2月~2016年6月在我院住院治疗的408 例胆总管结石患者作为研究对象，应用随机数表法分为对照组和观察组，各204例。对照组接受腹腔镜微创取石术治疗（置T管），观察组应用腹腔镜微创取石术+免T管一期缝合术治疗。观察两组手术指标、术后恢复效果及术后并发症发生情况。结果：观察组患者的手术时间及术中出血量明显低于对照组，差异有统计学意义；观察组术后肛门初次排气时间、引流时间、住院时间均低于对照组，差异有统计学意义；术后，两组胆道出血、感染、狭Õ及胆漏对比，差异无统计学意义。结论：在胆总管结石治疗过程中，腹腔镜胆总管切开取石术联合免T管一期缝合术治疗手术创伤小，出血量少，可降低术后并发症发生风险，利于术后尽早恢复，缩短住院时间，更具有微创外科优势。

Objective To study the efficacy of laparoscopic common bile duct exploration without T-tube suture in the treatment of common bile duct stones. Methods 408 cases of patients with common bile duct stones who were hospitalized from February 2012 to June 2016 were selected as the subjects. All the patients were randomized to the control group and the observation group, each group of 204 cases. The control group received laparoscopic common bile duct exploration (with T-tube suture); and the patients in the observation group were treated with laparoscopic common bile duct exploration without T-tube suture. The operative parameters, postoperative recovery effect and postoperative complications were observed. Results The operative time and intraoperative blood loss were significantly lower in the observation group than in the control group. The primary exhaust time, drainage time and hospital stay were lower in the observation group than those in the control group, the difference was statistically significant. There was no significant difference between the two groups in the bile duct hemorrhage, infection, stenosis and bile leakage. Conclusion In the treatment of common bile duct stones, laparoscopic common bile duct exploration without T-tube suture treatment of surgical trauma, bleeding less, can reduce the risk of postoperative complications, conducive to postoperative recovery as soon as possible, shorten the hospital Time, more with a minimally invasive surgical advantage.