The aim of the work was the rationale for the choice of access in the performance of conversion in laparoscopic cholecystectomy. In our study, conversion was performed in 34 (2.78%) cases of 1222 laparoscopic cholecystectomies: when the LCE for chronic cholecystitis--17 (1.6%) cases of 1065, for acute cholecystitis--17 (10.8%) of 157. The most common access for conversion are oblique access Kocher and upper-middle access. Choice of approach for the implementation of the conversion depends on the cause of conversion.
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