[Using laparoscopic cholecystectomy in treatment of destructive forms of acute cholecystitis].

Videolaparoscopic cholecystectomy was performed in 352 patients with acute destructive cholecystitis, 236 (67%) of patients having phlegmonous cholecystitis or empyema of the gallbladder, 116 patients (33%) gangrenous cholecystitis. In 74 patients (21%) the course of acute cholecystitis was complicated by the formation of paravesical infiltration or abscess. Standard laparoscopic cholecystectomy was fulfilled in 250 patients (71%), in 102 patients not traditional methods of endovideosurgical dissection of the gallbladder were used, in particular laparoscopic cholecystectomy from the bottom in 18 patients (5.1%) and laparoscopic subtotal cholecystectomy in 84 (23.9) patients. The use of endovideosurgical method of treatment of acute destructive cholecystitis gives statistically reliably shorter time of operative intervention, less number of postoperative complications and lower index of postoperative lethality as compared with traditional cholecystectomy.