中文摘要：

随着内镜技术的不断进步和对Oddi括约肌功能认识的深入．胆囊结石合并肝外胆管结石的治疗模式正在加速康复外科理念的引导下不断发生着改变。“一期化”微创手术、括约肌功能保护、加速康复等观念正在逐渐成为诊治胆囊结石合并肝外胆管结石的主流发展方向。腹腔镜、内镜逆行胰胆管造影（ERCP）技术以及胆道镜技术应该根据具体情况优化组合，以达到清除结石、防治并发症发生和加速康复的目的，而传统开腹胆囊切除、胆道探查取石、T管引流仍是疑难病例及各种微创手术的基础。

英文摘要：

With the development of endoscopic technology and the deep understanding of the function of Oddi sphincter, the treatment mode of cholecysto-choledocholithiasis （CCL） is constantly changing with the guidance of enhanced recovery after surgery （ERAS） concept. For the diagnosis and treatment of CCL, the concept of ＂single stage＂ minimally invasive operation, ＂protecting the function of Oddi sphincter ＂ and ERAS is gradually becoming the mainstream development direction. In order to achieve the purpose of cleaning the stones completely, preventing the complications and rapid recovery, laparoscopic techniques, ERCP and biliary microscopy should be applied according to the specific circumstances. Furthermore, traditional open cholecystectomy,choledocholithotomy and T tube. drainage are still the optimal choices for the treatment of complex CCL cases and remain the basis for various minimally invasive biliary operation.