Endoscopic combined intrarenal surgery for multiple and staghorn renal stones using micro-, mini-percutaneous approaches and various suction techniques
Introduction. The management of complex stone disease remains a major challenge in contemporary urology. In recent years, growing interest has been directed toward endoscopic combined intrarenal surgery (ECIRS), which integrates retrograde and antegrade approaches. At the same time, successful ECIRS requires careful preoperative planning and thorough operating room setup, including optimal positioning of the fluoroscopic C-arm, two endoscopic systems, two laser lithotripters, and two instrument sets to ensure effective coordination between the operating surgeons.