[Clinico-anatomical characteristics of various forms of chronic calculous cholecystitis].

The authors conducted clinical and anatomical study of 207 gallbladders removed for chronic calculous cholecystitis. In 29% of cases the structural changes in the gallbladder had the character of hyperplastic and hypertrophic processes with the formation of polyps and moderate sclerosis of the wall. In 40% of cases the process showed a tendency towards sclerosis and atrophy from the very beginning. In 31% of cases the morphological changes in the gallbladder hardly differed from the controls. Comparison of the morphological changes in the gallbladder with the clinical findings made it possible to distinguish three forms of the course of chronic cholecystitis: hyperplastic, hypoplastic, and normoplastic. The authors substantiate the choice of the operative method in elderly patients according to the morphological features of this disease.