Chapter 14

Instrumentation and Surgical Technique

Step-by-Step Percutaneous Nephrolithotomy: Multiple Access

Jessica N. Lange

Jessica N. Lange

Wake Forest Baptist Health, Winston-Salem, NC, USA

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Patrick W. Mufarrij

Patrick W. Mufarrij

George Washington University Medical Center, Washington, DC, USA

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Dean G. Assimos

Dean G. Assimos

University of Alabama Birmingham Medical Center, Birmingham, AL, USA

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First published: 25 October 2013

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.

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