Supine Percutaneous Nephrolithotomy for Bilateral Complete Staghorn Calculi in an L-shaped Cross-fused Renal Ectopic Anomaly

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• 作者：Shashikant Mishra ; Raguram Ganesamoni ; Arvind P. Ganpule ; Ravindra B. Sabnis ; Mahesh R. Desai ; ^{mrdesai@mpuh.org}
• 刊名：Urology
• 出版年：2013
• 出版时间：January, 2013
• 年：2013
• 卷：81
• 期：1
• 页码：e3-e4
• 全文大小：407 K

文摘

A 68-year-old woman was diagnosed to have a left-to-right L-shaped crossed-fused kidney with staghorn calculi in both renal moieties on evaluation for abdominal pain. She underwent supine percutaneous nephrolithotomy using 3 tracts in 3 stages. By using 3-dimensional reconstructed computed tomography urogram, proper preoperative planning, appropriate patient positioning, ultrasound-guided access, intraoperative traction, and flexible nephroscopy, complete stone clearance can be achieved in seemingly difficult stones in anomalous kidneys.