RESUMEN Las vias biliares constituyen uno de los principales sitios de localizacion de la patologia abdominal siendo muy diversas las posibilidades diagnosticas. En el presente estudio se revisaron todos los informes de patologia quirurgica del HURGV entre 1999 y 2002. Se encontraron 643 registros en los cuales se incluia la vesicula biliar, 74% de sexo femenino; se obtuvo la edad de los pacientes en el 73.8% encontrando un promedio de 45.7 anos. Se encontraron hallazgos de colecistitis en el 96.7%, predominantemente inflamacion cronica reagudizada. En el 70.1% de las vesiculas se encontraron calculos. Se presento colecistitis complicada en el 16.5% de los casos. La prevalencia de neoplasias de la via biliar fue del 3% (n=19), de estas el 84.2% (n=16) correspondian a neoplasias malignas, todas de tipo adenocarcinoma, el promedio de edad de los pacientes con adenocarcinoma fue 70.1 anos y fue mas frecuente en el sexo femenino (93.8%). En una proporcion cercana a la mitad de los casos (43.8%) se encontraron calculos, solo 1.55% de las vesiculas litiasicas contenian una neoplasia. Esta revision aporta estadisticas locales sobre la patologia biliar y deja abierta la posibilidad de emprender estudios para correlacionar los hallazgos patologicos con la presentacion clinica de la enfermedad. Palabras clave : Vesicula biliar, colecistitis, colelitiasis, cancer de vesicula. ABSTRACT The gallbladder constitutes one of the main places of localization of the abdominal pathology being very diverse the diagnosis possibilities. In this study all the reports of surgical pathology of the HURGV were revised between 1999 and 2002. They were 643 registrations in which the gallbladder was included, 74% were woman; the patient's age was obtained in 73.8% finding a 45.7 year-old average. They were inflammation in 96.7%, predominantly inflammation sharpen chronic. In 70.1% of the gallbladder they were calculations. Gallbladder inflammation was complicated in 16.5% of the cases. The prevalence of cancer of the gallbladder was of 3% (n=19), of these 84.2% (n=16) they corresponded to wicked cancer, all of ademomatous type, the average of the patients' age with ademomatous cancer was 70.1 years and it was more frequent in the woman (93.8%). In a near proportion halfway the cases (43.8%) they were calculations, single 1.55% of the gallbladder with calculation contained a cancer.This revision contributes local statistics on the pathology of gallbladder and leaves open the possibility to undertake studies to correlate the pathological discoveries with the clinical presentation of the illness. Key words: Gallbladder, gallbladder inflammation, gallbladder cancer, Cholelytiasis.