[Experience of simultaneous laparoscopic cholecystectomy and gynecologic operations performance in conditions of "withous gas" laparoscopy in patients of high operation-anesthesiology risk].

: The results of laparoscopic cholecystectomy performance in a combination with laparoscopic gynecologic operation on the background of concomitant cardiovascular and pulmonary diseases were analyzed in 67 patients. In 26 patients (main group) the original lifting system was used, 41 (control group)--operated on classical technology. Optimal operative accesses variants a defined, carboxyperitoneum influence on the central hemodynamics in the postoperative period, time of restoration of patients, frequency of postoperative complications is studied. It is revealed that simultaneous lifting laparoscopic operations possess have conclusive advantages: frequency and severity of postoperative complications decrease, intensity of a postoperative pain syndrome, frequency of concomitant chronic diseases exacerbations, and duration of hospital treatment after operation.