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In the monograph, the results of simultaneous laparoscopic operations (SLO) performed in a relatively large volume and wide range of clinical material in patients with high operational risk were analyzed, as a result of which these operations were improved, the most optimal methods were selected and used in patients with high operational risk, the results of which were compared and it was stated that operational tactics were improved and the most optimal methods were selected.This monograph is intended for surgeons with many years of clinical experience, masters, clinical residents, high-level students of medical universities, and doctors who are interested in this field.