Simultaneous Approach in Conducting Laparoscopic Interventions

This paper presents a comprehensive experience in performing combined laparoscopic surgeries for urological conditions and urological pathology combined with general surgical procedures. The assessment of surgical treatment outcomes and complications is also provided. Materials and Methods: From June 2023, laparoscopic interventions were performed on 25 patients with urological pathology and 8 patients with combined pathology: urological and general surgical. Results: Interventions were categorized as follows: Combination of urological pathologies (kidney cyst and kidney stones, ureteropelvic junction stricture and kidney stones, nephroptosis and kidney stones, bladder tumors) where procedures were conducted simultaneously using both laparoscopic and endoscopic techniques (percutaneous nephrolithotomy (PNL), laparoscopic rigid and flexible pyeloscopy, cystoscopy with laser navigation). Combination of urological pathology with general surgical conditions (inguinal, diaphragmatic hernias with prostatic hyperplasia and large bladder stones, gallstone disease combined with diaphragmatic hernia and renal tumor), utilizing either pure laparoscopy or in combination with transurethral treatment methods. All patients achieved positive treatment outcomes. There were no postoperative complications. The average hospital stay post-operation was 1.5 bed-days. Conclusions: The use of simultaneous surgery does not increase patient hospitalization duration, although it slightly extends the duration of the operation itself. It necessitates a multidisciplinary surgical team. This approach significantly reduces patient costs (both time and financial) for comprehensive treatment and examinations by various specialists (anesthesia, hospitalization periods, loss of work capacity, etc.)