[Experience in treatment of abdominal complications after urgent laparoscopic cholecystectomy]

Experience of treatment of 24 patients, in whom complications after urgent laparoscopic cholecystectomy for an acute cholecystitis have occurred, was studied. An acute phlegmonous cholecystitis was diagnosed in 14 (58.3%) patients, an acute gangrenous one--in 10 (41.7%). Pathological accumulations of liquid in abdominal cavity, measuring (105.9 +/- 79.1) ml at average, was observed in 17 patients, in them interventional sonography in accordance to the free hand method was applied. While dilatation of common biliary duct (CBD), sizing more than 10 mm, videoendoscopic papillosphincterotomy, the CBD revision, using Dormia's basket, choledocholithoextraction were performed. Passability of extrahepatic biliary ducts was controlled, using fistulography and retrograde cholangiography. Endoscopic operations were successful. All the patients have recovered and dismissed on the 10 - 13-th day.