26 Тихоокеанский медицинский журнал, 2016, № 1 УДК 616.366-002-036.11-089-072.1 АЛгОРИТМ вЫбОРА МЕТОдА хИРУРгИЧЕСКОгО ЛЕЧЕНИя бОЛьНЫх ОСТРЫМ хОЛЕЦИСТИТОМ С ПОвЫшЕННЫМ ОПЕРАЦИОННО-АНЕСТЕЗИОЛОгИЧЕСКИМ РИСКОМ Е.А. <...> Сергеев2 1 Федеральный клинический центр высоких медицинских технологий Федерального медико-биологического агентства России (143435, г. Химки, мкр Новогорск), 2 Клиническая больница скорой медицинской помощи (214000, г. Смоленск, ул. <...> PROCEDURE OF SURGERY TREATMENT METHOD CHOICE IN PATIENTS WITH ACUTE CHOLECYSTITIS WITH HIGH ANESTHETIC RISK E.A. <...> Sergeev2 1 Federal Clinical Center of High Medical Technologies FMBA of Russia (Khimki, Novogorsk 143435 Russian Federation), 2 Clinical Hospital of Emergency Medical Services (9 Tenishevoi St. <...> Research objective is efficiency assessment of laparoscopic cholecystectomy (LCE) with fan-shaped laparoliſt and sustainable development of the algorithm of surgical treatment of acute calculous cholecystitis in patients with increased anesthetic risk. <...> The results of treatment of 154 patients aged 43–87 with acute cholecystitis were summarized. <...> In 78 cases the LCE was carried out in gas-free environment using laparoliſta own design (the study group), 76 cases of LCE performed under carboxyperitoneum at a pressure of 6–8 mm/Hg. <...> The number of post-surgery complications when using fan-shaped laparoliſt was 27.3 % lower. <...> In the control group mortality was 6.6 % (5 patients) in the group where LCE was performed with the use of fan-shaped laparoliſt, one person died (fatality rate 1.3 %). <...> Determining the severity of the general condition of SAPS II with the calculation of the prognostic index of hospital mortality at admission helps to choose the most rational method of surgery treatment of acute destructive cholecystitis in <...>