[Causes of conversion and choice of approach to complete laparoscopic cholecystectomy]

Results of performance of laparoscopic cholecystectomy in 1503 patients were analyzed. In 49 of them application of laparoscopic technology proved to be impossible. The causes, which lead to conversion, were adduced. There was established that in majority of observations an adequate surgical intervention may be performed using minimal laparotomic approach. The conversion is indicated in damage of extrahepatic biliary ducts or in presence of diffuse peritonitis only.