RESUMEN
Among 259 planned operations on bile ducts 102 operations were performed for complicated cholecystitis and 36 operations for the syndrome after cholecystectomy. Intensive correcting therapy of morphofunctional disorders of the liver and pancreas in the pre- and postoperative period including the intraportal way of infusion as well as the optimal choice of the type of the surgical intervention allowed to reduce complications of acute hepatic insufficiency (3 patients or 1,15%) with one lethal outcome and to avoid pancreatonecrosis after the operation. Early diagnosis and timely surgical treatment of patients with cholelithiasis as well as special measures for the prevention of complications could result in less postoperative complications and lethality and better remote results of the surgery.