THE USE OF PLASTIC CLIPS IN PATIENTS WITH ACUTE CALCULOUS CHOLECYSTITIS IN PATIENTS WITH HEPATITIS

In the proposed article, the authors summarized the material presented in the scientific literature and personal experience gained by the use of plastic clips in patients with acute calculous cholecystitis in patients with Hepatitis B and C in hospital of emergency surgery From 1832 operated patients with acute cholecystitis 149 (8.1%) had chronic hepatitis B and C. The experimental group included 73 (48.99%) patients with acute cholecystitis against the background of chronic hepatitis B who were treated from 2013 to 2015 and in which the processing and vesical duct ligation and vesical vessels using clips the type of Hem-o-lock. Clipping cystic duct and vessels polymer clips allowed postoperative use if necessary MRI. Use of plastic clips not extend the time of surgery without increasing the number of postoperative complications and the average number of bed days.