An acute cholecystitis - modern surgical problem

In this article considered an acute cholecystitis problem based on treatment experience of 683 patients treated in faculty surgery clinic by the name of S. P. Fedorov MMA. The treatment tactics based on verification of basic disease and its complications, and also on complex patients estimation. The surgical tactics suppose strictly well-founded realization of urgent and deferred radical operations in 82,1% patients and palliative diapevtic operations - in 4,7% instances, that allow to decrease common and postoperative lethality down to 0,44% and 0,53%, accordingly. Presented clinico-pathogenetical and an operative interventions classifications are provide standartization of diagnostic algorithm and therapeutic approach.