：liuxunqiang1001@163.com
Abstract    Objective    To explore the curative effect and safety of laparoscopic transcystic common bile duct exploration in treating the small stones in common bile duct. Methods    A total of 68 cases of laparoscopic transcystic common bile duct exploration were performed from August 2009 to August 2012 in Department of Hepatopancreatobiliary Surgery 3, the 2nd Affiliated Hospital of Kunming Medical University. The therapeutic effects of cases were studied. Results    Among them, 62 cases were performed operation successfully. The success rate of operation was 91.12%. The mean operation time was 86 minute. Six cases were changed to laparoscopic common bile duct incision exploratory stone operation. Four cases were performed laparoscopic common bile duct exploration and primary suture, and 2 cases were performed T tube drainage. The transfer rate was 8.88%. All cases were placed abdominal cavity drainage tube pulled out after 2-6 days. The average hospitalization time was 6 days. No bile leak, stone residue, biliary tract infection, biliary tract bleeding complications occurred. Conclusion    Laparoscopic transcystic common bile duct exploration has many advantages such as small trauma, short time，less complications, quick recovery，safe，low cost, safety and effective, etc. It is the ideal common bile duct exploration and stone operation. But its indications must be grasped strictly.