The article contains the data about the examination and surgical treatment of 21 children with cholelithiasis, most of them girls (6:1). There were 7 children at the age between 4 and 10 and 14 children at the age between 11 and 14 years. 15 patients had accompanying diseases of the gastrointestinal tract. Cholelithiasis in children generally may be caused by abnormalities of biliary tract formation. The ultrasonography is the most informative method of the diagnosis of the biliary tract diseases. This method enables early surgery and preventing involvement of other organs into pathological process to aroid complications. 18 patients had cholecystectomy and 3 patients had the additional lithotomy with papillosphincteroplasty. The remote results within 1 to 4 years were very good in 19 patients. Two patients were reoperated because of major duodenal papilla stenosis and cholelithiasis relapse.
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