Would u perform a lap/open cholecystectomy on high-risk patient?(iddm, mi, ht, esrf+pd)what are alternatives? p.s. had complications - panc/cholecystitis

Probably: Every patient has to be individually evaluated, but a 60 yo with pancreatits/cholecystitis should in most situations have the gallbladder removed. Laparoscopy would probably be the best approach. If it's considered too risky to remove the gallbladder the tube drainage of the gallbladder should be considered, plus antibiotics, no alcohol and low fat diet. Speak to an experienced surgeon.Good luck.