title: Laparoscopic cholecystectomy and concomitant diseases Effectiveness of the single step treatment.
abstract: OBJECTIVE
  With the expanded use of laparoscopy, the options for combined surgical procedures have also increased and can be a modality of choice for coexisting pathologies in the abdomen. In our study we evaluate the safety and the efficacy of a number of surgical procedures combined with laparoscopic cholecystectomy and report our results.
  
  
  METHODS
  We conducted a retrospective study on 19 consecutive patients who underwent laparoscopic cholecystectomy simultaneously with other operations.
  
  
  RESULTS
  No conversion to open surgery was necessary. Postoperative complications occurred in three patients. The mean postoperative hospital stay was 3 days (range 2-4) and a few patients required more than 48 hours postoperative hospitalization. The perioperative mortality rate was 0%.
  
  
  CONCLUSIONS
  Concomitant surgical procedures result in longer operating time, but certainly the patient benefits from a single exposure to anesthesia, single hospital stay, and single period of absence from work.
  
  
  CONCLUSIONS
  Combining surgeries does not significantly alter the outcome of the procedure, proved to be a safe and feasible and present an interesting alternative to two separate operations. Prospective studies with long-term follow-up are required to better understand the implications of simultaneous operations.
  
  
  BACKGROUND
  Laparoscopic combined procedures, Minimally invasive surgery.
authors.forename: Pietro
authors.initials: P
authors.lastname: Caglià
authors.forename: Angelo
authors.initials: A
authors.lastname: Tracia
authors.forename: Luca
authors.initials: L
authors.lastname: Amodeo
authors.forename: Lucio
authors.initials: L
authors.lastname: Tracia
authors.forename: Corrado
authors.initials: C
authors.lastname: Amodeo
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Veroux
mesh_terms: D000315:Adrenalectomy; D000328:Adult; D000368:Aged; D001062:Appendectomy / Q000379:methods; D017081:Cholecystectomy, Laparoscopic; D061887:Conversion to Open Surgery; D005260:Female; D018662:Fundoplication; D013509:Gynecologic Surgical Procedures / Q000379:methods; D059685:Herniorrhaphy / Q000379:methods; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012189:Retrospective Studies; D014646:Varicocele / Q000601:surgery; D055815:Young Adult