[Surgical tactics in acute cholecystitis in patients with atherosclerosis and ischemic heart disease].

Operations were performed in 1020 patients with acute cholecystitis, 530 of them were older than 60. The total postoperative lethality was 2,6% of cases, that in elderly and senile patients was 4,15% of cases. Among 530 patients older than 60, 275 patients (52%) were found to have coronary atherosclerosis and ischemic heart disease. Under consideration were particular contraindications from the cardio-vascular system against operations in the interval. The method described gives the opportunity to fulfil operations in 50% more cases among patients older than 60 having acute cholecystitis.