Background : To determine the features of choosing the method of emergency laparoscopic cholecystectomy in patients with chronic diffuse liver diseases.

Methods : The results of laparoscopic cholecystectomy in 88 patients with acute calculous cholecystitis against the background of chronic diffuse liver diseases, operated on during the period 2005-2022, are summarized. Alcoholic liver disease occurred in 13 (17.8%), viral hepatitis (C and B) - in 52 (59.1%) and liver cirrhosis (16 - viral and 7 - alcoholic etiology) - in 23 (26.1 %) of patients. The destructive form of calculous cholecystitis occurred in 67.0% (n=59) of patients.

Results : Emergency laparoscopic cholecystectomy was performed in 26.1% of patients, urgent – 46.6% and delayed – 27.3%. Laparoscopic cholecystectomy in 20.4% was accompanied by increased bleeding from the gallbladder bed. Conversion was performed in 3.4% patients. In other cases, bleeding from the gallbladder bed was stopped using Tacho-Comb plates and application of Tuginа solution. In all cases, the operations are completed by taking a biopsy from the liver tissue. In the postoperative period, 19.3% patients had complications characteristic of diffuse liver pathologies, in the form of various stages of hepatocellular insufficiency, hypocoagulation disorders, worsening dysproteinemia, hypoalbuinemia and increased transaminase activity. Death was observed in 1.1% patient. In the pre- and postoperative periods, patients underwent targeted correction of the functional state of the liver.

Conclusions : Laparoscopic cholecystectomy in patients with chronic diffuse liver diseases helps reduce complications and postoperative mortality. However, it is necessary to observe the specifics of the method and the corresponding pre- and postoperative corrections.