A Babazhanov, U Khudoynazarov
Throughout the whole era of the development of surgery, an important motto was: "Big surgeon - big cut." This principle was indeed justified until some time. However, this approach to the implementation of the surgical approach was accompanied by a significant number of complications in the postoperative period associated with the intersection of powerful muscle layers, large main vessels and nerves. With the development of innovative medical technologies, the appearance of new instruments in the arsenal of surgeons, a more thorough preoperative examination of patients, the need to perform large incisions gradually disappeared. The most rapid development of medical technologies occurred in the 70-80s of the last century. A significant turning point in endoscopic surgery occurred in the late 80s, when a new operation was introduced into clinical practice - laparoscopic cholecystectomy (LC) (E. Muhe, 1985; Ph. Mouret, 1987). Currently, along with traditional cholecystectomy (TCE), LCE and minilaparotomic cholecystectomy (MCE) are widely used in clinical practice. The study of immediate and long-term results of treatment, which followed the introduction of new technologies into wide surgical practice, showed that the course of the postoperative period is largely associated not so much with the volume of surgical action directly in the abdominal cavity, but with the localization and size of the surgical wound [1 -3]. The end result of all options for cholecystectomy is the removal of the gallbladder, thus, the comparison of traumatic ™ minimally invasive and traditional interventions is essentially a comparison of the surgical approach and, to a lesser extent, certain technical features (for example, carboxyperitoneum, electrocoagulation, etc. ).
