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Description keyboard_arrow_down
Endoscopic intrarenal surgery to extract kidney stones.

Case Record:

  • 78 y.o. male Patient
  • First stone case
  • asymptomatic

Clinical History:

  • Left Kidney Stones: upper calyx 12x9x7mm, 600HU
  • Left Kidney Stone: lower calyx 15x14x6mm, 650 HU
  • Prostatectomy for Prostate cancer 2002

Technique Description:

  • ECIRS (Combined intrarenal surgery)
  • The Patient is positioned in a modified supine Valdivia Galdakau position. 2 surgeons will treat the patient simultaneously
  • It is a combination of retrograde flexible ureteroscopy (RIRS) and mini PNL

Steps in the procedure:

  • Patient Positioning in supine Valdivia Galdakau Position
  • Cystoscopy and retrograde pyelography
  • RIRS
  • Ultrasound guided puncture of the lower calyx –endoscopic controlled
  • One step dilation to the 17.5 Charr Sheet
  • Mini PNL using Storz M 12 Charr
  • Stone disintegration using Trilogy (EMS)
  • Simultaneous RIRS to capture the stones in the upper calyx
  • Removal of the PNL Sheet
  • Removal of the flexible ureterenoscope and placement of a stent in the ureter

Learning points:

  • Patient positioning
  • Endoscopic controlled renal puncture
  • Trilogy settings
Faculty keyboard_arrow_down
Dr. Thomas Kunit Vice Chair of the University Clinic of Urology, Paracelsus Private Medical University Salzburger Landeskliniken, Salzburg, Austria Urology
Dr. Martin Drerup Senior physician at Barmherzige Brüder Austria Urology
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