[Topographic-anatomic basis for the access choice during cholecystectomy for acute cholecystitis]

Comparative topographoanatomic investigation of parameters of accesses during performance of open and laparoscopic interventions was conducted. There was established, that for an acute cholecystitis, complicated by peritonitis, the upper middle laparotomy constitutes an adequate access. Application of laparoscopic technologies for cholecystectomy performance is expedient if the inflammatory changes are restricted by gallbladder wall.