Characteristics of plastic clips forclipping cystic duct and cystic vessels in patients withacute calculous cholecystitis with chronichepatitis
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 clinic of emergency surgery 1832 patients with acute hepatitis B and C were operated. 149 (8.1%) patients had chronic hepatitis B and C. The experimental group consist of 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 by polymer clips allowed postoperative use of MRI if necessary. Use of plastic clips does not extend the time of surgery. The number of postoperative complications and the average number of bed days do not increase also.