Difficulties with access in percutaneous renal surgery

S. Rais-Bahrami, J. I. Friedlander, B. D. Duty, Z. Okeke, A. D. Smith

Research output: Contribution to journalReview articlepeer-review

24 Scopus citations


Percutaneous renal surgery provides a minimally invasive approach to the kidney for stone extraction in a number of different clinical scenarios. Certain clinical cases present inherent challenges to percutaneous access to the kidney. Herein, we present scenarios in which obtaining and/or maintaining percutaneous access is difficult along with techniques to overcome the challenges commonly encountered. Also, complications associated with these challenging percutaneous renal surgeries are discussed.

Original languageEnglish
Pages (from-to)59-68
Number of pages2
JournalJournal of Endourology
Issue number2
StatePublished - Nov 1 2011


  • angiomyolipoma
  • calyceal diverticulum
  • horseshoe kidney
  • nephrolithotomy
  • obesity
  • PCNL


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