SURGICAL TACTICS IN ACUTE CALCULOUS CHOLECYSTITIS ON THE BACKGROUND OF OBESITY, TAKING INTO ACCOUNT THE COAGULATION AND ANTISERUM SYSTEM OF THE BLOOD

Objective: The authors examined 1033 patients with acute calculous cholecystitis (OCC) on the background of obesity. Methods: In the main group (2021) -579 (56.1%) patients, the therapeutic and diagnostic algorithm was improved taking into account the clotting and anti-clotting blood system – a prospective study. Results: As a result, in the surgical treatment of patients with OCD on the background of obesity, taking into account the clotting and anti-clotting blood system, the authors managed to optimize surgical treatment tactics, which was reflected in a comparative analysis of intra- and postoperative clinical results. Conclusion. Thus, in the surgical treatment of patients with ACC on the background of obesity, taking into account the coagulation and anticoagulation systems of the blood, a treatment and diagnostic algorithm was developed and implemented, which made it possible to optimize the surgical tactics of treatment, which was reflected in a comparative analysis of intra- and postoperative clinical results.

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