O Teshaev, E Zhabborov, A Kholdorov, Z Abdullaev
From 2013 to 2014 we have analyzed the treatment of 121 patients aged 19 to 88 years with various forms of acute cholecystitis. Only 13 (10.7%) were hospitalized within 6 hours from the start of the disease. In 53 (43.8%) patients had disease duration was 6 - 24 hours, and 55 (45.5%) patients were admitted to the surgical ward after 24 hours from the time of acute holetsistita.V 9 (7.4%) cases of acute cholecystitis was complicated by obstructive jaundice, which persists with the use of minimally invasive (PTHC 2 (22.2%), ERCP+ERS + 7 (77.8%) of instrumental methods in the beginning of treatment.Of these 18 (14.9) patients treated without surgery. 103 (85.1%) patients were operated on at different times from admission to the surgical ward. The main type of operation was - cholecystectomy. Analyzing the
technical aspects of the operations, it should be noted that the use of minimally invasive surgical procedures in a number of cases have been associated with certain technical difficulties. In acute catarrhal and phlegmonous cholecystitis without evidence of perivesical process more efficient laparoscopic cholecystectomy. When phlegmonous cholecystitis with moderate perivesicular process and gangrenous cholecystitis operations choice where these are cholecystectomy through intramuscular mini access to the right upper quadrant in the case of technical difficulties identified during surgery, it is justified by the expansion of wounds. When performing open surgery for acute cholecystitis is the most rational right sides intermuscular access
