Abstract
Biliary peritonitis, as a complication of acute destructive cholecystitis, accounted for 7.1% and most often (35.2%) developed in elderly patients. According to the mechanism of development, 67.1% observed profuse bile peritonitis with the absence of pathognomonic signs of a catastrophe in the abdominal cavity. Optimization of the tactical and technical aspects of surgical treatment of patients with bile peritonitis using puncture diapeutic methods, laparoscopy and transduodenal endoscopic interventions made it possible to improve treatment results in the main study group, where complications in the immediate postoperative period amounted to 16.3%, mortality 4.1% (in group comparison - 33.3% and 6.1%, respectively)