To report the characteristics and surgical procedures of laparoscopic Roux-en-Y choledochojejunostomy (LRCJ), investigate skills and methods in development and application of LRCJ.

Nine patients underwent LRCJ. Indication included choledochlithiasis in one patient, latrogenic biliary tract injury one patient, benign stricture on 3 patients, pancreatic cancer in 2 patients, choledochalcyst in one patient, ampullary carcinoma in one patient. All malignant tumors are unresectable in 4 patients. The patients with cancer and their families agree with palliative operation. All surgeries were performed by 5 stages included treatment of primary disease, cholecystectomy, separation and transection common bile duct, alimentary reconstruction and choledochojejunostomy.

All of the operations were performed successfully. The mean operative time was 360 minutes. The mean blood loss was 130 ml, and the meanpostoperative hospital stay was 9 days. One case had complicated with bile leak, healed by drainage before discharge for 10 days. The other had complicated with hydrothorax relieved after conservative medical therapy.

LRCJ is feasible and safe for biliary disease. Although there are some technical difficulties for this procedure, LRCJ should be the first choice for most of biliary reconstruction.