Hyderabad 24th November, 2025: CARE Hospitals, Malakpet, successfully performed a lifesaving, high-risk laparoscopic gallbladder surgery on a 72-year-old woman from Nalgonda, who arrived in a critical condition with severe right upper abdominal pain and hypotension.

 

She had initially been treated at another hospital, where she was diagnosed with acute calculous cholecystitis complicated by gallbladder perforation and started on antibiotics and inotropic support. Her condition was further complicated by multiple comorbidities including Coronary Artery Disease (CAD), a previous Cerebrovascular Accident (CVA), Chronic Renal Failure (CRF), diabetes, hypertension and ongoing antiplatelet therapy, placing her at extremely high risk for bleeding and surgical complications. Due to her deteriorating state, she was shifted to CARE Hospitals for advanced treatment.

 

A team led by Dr. Bhupathi Rajendra Prasad, Sr. Consultant & Head Dept. of Surgical Gastroenterology & Robotic Surgery, performed laparoscopic adhesiolysis, cholecystectomy and a thorough peritoneal wash. The surgery revealed dense adhesions, pus in the supracolic compartment, gangrenous gallbladder changes and a completely frozen Calot’s triangle. Despite the complexity, early surgical intervention prevented severe sepsis and further organ complications. The patient began mobilizing within 24 hours and had a smooth postoperative recovery. Such cases are rarely managed laparoscopically in elderly patients with multiple comorbidities, making this a notable achievement.

 

 

 

CARE Hospitals, Malakpet, is one of the few centres equipped to perform such high-risk gastrointestinal surgeries laparoscopically, supported by advanced technology and multidisciplinary care. The patient is currently stable and recovering well. Doctors emphasised that severe or persistent abdominal pain, especially in elderly individuals, should not be ignored, as timely evaluation can prevent life-threatening complications like perforation and sepsis.