Instrumentation and Surgical Technique
Step-by-Step Percutaneous Nephrolithotomy: Multiple Access
Summary
The best treatment for the majority of patients harboring large renal calculi is percutaneous nephrolithotomy. Stone volume and collecting system anatomy may make it necessary to undertake this procedure using a multi-access approach. Patient preparation, technical aspects of the procedure including intraoperative trouble-shooting, and postoperative care are reviewed in this chapter.