[Method of cholecystectomy for large Hartman pocket inosculated with biliary tracts].

The patients were divided into 2 groups according to the method of cholecystectomy. The 1st group included 36 patients operated on by a traditional method. The 2nd group consisted of 34 patients operated on by the proposed method of cholecystectomy (invention application N 2008103639) developed at the department of hospital surgery of the Ulianovsk state university. Complications were noted more often in the first group of patients: injury to the common bile duct (5.6%), bleeding from the gallbladder bed (11.1%), bile excretion (8.3%). Complications in the second group: bleeding from the gallbladder bed (2.8%). The proposed method of cholecystectomy for large Hartman pocket inosculated with biliary tracts allows a decrease of such complication as bleeding, bile excretion, excludes injuries of the common bile duct.