There are still many questions concerning the choice of tactics for the treatment of cholelithiasis in childhood. For a long time, cholelithiasis traditionally considered a pathology of adults. Accordingly, virtually all research was devoted to the diagnosis and treatment of this pathology in the above group of patients. Purpose of research. Justification of tactics in surgical treatment of cholelithiasis in children. Patients and research methods. The work formed observations on 135 children aged from 2 to 17 years with cholelithiasis. In 70.4% of cases the disease is observed in girls and boys, respectively at 29.6%. 7.8% of patients have children disease arose against the backdrop of hemolytic anemia. One patient, who received urgent indications, had manifestations of mechanical jaundice: an increase in the level of common bilirubin and its direct fraction, pronounced jaundice of the skin. In the second group, 140 children with chronic stoneless cholecystitis were compared. Research result. All patients with cholelithiasis identified different ways deformation in the area of gallbladder duct. One of the major causes of cholelithiasis in children are changes in the gallbladder duct. No patient has ever been found in concretions extrahepatic biliary passages. In patients with chronic stone-free cholecystitis pathology in the area of bladder flow was not found. Conclusion. One of the major causes of gallstone disease in children are changes in the gallbladder duct, that most likely leads to obstruction of outflow of bile from the gall bladder, with the subsequent formation of concrements. Therefore, the conduct of conservative treatment of cholelithiasis in children appear to be ineffective and the method of choice in the treatment of this pathology can be a cholecystectomy.

For the period from 2014 to 2018 years in surgical Department of the Republican children’s Clinical Hospital in Syktyvkar were treated children with stomach`s horistomа. Endoscopic picture of all patients appeared to be rather specific. In the stomach was determined by education dimensions 0,8–1,0 cm, deepening in the сentre, resembling the excretory duct of the pancreas. Six patients have performed laparoscopic atypical wedge resection of the stomach. One patient was unable to complete the operation laparoscopically, as horistoma was located on the back wall of the stomach. After you perform the conversion operation was completed. One patient in the first 24 hours after laparoscopic surgery emerged partial dehiscence of sutures on the stomach and carry out emergency necessitating additional sealing wounds nodal joints.