[Percutaneous gallbladder puncture and microcholecystostomy under echographic control in acute cholecystitis].

Percutaneous puncture sanitation of the gallbladder and microcholecystostomy under ultrasonic control were used in treatment of 62 patients with acute cholecystitis with high operative risk. There were 14 men and 48 women with the average age 78 years. All the patients were admitted to the hospital in critical state. The inflammatory process was completely arrested in 44 of the patients, 9 patients had temporary improvement which was followed by planned operation. In 9 patients no effect was noted. Two patients died. Both interventions can be used in wide clinical practice both as independent procedures and for preoperative treatment.