Acute calculous cholecystitis (ACC) is one of the important medical and social problems. Unconditional attention is drawn to the problem of preventing complications in the treatment of ACC, especially with the use of laparoscopic techniques. To reduce the risk of their occurrence is possible through a comprehensive study of possible causes, followed by the application of modern advanced technical approaches to laparoscopic cholecystectomy. This problem is especially relevant for such an important stage of laparoscopic cholecystectomy, as clipping of the elements of the neck of the gall bladder. Cutting of clipping structures is one of the most complex and serious complications, which may result in bile. It is also necessary to take into account that metal clips, which are commonly used in the clipping process of the elements of the gallbladder, can migrate during surgical intervention with the development of damage to important anatomical structures and the appearance of bile. Hem-o-lock polymer clips are an alternative to metal clips.
Thus, the analysis conducted in the period from 2012 to 2017 made it possible to conclude that the use of polymer clips of the Hem-o-lock type in the ACC, including those with concomitant chronic viral hepatitis, is highly effective and safe.