[Minimally invasive surgery of cholelithiasis in patients with high operation risk]

Results of cholecystectomy from minilaparotomic access in 556 patients with high operation risk were analyzed. Patients aged 18-89 years, average age was 67.3 +/-4.5 years. Average surgery duration was 43.5 +/-4.4 min. 82 (14.7%) of patient received a two-stage treatment: endoscopic retrograde cholangiopancreaticography and papillosphincterotomy followed by cholecystectomy, the rest patients had only cholecystectomy with common bile duct surgery, if it was necessary. Intraoperative complications were registered in 19 (3,4%) patients. Lethality rate was 0.18%.