[Laparoscopy in the treatment of complicated forms of acute cholecystitis].

The results of treatment 157 patients 19-88 years with complicated forms of acute cholecystitis. In the first stage 34 patients with destructive cholecystitis and obstructive jaundice, and 4 patients with pancreatitis underwent endoscopic retrograde cholangiopancreatography, and papillosphincterotomy litoekstraktsiya. In 33 cases, percutaneous transhepatic drainage is carried out of the gallbladder. All patients were operated laparoscopically. In 34 observations during the operation was found loose in the 37 observations--dense perivesical infiltration. The conclusion about the priority of minimally invasive interventions in complicated forms of cholelithiasis and acute cholecystitis.