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The author summarizes results of the treatment of 140 elderly and senile patients with complicated cholelithiasis divided into 2 groups using scales for the assessment of their clinical condition and prognosis of treatment outcome. Patients of groups 1 and 2 were given single- and multistep treatment respectively. It is concluded that differential approach to the treatment of complicated forms of cholelithiasis in elderly and senile patients permits not only to evaluate their condition but also to use the least invasive procedures for resolution of the biliary obstruction and thereby to reduce the risk of complications and fatal outcome.
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