Let $SC$ (sets and classes) denote the modification of Ackermann set theory laid out in F. A. Muller's Sets, Classes and Categories (denoted there by ARC -- a brief summary of the theory is given below, see the reference for a more detailed expositiondiscussion).
Muller's paper lays out how we can handle all of standard $1$-category theory in this modified theory (summarized below), and further points out that $SC$ is not conservative over $ZFC$ but that $ZFC^+$ ($ZFC$ plus the existence of the first non-denumerableuncountable strictly inaccessible cardinal) is sufficient to prove its consistency, whereas MacLane's set theory requires $ZFC^{++}$ to establish consistency and Grothendieck's theory with universes requires $ZFC^{++\cdots}$.