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目的：探讨腹腔镜胆总管探查治疗胃大部切除毕Ⅱ式吻合术后胆管结石的安全性、可行性及手术技巧。方法将30例胃大部切除毕Ⅱ式吻合术后胆管结石患者分为腹腔镜组与开腹组，比较两组的临床特征及围手术期差异。结果两组患者术前临床特征无显著差异（P＞0．05），腹腔镜组手术时间较开腹组稍长，但差异无统计学意义（P＞0．05），腹腔镜组在术中出血、术后进食时间、排气时间、引流管拔除时间、出院时间均优于开腹组（P＜0．01）。结论对于胃大部切除毕Ⅱ式吻合术后的患者腹腔镜胆总管探查是安全、可行、有效的治疗方式。“,”Objective To evaluate the safety,feasibility and surgical techniques of laparoscopic com-mon bile duct exploration for patients with bile duct stones after gastrectomy and BillrothⅡgastrojejunostomy. Methods Thirty cases of bile duct stones after gastrectomy and BillrothⅡgastrojejunostomy were randomly di-vided into laparoscopic group and laparotomy group.Clinical characteristics and perioperative differences were compared between groups.Results There were no differences in preoperative clinical data between the two groups(P>0.05).Operative time of laparoscopic group was slightly longer than laparotomy group without sig-nificance(P >0.05).Blood loss,time of postoperative feeding,exhaust time,extubation time and hospital stay in the laparoscopic group were all less than those in the laparotomy group(P<0.01).Conclusion Laparo-scopic common bile duct exploration is safe,feasible and effective for patients with bile duct stones after gas-trectomy and BillrothⅡgastrojejunostomy.