objective to investigate the laparoscopic combined fiber choledochoscope confirmed gal bladder stone extraction for indications and clinical curative effect. Methods retrospective analysis the clinical data of line 47 cases of confirmed biliary lithotomy. The 39 patients with gal bladder stone, 8 cases of gal bladder polyp. Laparoscopic combined fiber choledochoscope bile stone extraction for. Results 47 cases were successful laparoscopic combined fiber choledochoscope bile stone extraction for bao, no transit operation, postoperative bile leakage. Postoperative fol ow-up ultrasound results show that the function of the gal bladder is good. Conclusion laparoscopic combined fiber choledochoscope confirmed gal bladder stone extraction for safe and feasible, and has the advantages of smal trauma, pain is light, good curative effect.