title: [Results of various treatment modalities in the calculous cholecystitis].
abstract: Two alternative methods for the treatment of calculous cholecystitis are evaluated: extracorporeal lithotripsy was performed in 284 patients, laparoscopic cholecystectomy--in 130 patients. Even in strict selection of patients, lithotripsy was ineffective in 32 of them and they were subjected to an operation; in another group of patients elimination of the fragments from the gallbladder was incomplete. Therefore, extracorporeal lithotripsy may be used in no more than 10% of patients with cholelithiasis. Laparoscopic cholecystectomy was conducted in 130 patients. In 6 (4.5%) of them the operation had to be completed by laparotomy because complications occurred during the laparoscopic intervention. Laparoscopic cholecystectomy has some obvious advantages over open cholecystectomy: easier postoperative period, early activation of the patients, a good cosmetic effect. However, to determine the boundaries and possibilities of this method accumulation of experience is needed.
authors.forename: V P
authors.initials: VP
authors.lastname: Strekalovskiĭ
authors.forename: Iu G
authors.initials: IuG
authors.lastname: Starkov
authors.forename: N A
authors.initials: NA
authors.lastname: Grishin
authors.forename: M V
authors.initials: MV
authors.lastname: Beliaev
authors.forename: A E
authors.initials: AE
authors.lastname: Kotovskiĭ
authors.forename: I A
authors.initials: IA
authors.lastname: Riapolov
authors.forename: M P
authors.initials: MP
authors.lastname: Gorev
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017081:Cholecystectomy, Laparoscopic; D002764:Cholecystitis / Q000150:complications / Q000628:therapy*; D002769:Cholelithiasis / Q000150:complications / Q000628:therapy*; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008096:Lithotripsy; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
vernacular_title: Rezultaty primeneniia razlichnykh metodov lecheniia kalkulëznogo kholetsistita.