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KMID : 1011820180590050348
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Investigative and Clinical Urology
2018 Volume.59 No. 5 p.348 ~ p.354
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Real-time simultaneous endoscopic combined intrarenal surgery with intermediate-supine position: Washout mechanism and transport technique
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Jung Hae-Do
Kim Jong-Chan
Ahn Hyun-Kyu
Kwon Joon-Ho
Han Ki-Chang
Han Woong-Kyu
Kim Man-Deuk
Lee Joo-Yong
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Abstract
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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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KEYWORD
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Kidney, Nephrolithiasis, Ureteroscopy, Urinary calculi
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