Methods: We present the case of an 89-year-old Caucasian man who had undergone appendectomy, laparoscopic cholecys- tectomy, and open distal gastrectomy with Billroth II gastrojejunostomy for early gastric cancer. He presented with recurrent choledocholithiasis and no fever or jaundice. Before admission, endoscopic retrograde cholangiopancreatography (ERCP) had been tried two times but was not feasible. Laboratory test findings revealed elevated cholestatic enzymes; magnetic resonance cholangiopancreatography revealed common bile duct stones. A laparoscopy was performed, and adhesions were lysed and jejunostomy was established by laparoscopy. A trocar was inserted and secured with a purse-string suture. The laparoscopically assisted ERCP was then performed.