[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.