The conservative treatment in the cases of primary attack of acute calculous cholecystitis is not effective, this is one of the results of the analysis made on the basis of the experience of thirty years and treatment of 3520 patients with acute cholecystitis. Thus, 90% of such acute attacks turn into chronic, and frequently into relapse forms, besides this 75% of patients get complicated forms of illness already in the first year of treatment. Active surgical and medical tactics give the possibility to reduce the postoperative lethality by 6 times and the number of postoperative complications by more than 2.5 times.
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