**5. Conclusion**

Despite technological advances and the practice of surgery becoming more expensive, we developed a technique for the treatment of gallstones and its complications achievable with natural view of the structures and conventional reusable material. The technique has proven to be fast simple and safe, applicable to all patients. Local anesthesia and sedation provides a quick recovery and many patients lose the fear of the intervention. Both in acute cholecystitis in choledocholithiasis we have obtained good results. The patients suspected of choledocholithiasis are operated and an intraoperative cholangiography is made. The transcylindrical exploration of the common bile duct is performed whenever introperative cholangiography demonstrated stones.
