This video demonstrates Laparoscopic Myomectomy for Large Fibroid Uterus and Cholecystectomy in the same patient by Three Port. With advancements in minimal access surgery, combined laparoscopic procedures are now being performed for treating coexisting abdominal pathologies at the same surgery. In our center, we performed 245 combined surgical procedures from January 2001to December 2020. The combination included laparoscopic cholecystectomy, various hernia repairs, and gynecological procedures like hysterectomy, salpingectomy, ovarian cystectomy, tubal ligation, urological procedures, fundoplication, splenectomy. The most common procedure was laparoscopic cholecystectomy with another endoscopic procedure. As long as the basic surgical principles and indications for combined procedures are adhered to, more patients with concomitant pathologies can enjoy the benefit of minimal access surgery. Minimal access surgery is feasible and appears to have several advantages in the simultaneous management of two different coexisting pathologies without significant addition in postoperative morbidity and hospital stay.
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