[Transhepatic laparoscopic puncture in hydrops of the gallbladder with drainage of the subhepatic space].

Experience is recorded with the two-step treatment of 7 patients with acute cholecystitis. The first step in the acute stage comprised unblocking laparoscopic transhepatic puncture of the gall bladder with instillation of hibitan solution and gentamycin in the bladder cavity and subsequent drainage of the subhepatic space. The second step (after 20 days) was that of the radical surgical intervention in a stage of remission (cholecystectomy in 5 patients and cholecystectomy with choledochotomy and extraction of calculi from the common bile duct in 2). The postoperative period was uneventful and the patients were discharged from hospital in a very good state of well-being without any complication. Unblocking laparoscopic transhepatic puncture of the gall bladder with drainage of the subhepatic space proved to be the method of choice for treatment of acute cholecystitis in the acute stage of the disease. Risk operations in this stage were postponed and were performed during the stage of remission.