To investigate and analyze the recent follow-up of laparoscopic and choledochoscopy in the treatment of cholecystolithiasis with history of abdominal surgery.

Retrospective analysis was performed on 80 patients with gallbladder and common bile duct stones who had abdominal surgery history were collected from July 2017 to June 2020. Among them, 20 cases were treated with traditional open surgery (open group), and 60 cases were treated with laparoscopy combined with choledochoscope (double mirror group). SPSS 22.0 software was used for statistical analysis. The indexes during and after operation and the times of analgesic needle use in the two groups were expressed by (±s), and the independent sample t test was used; the treatment effect of the two groups was tested by rank sum test, and the incidence of postoperative short-term complications was tested by chi square test. The difference was statistically significant (P<0.05).

The operation time and effective rate of the double scope group were higher than those of the open group (P<0.05), but the intraoperative blood loss, postoperative analgesic needle use times, drainage tube indwelling time, exhaust time, intestinal function recovery time, hospitalization time, bile duct bleeding, bile leakage, incision infection, abdominal infection, pancreatitis and other recent complications in the double mirror group were significantly lower than those in the open group (P<0.05).

Double scope treatment has good therapeutic effect on choledocholithiasis and can significantly reduce the incidence of recent complications.