Only 9.2% patients in LChE group required treatment in ICU, but 82.6% patients in CChE group need to be stayed in ICU and it that averaged, 6 days (P=0.018).
The patients being performed successful LChE were discharged from hospital in average 3.6 days after operation while patients in conventional group required hospital stay 6.5 days (P<0.001 (Table 2).
Despite of great technical difficulties and increase the risk of laparoscopic operation in AGCh laparoscopic cholecystectomy (LChE) was successfully made by us in most cases.
Technical aspects of LChE in non-complicated calculous cholecystitis are rather well studied and worked out, but in ACh operation has its peculiarities and difficulties.
Modified method of LChE with the use of three 10 mm trocars has been used by us in 57 AGCh patients.
Taking into account rather low percentage of failures at dissection of cicatricial infiltrative adhesions with the use of endoscopic technology (3.8%) we think that an attempt of LChE may be taken in all the cases.
As Ach's complications start to present on the 4th day of disease we have come to conclusion that LChE should be better performed before the presentation of ACh complications--the first 72 hours from the beginning of disease.
Acute gangrenous cholecystitis is not contra-indication to LChE. Therapeutic resources of laparoscopic techniques in 96.2% cases allow performing cholecystectomy successfully.