When a gallstone passes into the bile duct, it can be resolved in a single operation: the stone is removed and the gallbladder is taken out in the same procedure, usually laparoscopically. This avoids having to undergo two separate procedures.
Before surgery
Blood tests and imagingBlood tests and imaging will be performed to locate the stone and assess the bile duct.
JaundiceIf your skin or eyes are yellow, your urine dark or your stools pale, tell us: it is important information.
FastingNo solids for 6 hours before; clear fluids up to 2 hours before.
MedicationTell us if you take blood thinners or antiplatelets. You will receive specific instructions.
The day of surgery
AnaesthesiaGeneral anaesthesia.
TechniqueLaparoscopically, the bile duct is checked with a contrast X-ray (cholangiography), the stone is removed and the gallbladder is taken out in the same procedure.
DurationBetween 1.5 and 3 hours depending on difficulty.
Drain or tubeIn some cases a drain or a tube in the bile duct (T-tube) is left for a few days. Your surgeon will tell you if this applies to you.
After surgery
MonitoringLiver blood tests are checked over the first days. Some temporary alteration is normal.
DietStart with fluids and progress as tolerated. Avoid very fatty foods for the first few weeks.
Getting movingWalk from the same day. Early movement reduces complications.
T-tubeIf you have one, you will receive clear instructions on its care and when it will be removed. Do not handle or clamp it yourself.
ActivityNo lifting over 5 kg for 2–3 weeks.
⚠ When to seek help immediately
Go to the emergency department or contact your team if you have:
Fever of 38 °C (100.4 °F) or higher
Pain that does not improve with your prescribed medication
Persistent vomiting or inability to keep fluids down
A wound that is red, warm, oozing or opening up
Difficulty breathing or chest pain
No gas or bowel movements together with abdominal bloating
