[Criteria of decision on the access for laparoscopic choledocholithotomy]

The article presents an experience with operative treatment of 187 patients for choledocholithiasis using endovideosurgical technology. The conditions influencing the optimal choice of places for introduction of trocars responsible for maximal efficiency of the intervention were analyzed. Principal criteria of the operative access were established: the depth of operative procedure, distance between the xiphoid process and the place of introduction of the epigastral trocar, the angle of operative procedure, the angle of ascent.