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Real-time Simultaneous Endoscopic Combined Intrarenal Surgery With Intermediate-supine Position: Washout Mechanism And Transport Technique

Hae Do Jung, Jong Chan Kim, Hyun Kyu Ahn, Joon Ho Kwon, Kichang Han, Woong Kyu Han, Man-Deuk Kim, Joo Yong Lee
Published 2018 · Medicine
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Endoscopic combined intrarenal surgery (ECIRS) with simultaneous retrograde intrarenal surgery (RIRS) and percutaneous nephrolithotomy (PCNL) has been proposed as a new surgical treatment to overcome the disadvantage of RIRS and PCNL monotherapies in the treatment of renal stone. One of advantages of ECIRS is that it can increase stone-free rates in complex renal stone within single-session. Intermediate-supine position in real-time simultaneous ECIRS can prevent an anesthesiologic problem, and patient's burden is small even for long-term operation. Thus, we will share the experience and advantages of real-time simultaneous ECIRS and introduce techniques to increase the stone-free rate.
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