Brief Summary for ECIRS
Revised Jan. 2016
Example of performing ECIRS
[ECIRS 01]
A staghorn stone including renal pelvis stone connected to midpole and lower pole stones, another upper pole stone. [left]
Another upper pole stone (12x11x11mm) with a narrow upper major calyx. [right]
[ECIRS 02]
Percutaneous puncture [prove versus supine]
I usually prefer supine to prone position.
What is your option?
Usually prone and sometimes supine?
Usually psupine and sometimes prone?
Always supine? Always prone?
[ECIRS 03]
18Fr MPCNL removed stones in the renal pelvis and the lower pole stones. [left]
Remnant stones in the mid-anterior pole and the upper pole stone inaccessible by the nephroscope. [right]
What is your option?
Postop ESWL? Additional percutaneous tracts? Flexible cysto/urethroscope?
[ECIRS 04]
Flexible cystoscopy insertion. Midpole stone fragmentation by flexible cystoscope but the upper pole stone was inaccessible by the flexible cystoscope because of the narrow upper major calyx.
[ECIRS 05]
RIRS was performed for the upper pole stone and completely fragmented.
[ECIRS 06]
Irrigation for complete stone-free status.
Example of performing PCNL + contralateral RIRS
Postop KUB
