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Simultaneous operations in case of laparoscopic cholecystectomy constitute 0.5-16% of the total surgery. The aim of the study was to analyze the results of laparoscopic simultaneous cholecystectomies combined with surgical pathology. Among the 216 patients, 58 (26.85%) cases of simultaneous operations were performed with combined access and 158 (73.15%) cases of simultaneous operations performed in open way. The study is indicative of reasonability of simultaneous operations in case of combined surgical pathology. Severe specific complications are prevented, a positive medical and social effect and efficiency is presents as compared to performing two or three separate surgeries.