Healthdirect Free Australian health advice you can count on.

Medical problem? Call 1800 022 222. If you need urgent medical help, call triple zero immediately

healthdirect Australia is a free service where you can talk to a nurse or doctor who can help you know what to do.

beginning of content

Cholecystectomy and exploration of the bile duct

4-minute read

This page will give you information about a cholecystectomy and exploration of the bile duct. If you have any questions, you should ask your GP or other relevant health professional.

What are common bile-duct stones?

Common bile-duct stones are gallstones that move out of your gallbladder and get stuck in your common bile duct, which is a tube that connects your gallbladder to your intestines. Gallstones are ‘stones’ that form in your gallbladder. They are common and can run in families.

Your liver produces a fluid called bile that is concentrated by, and stored in, your gallbladder.

When you eat food, your gallbladder empties bile into your intestines to help digest fats. Stones can develop in bile, particularly if you eat a diet rich in fat.

Illustration showing the position of the gallbladder.
The position of the gallbladder.

What are the benefits of surgery?

You should be free of pain and able to eat a normal diet. Surgery should also prevent the serious complications that common bile-duct stones can cause.

Are there any alternatives to surgery?

An ERCP (endoscopic retrograde choledocho pancreatogram) is a procedure to examine your bile duct using a flexible telescope and dye (colourless contrast fluid).

It is possible to dissolve the stones or even shatter them into small pieces but these techniques involve unpleasant drugs that have side effects and a high failure rate.

Antibiotics can be used to treat any infection of your gallbladder and common bile duct. Eating a diet low in fat may help to prevent attacks of pain.

What does the operation involve?

The operation is performed under a general anaesthetic and usually takes 1 to 2 hours.

Your surgeon will first need to find out where the stones are in your common bile duct.

If your surgeon finds any gallstones in the duct, they will try to remove them through the cystic duct using a wire basket, or by using a tube with an inflatable balloon at the end (balloon catheter).

Your surgeon will remove your gallbladder. They will free up and secure your gallbladder duct (cystic duct) and artery, separate your gallbladder from your liver, and remove it.

What complications can happen?

Some of these can be serious and can even cause death.

General complications of any operation

  • pain
  • bleeding
  • infection of the surgical site (wound)
  • unsightly scarring of your skin
  • developing a hernia in the scar
  • blood clot in your leg
  • blood clot in your lung

Specific complications of this operation

Keyhole surgery complications

  • damage to structures such as your bowel, bladder or blood vessels
  • developing a hernia near one of the cuts
  • surgical emphysema (crackling sensation in your skin caused by trapped carbon dioxide gas)

Bile duct exploration complications

  • retained stones in your common bile duct
  • stones forming again in your common bile duct
  • narrowing of your common bile duct
  • allergic reaction to the equipment, materials, medication or dye
  • leaking of bile after the tube is removed
  • infection of your skin around the tube
  • difficulty removing the tube

Cholecystectomy complications

  • leaking of bile or stones
  • continued pain
  • needing to go to the toilet more often
  • inflammation of the lining of your abdomen
  • bowel injury
  • continued bowel paralysis (ileus), where your bowel stops working for more than a few days
  • serious damage to your liver or its associated blood vessels
  • tissues can join together in an abnormal way

How soon will I recover?

You should be able to go home after 1 to 2 days if you had keyhole surgery or after 4 to 5 days if you had open surgery.

You should be able to return to work after 3 to 4 weeks, depending on how much surgery you need and your type of work.

Regular exercise should help you to return to normal activities as soon as possible. Before you start exercising, ask the healthcare team or your GP for advice.

You should make a full recovery and be able to return to normal activities and eat a normal diet.

Summary

Gallstones are a common problem. An operation to remove your gallbladder and any stones in your common bile duct should result in you being free of pain and able to eat a normal diet.

IMPORTANT INFORMATION
The operation and treatment information on this page is published under license by Healthdirect Australia from EIDO Healthcare Australia and is protected by copyright laws. Other than for your personal, non-commercial use, you may not copy, print out, download or otherwise reproduce any of the information. The information should not replace advice that your relevant health professional would give you.

For more on how this information was prepared, click here.

Learn more here about the development and quality assurance of healthdirect content.

Last reviewed: September 2019


Back To Top

Need more information?

These trusted information partners have more on this topic.

Top results

ERCP for pancreatic and biliary disease information | myVMC

ERCP (endoscopic retrograde cholangiopancreatography) is a procedure for viewing from the mouth to the duodenum to diagnose pancreatic or billiary disease.

Read more on myVMC – Virtual Medical Centre website

Gallstones: treatment - myDr.com.au

Gallstones that are causing symptoms can be treated by removing the gallbladder using a procedure called cholecystectomy.

Read more on myDr website

Gallbladder - gallstones and surgery - Better Health Channel

Medical treatment for gallstones may not be necessary unless the gallstones cause symptoms.

Read more on Better Health Channel website

How your food is digested - myDr.com.au

The digestive system is a series of hollow organs such as the stomach and small intestine. Digestion starts in the mouth with the production of enzymes to break down carbohydrate and then moves to the

Read more on myDr website

Healthdirect 24hr 7 days a week hotline

24 hour health advice you can count on

1800 022 222

Government Accredited with over 140 information partners

We are a government-funded service, providing quality, approved health information and advice

Australian Government, health department logo ACT Government logo New South Wales government, health department logo Northen Territory Government logo Government of South Australia, health department logo Tasmanian government logo Government of Western Australia, health department logo