Objective. To evaluate the use of a safe standardized laparoscopic cholecystectomy (LCE) algorithm and assess its impact on intraoperative parameters, complication rates, and treatment outcomes compared with a traditional surgical technique. Material and methods. A retrospective comparative analysis of treatment outcomes was conducted in 407 patients with cholelithiasis and chronic calculous cholecystitis, who underwent surgery in 2024—2025. The control group consisted of 204 patients who underwent LCE using the traditional technique, and the study group consisted of 203 patients who underwent the procedure using the safe standardized LCE algorithm. Results. The use of the safe standardized LCE algorithm was associated with improvements in key intraoperative parameters: reduced operative time, blood loss, gallbladder perforation with stone prolapse, and the need for subhepatic drainage. Conclusion. An algorithm for safe performance of standardized laparoscopic cholecystectomy has demonstrated its effectiveness, improving the quality and safety of surgical interventions. A comparative analysis with traditional methods showed that implementation of the algorithm significantly reduced the incidence of complications.
Bronshtein et al. (Thu,) studied this question.