SIMULTANT CHOLECYSTECTOMY IN CHILDREN WITH HEMOLYTIC ANEMIA
The results of treatment of 37 children aged from 3 to 17 years with microspherocytic anemia and β-thalassemia (a hereditary anemia microspherocytic - 34 children, thalassemia - 3), which in the period from 2000 to 2012 underwent laparoscopic holetsistosplenektomiya, due to concomitant presence of gallstones. Improvement and optimization of technology implementation simultant operations have achieved excellent functional and cosmetic results, reduced operative time and 50-90 minutes, reduce the amount of blood to 30-110 ml (mean 62,91±14,46 ml) to avoid intraoperative and postoperative complications improve the quality of life in patients with hemolytic anemia. According to the authors, the implementation simultantn operations using minimally invasive techniques in children with hemolytic anemia is currently the method of choice, regardless of age.