Nowadaysone of the main reasons for cholecystectomy is inflammatory diseases - cholecystitis, cholangitis and gallstone disease. To this day and in recent years, the most radical method of treatment remains cholecystectomy. Acute calculous cholecystitis (ACC) ranks third after acute appendicitis and acute pancreatitis among the urgent surgical diseases of abdominal organs. Patients with acute calculous cholecystitis make up 10- 50% of the total number of patients with surgical diseases, and this disease is "aging" There is a certain tendency to