LAPAROSCOPIC SUBTOTAL CHOLECYSTECTOMY AS METHOD OF PROPHYLAXIS OF BILIARY DUCTS DAMAGE IN THE TREATMENT OF COMPLICATED FORMS OD CHOLELITHIASIS

Background. Laparoscopic cholecystectomy is the gold standard treatment for gallstones. However, for the safe conduct of the operation one needs a clear definition of the cystic duct and cystic artery, accurate dissection of Calot triangle. In some situations, it is not possible to perform this step of the operation and conversion rate by various authors is up to 50%.

Results. Laparoscopic subtotal cholecystectomy was performed in 42 patients. Postoperative period was different depending on the nature of underlying pathology.

Conclusions. Laparoscopic subtotal cholecystectomy is an alternative to open colecystectomy in cases of complicated forms of cholelithiasis.