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Bile duct stones are typically removed using endoscopic retrograde cholangiopancreatography (ERCP), a minimally invasive procedure that combines x-ray and upper endoscopyâan exam of the upper gastrointestinal tract, consisting of the esophagus, stomach and duodenum (the first part of the small intestine)âusing an endoscope, which is a lighted, flexible tube, about the thickness of a finger.
Choledocholithotomy, or common bile duct exploration, is used to remove large stones or in cases when the duct anatomy is complex. In this procedure, the doctor carries out open abdominal surgery and extracts gallstones through an incision in the common bile duct.