The possibilities of using simultaneous surgery in urology
Abstract
Simultaneous surgeries are the performance of several surgical procedures on a patient within a single treatment session. This approach is widely used in various branches of surgery, allowing to eliminate combined pathological conditions, reducing the number of treatment stages and decreasing surgical stress. Simultaneous surgery does not increase the risk of postoperative complications and helps to reduce the overall rehabilitation period. At the same time, better financial efficiency of the organization of surgical care at the outpatient and inpatient level is achieved, and the quality of life of patients after simultaneous surgery exceeds that after staged treatment. However, the implementation is associated with significant organizational and legal difficulties, and the problem is also of a deep ethical nature and gives rise to the prospect of social conflict caused by unequal access to simultaneous surgery. An overview of the current state of the problem of simultaneous surgery, its historical aspects, features of patient selection, as well as an analysis of the results of scientific research and meta-analyses in the application of the principles of simultaneous surgery in urology is presented in the paper.
About the Authors
V. A. Vorobyev
Bashkir State Medical University Ministry of Health of Russia; Irkutsk State Medical University Ministry of Health of Russia; Liniya Zhizni LLC
Russian Federation
Russian Federation
Ufa; Irkutsk
A. R. Tukhiev
Irkutsk State Medical University Ministry of Health of Russia
Russian Federation
Russian Federation
Irkutsk
G. M. Khasanova
Bashkir State Medical University Ministry of Health of Russia
Russian Federation
Russian Federation
Ufa
G. A. Galieva
Bashkir State Medical University Ministry of Health of Russia
Russian Federation
Russian Federation
Ufa
R. T. Murzabaeva
Bashkir State Medical University Ministry of Health of Russia
Russian Federation
Russian Federation
Ufa
G. A. Mavzyutova
Bashkir State Medical University Ministry of Health of Russia
Russian Federation
Russian Federation
Ufa
L. I. Ratnikova
South Ural State Medical University Ministry of Health of Russia
Russian Federation
Russian Federation
Chelyabinsk
V. Kh. Fazylov
Kazan State Medical University Ministry of Health of Russia
Russian Federation
Russian Federation
Kazan
V. N. Dubrovin
FGOU HE Kazan State Medical University of the Ministry of Health of the Russian Federation; GBU RME "Republican Clinical Hospital"
Russian Federation
Russian Federation
Kazan; Yoshkar-Ola
References
1. Antonov AV, Lyublinskaya AA, Prokhorov MV. Combined and simultaneous endovideosurgical operations in urology. Urologicheskie Vedomosti. 2011 ;1(1):9–12. (In Russ).
2. Beloborodov VA, Olifirova OS, Shevchenko SP. Simultaneous operations in surgical practice. Sibirskoe Meditsinskoe Obozrenie. 2007;(2 (43)):19–25. (In Russ).
3. Vertkina NV, Khamitov FF, Lisitskii DA, Gulaev OG, Chel'diev KV. Clinical and economic aspects of simultaneous operations in elderly and senile patients. Klinicheskaya Gerontologiya. 2008;14(4):5–10. (In Russ).
4. Galimov OV, Fedorov AV, Khanov VO, Kolygin AV. On the feasibility of performing combined laparoscopic surgeries. Endoskopicheskaya Khirurgiya. 2018;24(4):3–6. (In Russ).
5. Glybochko PV, Alyaev YuG, Pshikhachev AM, Sorokin NI, Dymov AM. Determination of treatment tactics for patients with bladder cancer combined with prostate hyperplasia. Urologiia. 2016;(5):92–6. (In Russ).
6. Gol'braikh VA, Maskin SS, Matyukhin VV, Klimovich IN, Arutyunyan A. Modern approaches to simultaneous surgeries (indications, implementation algorithms, complications). Vestnik Volgogradskogo Gosudarstvennogo Meditsinskogo Universiteta. 2021 ;(2 (78)):28–36. (In Russ).
7. Zhanybaev KA. Quality of life of patients after simultaneous operations in urology. Meditsina Kyrgyzstana. 2013 ;(5):24–6. (In Russ).
8. Lakhno DA, Zingerenko MB. Protocol «ERAS» in the perioperative period of radical robotic cystectomy in elderly and senile patients. Klinicheskaya Gerontologiya. 2019 ;25(9–10):16–9. (In Russ).
9. Leont'ev MA, Kotova EM, Kravchuk SV. Unintentional intraoperative hypothermia during general anesthesia: the current state of the problem (literature review). Vestnik Anesteziologii I Reanimatologii. 2023;20(4):68–76. (In Russ).
10. Leshchenko IG, Akimov AI. Classification of simultaneous operations in elderly and senile patients with prostate adenoma. Vestnik Meditsinskogo Instituta Reaviz Reabilitatsiya Vrach I Zdorov'e. 2019;(1 (37)):140–8. (In Russ).
11. Lysov NA, Leshchenko IG, Supil'nikov AA, Stolyarov SA, Aleksandrov IK. Simultaneous operations in geriatric surgery. Vestnik Meditsinskogo Instituta Reaviz Reabilitatsiya Vrach I Zdorov'e. 2019;(6 (42)):103–11. (In Russ).
12. Lyuboshevskii PA, Ovechkin AM. Possibilities of assessment and correction of surgical stress response in highly traumatic operations. Regionarnaya Anesteziya I Lechenie Ostroi Boli. 2014;8(4):5–21. (In Russ).
13. Nasyrov MV, Bakieva KK, Karimova BK. On the justification of simultaneous operations for neoplastic processes of the nasal cavity, paranasal sinuses and nasopharynx. Vestnik Kyrgyzsko-Rossiiskogo Slavyanskogo Universiteta. 2022;22(5):83–8. (In Russ).
14. Ovechkin AM. Surgical stress response, its pathophysiological significance and methods of modulation. Regionarnaya Anesteziya I Lechenie Ostroi Boli. 2008;2(2):49–62. (In Russ).
15. Rasulov MT, Rakhmonov BB, Botirov AK, Otakuziev AZ, Bozorov NE, Botirov ZhA. Indications and contraindications for simultaneous operations against the background of morbid obesity. Mezhdunarodnaya Konferentsiya Akademicheskikh Nauk. 18 aprel' 2023;2(4):32–3.
16. Тregubov VN, Bovina AA. Efficiency of using the hospital bed fund of federal districts. Zdravookhranenie Rossiiskoi Federatsii. 2020;64(4):173–80. (In Russ).
17. Usupbaev ACh, Dzhanybaev KA, Uson Uulu B., Zhumagaliev AA. Results of simultaneous operations in urology after applying the developed algorithm for selecting the volume of surgery for patients with combined surgical diseases. Vestnik Kyrgyzskoi Gosudarstvennoi Meditsinskoi Akademii Imeni Ik Akhunbaeva. 2023;(3):143–9. (In Russ).
18. Fedorov AV, Kriger AG, Kolygin AV, Kochatkov AV. Single-stage operations. Terminology. Khirurgiya Zhurnal Im Ni Pirogova. 2011;(7):72–6. (In Russ).
19. Anton NE, Athanasiadis DI, Karipidis T, Keen AY, Karim A, Cha J [et al.] Surgeon stress negatively affects their non-technical skills in the operating room. Am J Sur. 2021;222(6):1154–7.
20. Bellini V, Guzzon M, Bigliardi B, Mordonini M, Filippelli S, Bignami E. Artificial Intelligence: A New Tool in Operating Room Management. Role of Machine Learning Models in Operating Room Optimization. J Med Syst. 2019;44(1):20.
21. Boudjema K, Locher C, Sabbagh C, Ortega-Deballon P, Heyd B, Bachellier P [et al.] Simultaneous Versus Delayed Resection for Initially Resectable Synchronous Colorectal Cancer Liver Metastases: A Prospective, Open-label, Randomized, Controlled Trial. Ann Sur. 2021;273(1):49–56.
22. Claus CMP, Ruggeri JRB, Ramos EB, Costa MAR, Andriguetto L, Freitas ACT de [et al.] Simultaneous laparoscopic inguinal hernia repair and cholecystectomy: does it cause mesh infection? Arq Bras Cir Dig ABCD Braz Arch Dig Sur. 2021;34(2):e1600.
23. Colletti G, Ciniselli CM, Sorrentino L, Bagatin C, Verderio P, Cosimelli M. Multimodal treatment of rectal cancer with resectable synchronous liver metastases : A systematic review. Dig Liver Dis Off J Ital Soc Gastroenterol Ital Assoc Study Liver. 2023;55(12):1602–10.
24. Egholm JW, Pedersen B, Møller AM, Adami J, Juhl CB, Tønnesen H. Perioperative alcohol cessation intervention for postoperative complications. Cochrane Database Syst Rev. 2018;11:CD008343.
25. Filomena GB, Marino F, Scarciglia E, Russo P, Fantasia F, Bientinesi R [et al.] Simultaneous surgical management of renal cancer with atrial thrombotic extension and severe chronic coronary artery disease: a case report. J Med Case Reports. 2023;17(1):543.
26. Galati R, Simone M, Barile G, Luca RD, Cartanese C, Grassi. Experimental Setup Employed in the Operating Room Based on Virtual and Mixed Reality: Analysis of Pros and Cons in Open Abdomen Surgery. J Healthc En. 2020;2020(1):8851964.
27. Gelman D, Gelmanas A, Urbanaitė D, Tamošiūnas R, Sadauskas S, Bilskienė D [et al.] Role of Multimodal Analgesia in the Evolving Enhanced Recovery after Surgery Pathways. Med Kaunas Lith. 2018;54(2):E20.
28. Geraghty RM, Jones P, Somani BK. Simultaneous Bilateral Endoscopic Surgery (SBES) for Bilateral Urolithiasis: the Future? Evidence from a Systematic Review. Curr Urol Rep. 2019 ;20(3):15.
29. Gill JH, Choi HH, Lee SH, Jang KM, Nam TK, Park YS [et al.] Comparison of Postoperative Complications between Simultaneous and Staged Surgery in Cranioplasty and Ventriculoperitoneal Shunt Placement after Decompressive Craniectomy. Korean J Neurotrauma. 2021;17(2):100–7.
30. Jiang T, Zhang H, Yin X, Cai Z, Zhao Z, Mu M [et al.] The necessity and safety of simultaneous cholecystectomy during gastric surgery for patients with asymptomatic cholelithiasis. Expert Rev Gastroenterol Hepatol. 2023 ;17(10):1053–60.
31. Khodjimatov GM, Egitov AA. Simultaneous Laparoscopy Operations on Organs of the Brotherhood (Literature Review). Am J Pediatr Med Health Sci 2993-2149. 2024;2(1):133–7.
32. Lee Y, Yu J, Doumouras AG, Li J, Hong D. Enhanced recovery after surgery (ERAS) versus standard recovery for elective gastric cancer surgery: A meta-analysis of randomized controlled trials. Surg Oncol. 2020;32:75–87.
33. Lee YZ, Dharmawan A, Zhang X, Chua DYC, Low JK. The changing landscape of general surgery in the elderly - trends over a decade in a tertiary centre in Singapore. ANZ J Sur. 2022;92(9):2018–24.
34. Lim HK, Kim M, Park JW, Ryoo SB, Park KJ, Yi NJ [et al.] Outcomes of simultaneous laparoscopic, hybrid, and open resection in colorectal cancer with synchronous liver metastases: a propensity score-matched study. Sci Rep. 2022 ;12(1):8867.
35. Liu Y, Zhang H, Wen Z, Jiang Y, Huang J, Wang C [et al.] Simultaneous radical cystectomy and nephroureterectomy in the treatment of panurothelial carcinoma : a systematic review and single-arm meta-analysis. Front Oncol. 2023;13:1233125.
36. Livingston EH. Overlapping Surgery and Perioperative Outcomes. JAMA. 2019;321(8):772.
37. Melhem M, Burki J, Algurabi O, Gilani S, Ghumman F, Sheriff M [et al.] The safety and feasibility of simultaneous robotic repair of an inguinal hernia during robotic-assisted laparoscopic prostatectomy : a systematic review and meta-analysis. Scand J Urol. 2022;56(3):197–205.
38. Nygren J, Thacker J, Carli F, Fearon KCH, Norderval S, Lobo DN [et al.] Guidelines for perioperative care in elective rectal/pelvic surgery: Enhanced Recovery After Surgery (ERAS®) Society recommendations. Clin Nutr Edinb Scotl. 2012;31(6):801–16.
39. Prudhomme T, Mesnard B, Branchereau J, Roumiguié M, Maulat C, Muscari F [et al.] Simultaneous liver-kidney transplantation: future perspective. World J Urol. 2024;42(1):489.
40. Rakhmatov F, Giesov N, Kurbatov Ns, Pardaeva K. Postoperative Anesthesia After Simultaneous Operations in Gynecological Patients. Tex J Med Sci. 2021;3:48–51.
41. Roy DK, Sheikh R. A Systematic Review and Meta-Analysis of the Outcomes of Laparoscopic Cholecystectomy Compared to the Open Procedure in Patients with Gallbladder Disease. Avicenna J Med. 2024;14(1):3–21.
42. Sari Motlagh R, Mori K, Miura N, Quhal F, Aydh A, Laukhtina E [et al.] The recurrence and progression risk after simultaneous endoscopic surgery of urothelial bladder tumour and benign prostatic hyperplasia : a systematic review and meta-analysis. BJU Int. 2021;127(2):143–52.
43. Smith TW, Wang X, Singer MA, Godellas CV, Vaince FT. Enhanced recovery after surgery : A clinical review of implementation across multiple surgical subspecialties. Am J Sur. 2020;219(3):530–4.
44. Wang SH, Song L, Tang JY, Sun WP, Li Z. Safety and long-term prognosis of simultaneous versus staged resection in synchronous colorectal cancer with liver metastasis : a systematic review and meta-analysis. Eur J Med Res. 2022 ;27(1):297.
45. Wong KK, Enepekides DJ, Higgins KM. Cost-effectiveness of simultaneous versus sequential surgery in head and neck reconstruction. J Otolaryngol - Head Neck Surg J Oto-Rhino-Laryngol Chir Cervico-Faciale. 2011;40(1):48–53.
46. Zhang X, Geng W, Yan S, Zhang K, Liu Q, Li M. Comparison of the outcomes of concurrent versus staged TAVR combined with PCI in patients with severe aortic stenosis and coronary artery disease: a systematic review and meta-analysis. Coron Artery Dis. 2024;35(6):481–9.
Review
For citations:
Vorobyev V.A., Tukhiev A.R., Khasanova G.M., Galieva G.A., Murzabaeva R.T., Mavzyutova G.A., Ratnikova L.I., Fazylov V.Kh., Dubrovin V.N. The possibilities of using simultaneous surgery in urology. Bashkortostan Medical Journal. 2024;19(5):82-90. (In Russ.)
Views:
44
Email this article 
