Minimally invasive laparoscopic procedure completed in 45 minutes under general anaesthesia.
Fortis Escorts Hospital, Faridabad, successfully removed more than 4,000 gallstones from a 41-year-old man through minimally invasive laparoscopic surgery. The case is among the highest gallstone counts reportedly treated in the city. The patient had a high-risk clinical profile, including morbid obesity, obstructive sleep apnoea, type 2 diabetes mellitus, hypertension and acute kidney injury.
The multidisciplinary team, led by Dr. B.D. Pathak, Senior Director, GI, Minimal Access and Bariatric Surgery, Fortis Escorts Hospital, Faridabad, completed the procedure in just 45 minutes under general anaesthesia.
Severe Symptoms and High Stone Burden
The patient presented with severe abdominal pain that had worsened over seven days, along with nausea and indigestion. Diagnostic imaging showed a severely inflamed gallbladder packed with thousands of microscopic gallstones and thick biliary sludge. Given the high stone burden, immediate surgery was necessary to prevent complications such as infection, gallbladder rupture and bile duct obstruction.
Despite the complexity of the case, the surgical team successfully removed the gallbladder and more than 4,000 stones through a laparoscopic approach. As per a press release issued by Fortis Escorts Hospital, Faridabad, the patient recovered smoothly under the joint care of the surgical, nephrology and internal medicine teams and was discharged a few days later.
Precision Surgery in a High-Risk Patient
Commenting on the case, Dr. B.D. Pathak said, “Operating on a patient with a BMI of 46 who is already battling acute kidney failure and requiring dialysis is an extraordinary clinical challenge. Treating more than 4,000 gallstones requires extreme precision to prevent rupture and widespread infection. Completing the procedure safely in just 45 minutes demonstrates how advanced minimal access surgery can reduce surgical trauma and anaesthesia time in high-risk patients.”
Dr. Abhishek Sharma, Facility Director, Fortis Escorts Hospital, Faridabad, said, “This extraordinary clinical milestone underscores Fortis Escorts Faridabad’s capability to manage complex and high-risk medical emergencies. The successful outcome required rapid coordination among the surgical, nephrology, critical care and anaesthesia teams.”