If he’s symptomatic with recurrent episodes of pain/cholangitis he needs lap cholecystectomy after assessment by anaesthetist pertaining to history of CVA/stroke

As you specifically ask about risk factors he fall under high risk group but you need to operate !!! Can you please share his investigation too blood as well as radiological!!! You should operate where good anaesthesia backup is there and cardiology team is there as well as cardiac critical care Icu as backup plan !! Inshort go for where multispeciality team is available under one roof

Hello there! You havent mentioned his age What was his symptoms? Was it accidentally detected stone? Apart from CVA what else does he have?

Hi, any history of stroke puts him in high risk patient category. But he will definitely require a detailed work up before surgery.

Hello! He can undergo laparoscopic gallbladder removal if he is experiencing any symptoms of abdominal pain, bloating and vomiting. Ultrasound report is needed to look for size of gallbladder stones or any features of infection. The risks included are bleeding which will be taken care by stopping ecosprin AV prior to surgery and it can be continued post surgery. Pls consult nearby surgeon with recent reports.