Dr. Ko performs an endoscopic combined intrarenal surgery (ECIRS) in prone PCNL position to treat a 70-year-old patient with challenging anatomy and a large volume of renal calculi in his left kidney. He combines this technique with the bull’s-eye approach to provide accurate access into the collecting system. Dr. Ko discusses the unique challenges of the patient’s anatomy and his step-by-step approach to gain access, in the safest possible way without causing complications, through stent placement. He also shares his view of the advantages of a mini percutaneous nephrolithotomy using a 16.5 French metal sheath and the LithoVue™ Single-Use Digital Flexible Ureteroscope to treat large stone bulk.
Raymond Ko, MBBS (Hons), FRACS (Urol), Urologist, Clinical Senior Lecturer, University of Sydney, Macquarie University, Australia
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