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Timeliness. Prevalence of cholelithiasis and significant public costs of the treatment is among the problems of modern medicine. Up to 10 - 15% adults have this disease. 8 new cases of cholelithiasis are recorded in Russia annually. patients with Grade III abdominal obesity are especially difficult to treat, as increased subcutaneous fat thickness causes significant technical difficulties emerging during surgery, increases the extent of operative injury and worsen the treatment outcomes in this category of patients. The study objective. To improve the outcomes of surgical treatment of cholelithiasis in patients with abdominal obesity by decreasing the extent of surgical injury during surgical approach to the gallbladder. Materials and methods The article describes the results of intravitam topographic anatomical examination of the gallbladder (based on results of spiral computed tomography and 3D modeling) in women of different somatotypes in the setting of abdominal obesity. Results and discussion. We evaluated anatomical structures of the abdominal wall and abdominal organs located in the right hypochondrium of females based on somatotypes and presence of abdominal obesity. Suggested 3D modeling method allows performing mathematical measuring which might be a basis for derivation of criteria of optimal surgical approach during cholecystectomy. Conclusions. The presence of abdominal obesity does not cause changes in topographic anatomical characteristics of the gallbladder, however it is located substantially deeper due to significant increase in subcutaneous fat thickness. Key words. Gallbladder, somatotype, abdominal obesity

vestnik èksperimentalʹnoj i kliničeskoj hirurgii

Characteristic Features Of Gall Bladder Topography In Women Of Different Somatotypes And Those With Abdominal Obesity (Based On Results Of Spiral Computed Tomography)