Introduction. There presented a 23-year experience in preserving surgery in the treatment of cholelithiasis. Optimization of treatment management of uncomplicated cholecystolithiasis becomes one of actual problems in surgical gastroenterology.
Methods. The study involved 188 patients with uncomplicated single cholecystolithiasis. On the basis of clinical, laboratory and instrumental studies there have been refined and expanded the known criteria for the selection of patients to perform cholecystolithotomy, which is made in 78 (41.5%) cases, the other 110 (58.5%) — performed laparoscopic cholecystectomy.
Results. In the late period in time to the true recurrence of 7.6 years after cholecystolithotomy stone formation occurred in 5 (9.1%) cases, functional disorders of the digestive system after cholecystectomy — in 19 (23.2%) of cases.
Conclusion. Experience of performance of cholecystolithotomy allowed to establish the possible reasons of recurrence of cholecystolithiasis. Technology of performance of laparoendoscopic assisted cholecystolithotomy is most optimal and minimal traumatic.