[Difficult and moderately difficult one-stage combined surgeries]

The author analyses experience in over 400 one-stage concurrent operations conducted on several organs involved in various diseases (benign and malignant). Previous experience in combined operations performed in generalized carcinomas of the abdominal organs and gradual perfection of the anesthesiological and resuscitation service in patients with marked disorders of metabolic processes (unspecific ulcerous colitis, Crohn's disease, diffuse familial polyposis, etc.) made it possible to carry out successful concurrent operations not only of moderate and severe degree of injuriousness but also particularly injurious interventions. Among the last named were 34 interventions: several severe operations were performed in one-stage for two to four diseases, e.g. on the lung, liver, and intestine or pancreaticoduodenal resection was combined with two resections of the large intestine, etc.