Safe Keyhole Recovery at Age 68: Complex Gangrenous Gallbladder Resolved via Precision Laparoscopic Surgery
01 Patient Presentation & Clinical Challenge
68-year-old Mr. Shamsul Alam presented with high-grade fever, severe right upper abdominal guarding, and blood glucose of 21.6 mmol/L. High-resolution abdominal ultrasound and CT scan revealed a tense, gangrenous gallbladder with localized abscess formation—carrying high risk of generalized peritonitis if delayed, yet high anesthetic risk due to age and diabetes.
02 Multidisciplinary Hospital Intervention
Under the leadership of Prof. Dr. Abul Bashar Abdul Matin and surgical consultant Dr. Fouzia Sultana, a rapid pre-operative optimization team stabilized glycemic levels via insulin infusion and verified cardiac reserve.
- High-definition 4-port laparoscopic dissection safely cleared dense inflammatory adhesions, evacuated the localized abscess, and achieved secure critical-view cystic duct/artery closure without converting to a large painful open abdominal incision.
- Early mobilization and respiratory physiotherapy prevented post-operative pulmonary complications.
03 Recovery Outcome & Follow-Up
Mr. Alam started oral sips the next morning, walked comfortably down the cabin corridor within 24 hours, and returned to his Shyamoli residence on Day 4 with tiny keyhole dressings and stable glycemic control.
“At 68 with diabetes, other places warned us of a huge abdominal cut and weeks in bed. Prof. Matin’s surgical team completed everything laparoscopically and I was walking the very next day.”
