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Cholecystectomy and exploration of the bile duct

3-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.

You can also download and print a PDF version of this factsheet, with space for your own questions or notes.

What are common bile-duct stones?

Common bile-duct stones are gallstones that get stuck in your common bile-duct. They are common and can run in families. The risk of developing gallstones increases as you get older and if you eat a diet rich in fat.

Common bile-duct stones can cause jaundice, serious infection of your bile ducts or inflammation of your pancreas.

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.

Are there any alternatives to surgery?

An ERCP is a procedure that uses a flexible telescope to examine your bile duct and to remove any gallstones.

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.

However, these alternatives will not cure the condition and symptoms are likely to come back.

What does the operation involve?

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

Your surgeon will first look for and remove any stones from your common bile duct. To allow bile to drain out, they will usually insert a T-shaped tube into your common bile duct, with the other end coming out through your skin.

Your surgeon will then separate your gallbladder from your liver, and remove it.

What complications can happen?

General complications

  • pain
  • bleeding
  • infection of the surgical site (wound)
  • unsightly scarring
  • developing a hernia in the scar
  • blood clots

Specific complications

  • damage to structures such as your bowel, bladder or blood vessels
  • developing a hernia near one of the cuts
  • surgical emphysema
  • retained stones
  • stones forming again
  • narrowing of your common bile duct
  • allergic reaction
  • leaking of bile or stones
  • infection of your skin
  • difficulty removing the tube
  • continued pain
  • diarrhoea
  • inflammation in the lining of your abdomen
  • bowel injury
  • continued bowel paralysis
  • serious damage to your liver
  • tissues can join together in an abnormal way

How soon will I recover?

You should be able to go home within 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.

Summary

Gallstones can move into your common bile duct. 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.

Last reviewed: September 2018

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