SIGNIFICANCE OF MINIMALLY INVASIVE INTERVENTIONS IN SURGICAL TREATMENT OF COMPLICATIONS OF CHOLELITHIASIS

The results of treatment of 82 patients with biliary peritonitis as a complication of acute destructive cholecystitis are presented. Biliary peritonitis as a complication of acute destructive cholecystitis was observed in 7.1% of patients. Prevalence of the perforative form of peritonitis was noted, which was observed in 67.1%, bile peritonitis due to perforation of the gallbladder wall was observed in 32.9% of patients. The priority use of minimally invasive surgical interventions (diapeutic, endoscopic and laparoscopic methods) in the treatment of local bile peritonitis as a complication of acute cholecystitis was successfully carried out in 67.3% of patients in the main group.