Complex Gallbladder and CBD Case Successfully Treated with Advanced Lap. Surgery

When a 70-year-old diabetic male arrived at Aadhar Health Institute, Hisar, he was suffering from severe right upper abdominal pain that had been worsening over several days. On evaluation, imaging studies revealed a gallbladder perforation with multiple stones in the common bile duct (CBD) — a rare and serious condition requiring urgent surgical management.

The patient had previously undergone ERCP with CBD stenting for stone removal a few months earlier. However, follow-up MRCP showed that new stones had formed, along with thickening of the gallbladder wall and a focal perforation area, indicating a high risk of infection and bile leakage.

After a detailed multidisciplinary discussion, the surgical team planned a complex laparoscopic procedure —
Lap Cholecystectomy with CBD Exploration and Stent and Stone Removal with CBD Repair over T-Tube.

During surgery, multiple stones were successfully removed, the CBD was cleared, and a T-tube was placed to ensure smooth bile drainage and healing. The procedure was performed entirely laparoscopically with minimal blood loss.

CBD repaired over T-tube after successful stone and stent removal.

The patient recovered well postoperatively, with no complications. He was discharged in stable condition and showed excellent recovery during follow-up visits, with good T-tube drainage and complete symptom relief.

This case demonstrates how advanced laparoscopic expertise and timely intervention can prevent life-threatening complications in elderly and diabetic patients with complex biliary diseases.

At Aadhar Health Institute, our surgical team continues to deliver excellence in minimally invasive and emergency care — combining skill, technology, and compassion to restore health and hope.