Methods: An 88-year-old woman with known retained common bile duct stones after cholecystectomy presented to the emergency room with acute right upper quadrant abdominal pain. She had a history of a duodenal perforation during ERCP two years prior. Subsequently, she developed recurrent paraduodenal abscesses requiring percutaneous drainage, intravenous antibiotics and eventual surgical drainage. Given her history, the gastroenterology service was reluctant to perform ERCP. We elected to schedule the patient for laparoscopic stone extraction. A total of Indocyanine green (ICG) was administered intravenously 30 minutes prior to the incision. Results: Upon gaining access into the abdominal cavity, dense peri-hepatic adhesions were taken down. The liver and common bile duct were identified with fluorescence cholangiography. A large choledochotomy was performed and multiple stones were extracted. Choledochoscopy revealed multiple tiny stones in the distal common bile duct. The stones were retrieved using a Fogarty catheter. A 16-French T-tube was inserted into the choledochotomy and the CBD was closed with interrupted 2-0 Vicryl sutures. A completion cholangiogram showed passage of contrast into the duodenum with no evidence of choledocholithiasis. A drain was placed in subhepatic space and the operation was concluded in standard fashion. The patient returned to the clinic three weeks later with minimal drainage from her T-tube which was then clamped. Following a negative T-tube cholangiogram, the T-tube and abdominal drain were both removed.