[Causes of postoperative lethality in acute cholecystitis and measures to decrease it].

The authors have made a comparative analysis of postoperative lethality in acute cholecystitis for the period of 25 years. The clinical material included 1383 operated patients, of them 87 (6.3%) patients died. In the previous years postoperative lethality was within the limits of 9-10% and the determining factor was elderly age, concomitant diseases, late hospitalization of the patients, belated surgery, strategic and technical errors. The present-day methods introduced into clinical practice of investigation (USI, CT) and laparoscopic method of operating made the lethality several times less. For the last 10 years lethality was 0.4% per 451 operated patients.