Percutaneous nephrolithotomy: Tricks and tips for access and stone removal

Key Takeaways

• Preoperative imaging is essential for surgical planning, providing detailed anatomical information that aids in precise execution and reduces complications.
• Selecting the optimal calyx for puncture is crucial for successful outcomes, influencing access, drainage, and potential complications.
• Surgeons must consider stone burden, calyceal anatomy, and patient-specific characteristics when choosing the puncture site.
• Integrating imaging data into surgical planning enhances precision, minimizes risks, and improves patient outcomes in urological procedures.