Shpitonkov A.V., Dudkin B.P., Kalchenko B.L., Zotov P.V., Aleshin O.I. Moscow For surgical treatment of patients with cholelithiasis in the Central Clinical Hospital of the Federal Security Service three methods of surgical intervention are used according to the relevant indications: traditional operations, laparoscopic cholecystectomy (LCE) and operations through minilaparotomy access (MLA). Of 684 patients operated on, 305 (44.6%) were admitted urgently, 379 (55.4%) — on a planned basis. Of those admitted urgently, 262 (69%) patients were operated on minimally invasive methods: 211 — LCE, 51 — MLA. LCE was performed in the absence of frequent exacerbations of cholelithiasis, signs of choledocholithiasis, and severe concomitant diseases. Previous abdominal surgery was generally not an absolute contraindication for laparoscopic cholecystectomy. In patients with a history of obstructive jaundice, endoscopic retrograde cholangiopancreatography (ERCP) was performed, and if necessary and technically feasible, endoscopic corrective surgery on the major duodenal papilla was performed. We then aim to perform laparoscopic cholecystectomy within 10 days after the procedure. Intraoperative cholangiography during laparoscopic procedures was performed in only one case. In two patients, residual common bile duct stones were detected after laparoscopic cholecystectomy, which were removed endoscopically.