Cholecystitis Surgery Dhaka

Acute cholecystitis presents with sudden severe right-upper-abdominal pain, fever, and a tender, palpable gallbladder (positive Murphy's sign). Chronic cholecystitis presents with recurrent biliary colic and fatty-food intolerance over months. Both are caused by gallstone-induced cystic-duct obstruction in >95% of cases.

Ultrasound confirms a thickened (>3 mm) gallbladder wall, pericholecystic fluid, and stones. Modern guidelines (Tokyo Guidelines) recommend early laparoscopic cholecystectomy within 72 hours of acute presentation — this is safer than the old practice of cooling down with antibiotics and operating 6 weeks later. Dr. Arefin follows this evidence-based pathway whenever the patient is stable.

The standard operation is laparoscopic cholecystectomy, often with placement of a sub-hepatic drain for 24–48 hours when significant inflammation is present. In severe inflammation that obscures Calot's triangle, Dr. Arefin uses a sub-total cholecystectomy — removing the gallbladder dome and stones while leaving a small cuff. This is far safer than risking bile-duct injury and is fully accepted modern practice.

Hospital stay is typically 1–3 days for acute cases and same-day for chronic cases. Patients return to office work in 1 week and to manual work in 2–3 weeks. Untreated cholecystitis can progress to empyema, gangrene, or perforation — early surgery is far safer than delay. Book a consultation as soon as symptoms appear.