[Cholelithiasis from the surgeon's view point].

Patients with silent gallstones and without other severe diseases should be operated on as well as patients with complications of gallstones like perforation, jaundice and obstructive bowel disease caused by stones. In case of acute cholecystitis medical treatment stands first. During operation cholangiography is performed. In choledocholithiasis we prefer choledochoscopy with a rigid instrument.