Abstract：
A 65-year-old woman was diagnosed with an 8 cm large common bile duct stone and multiple stones in both intrahepatic ducts because of abnormal liver function tests. After a multidisciplinary approach, surgical removal was considered, and primary closure after laparoscopic removal of the common bile duct stone was performed. The patient recovered without complications and was discharged on the fourth postoperative day. Endoscopic removal of common bile duct stones is the standard treatment, but surgical removal through laparoscopic common bile duct exploration is also a safe and effective treatment method for such huge gallstones.
摘要：
由于肝功能检查异常，一名65岁的妇女被诊断出患有8厘米大的胆总管结石和两个肝内导管中的多发结石。在多学科方法之后，考虑手术切除，并在腹腔镜下切除胆总管结石后进行初次闭合。患者康复，无并发症，术后第4天出院。内镜下清除胆总管结石是标准治疗方法,但是通过腹腔镜胆总管探查手术切除也是这种巨大胆结石的安全有效的治疗方法。
