Tubeless mini-percutaneous nephrolithotomy to remove a staghorn stone concurrent with proximal ureteral calculus in an elderly patient: A case report

Massive haemothorax from percutaneous nephrolithotomy requiring video-assisted thoracoscopic surgery: A case report

“…Nephrolithiasis affects around 5 % to 15 % of people around the world. PCNL is recognized as the mainstay procedure for the removal of large, multiple and complex renal stones [5] , [6] . Although this technique affords high success rates for stone clearance, it also has various complications because of its aggressiveness.…”

“…The more common perioperative complications of PCNL were extravasation, bleeding requiring a blood transfusion, and fever; major complications, such as septicaemia and colonic or pleural injury that required intervention, were very rare [3] , [7] . Various modifications to this technique, including miniature endoscopy or in combination with flexible ureteroscopy, have been developed to decrease adverse events with comparable stone-free rates [5] , [8] , [9] .…”

Retrograde vacuum-assisted MiniPCNL system for large distal ureteric calculus removal: A case report

“…Endourologic techniques are typically favored in the surgical management of this condition due to their minimally invasive nature. 3 Ureteroscopic lithotripsy is routinely employed for large ureteric and renal stones up to 2 cm in size. However, this modality is not without its limitations.…”

Simultaneously combining a thulium fiber laser and holmium:YAG laser in vacuum-assisted mini-endoscopic combined intrarenal surgery on a complex renal calculus: A case report

“…As a result of better quality of vision technology, miniaturization of instruments, and the implementation of artificial intelligence, the procedure to remove a complex kidney stone has evolved. 7 , 8 Miniaturized endoscopic combined intrarenal surgery (mini-ECIRS) is a new surgical treatment that has won increasing acceptance globally. To the best of our knowledge, we report the first known case of complex renal stone management using vacuum-assisted mini-ECIRS with a combination of two laser types—a holmium:YAG (Ho:YAG) laser and a thulium fiber laser (TFL)—to take optimal advantage of the distinct characteristics of the two lasers in the same procedure.…”