[Urgent tasks of emergency diagnosis and treatment of acute cholecystitis].

An analysis of issues of surgical therapy for acute cholecystitis has indicated the advantages of an active policy contrary to expectation and conservative methods. Among 397 patients operated upon on urgent indications 9 patients died (2.2%). By means of accelerated chromoduodenal sounding and cholecystocholangiography (if not contraindicated) the function of the gallbladder could be judged preoperatively. Using these methods of estimation of the gallbladder state intraoperatively and studying the preparations a non-functioning (excluded) gallbladder was found in 75% of patients. It is believed that conservative therapy in this category of patients is unlikely to be a success. They are amenable to surgical treatment as soon as the reliable diagnosis is established.