Friday, March 29, 2013

MINI PCNL FOR LOWER CALYCEAL CALUCLUS

A 55 year old gentleman with no comorbidties presented with lower calyceal calculus blocking the infundibulum of lower calyceal group of calyces.The stone was about 2 cm in size.
Stone in right lower calyx blocking the infundibulum  of lower calyceal  group


RGP

meticulous puncture of lower posterior calyx and the guide wire being placed in the ureter 
Mini PCNL sheath being placed
The patient was taken up for Mini PCNL and stone fragmentation was done with Holmium LASER lithotripsy.

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