Objective:To evaluate intestinal canal function in patients who underwent laparoscopic common bile duct exploration(LCBDE)and open common bile duct exploration(OCBDE)for choledocholithiasis.
目的探讨腹腔镜胆总管探查术与开腹胆总管探查术对患者肠道功能恢复的影响。
Results:The main causes for iatrogenic bile duct injury were open cholecystectomy, common bile duct exploration and laparoscopic cholecystectomy, which accounted for 87.1% (27/31).
结果：开腹胆囊切除、胆总管探查及腹腔镜胆囊切除是医源性胆道损伤的主要原因，占87.1%（27/31）。
So the severe complication derived from inappropriate, conventional, classical and open common bile duct (CBD)exploration, Ttube drainage operation should not be neglected.
结论：肝门部胆管是极易受损的部位，不可轻视常规经典胆总管探查、T管引流手术不当所带来的严重并发症。
Conclusion:In both of open and laparoscopic operation, it should choose transcystic common bile duct exploration with choledochoscope first without contraindications.
结论：在无禁忌证的前提下，无论是开腹还是腹腔镜手术，应首先考虑经胆囊管途径行胆道镜胆道探查取石术。
Conclusion:In both of open and laparoscopic operation, it should choose transcystic common bile duct exploration with choledochoscope first without contraindications.
结论：在无禁忌证的前提下，无论是开腹还是腹腔镜手术，应首先考虑经胆囊管途径行胆道镜胆道探查取石术。
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