急性重症胆管炎是因急性胆管梗阻继发化脓性感染所致。具有发病急骤，病情变化快，病死率高的特点。在怀疑或确诊的同时应积极非手术治疗，随后根据患者情况，选择可行的手术方式。随着微创技术的发展及医疗水平的提高，在通畅引流的前提下，一次性解除梗阻原因的手术也相继报道。笔者分别对内镜、经皮肝穿刺胆道引流、腹腔镜等为主的微创技术在治疗胆总管结石并发急性重症胆管炎的现状进行综述。“,”Acute cholangitis of severe type (ACST) is caused by suppurative infection following acute biliary obstruction, characterized by sudden onset, rapid change of morbid condition, and high mortality rates. Non-surgical treatment should be initiated aggressively as soon as ACST is suspected or confirmed, and then selection of appropriate surgical procedure can be decided according to the conditions of the patients. With the development of minimally invasive technology and the improvement of medical science, reports on one-session surgical removal of cause of obstruction on the premise of unobstructed drainage have been available. In this paper, the authors present the current status of treatment of common bile duct stones complicated with ACST by minimally invasive techniques that mainly include endoscopic, percutaneous transhepatic biliary drainage and laparoscopic techniques.