Supine Percutaneous Nephrolithotomy and ECIRS

The New Way of Interpreting PNL

  • Cesare Marco Scoffone
  • András Hoznek
  • Cecilia Maria Cracco

Table of contents

  1. Front Matter
    Pages i-xiii
  2. José Gabriel Valdivia Uría
    Pages 1-3
  3. J. Gaspar Ibarluzea, Mikel G. Gamarra, Asier Leibar, José G. Pereira
    Pages 15-23
  4. Arvind P. Ganpule, Mahesh R. Desai
    Pages 25-31
  5. Cecilia Maria Cracco, Alessandro Eugenio Vercelli
    Pages 41-55
  6. Susanne Sloth Osther, Palle Jørn Sloth Osther
    Pages 57-78
  7. Adebanji A. B. Adeyoju, Neil Sutcliffe
    Pages 79-88
  8. Cesare Marco Scoffone, Cecilia Maria Cracco, Roberto Mario Scarpa
    Pages 99-108
  9. András Hoznek, Francisco Pedro Juan Daels, Michael N’Tege Kimuli, Cecilia Maria Cracco, Cesare Marco Scoffone
    Pages 109-125
  10. Cesare Marco Scoffone, András Hoznek, Julie Rode
    Pages 127-160
  11. Cesare Marco Scoffone, András Hoznek, Cecilia Maria Cracco
    Pages 161-188
  12. András Hoznek, Michael N’Tege Kimuli, Cesare Marco Scoffone
    Pages 189-198
  13. Cesare Marco Scoffone, András Hoznek, Cecilia Maria Cracco
    Pages 199-208
  14. Cecilia Maria Cracco, Cesare Marco Scoffone, Arvind P. Ganpule, Amit Doshi, Mahesh R. Desai
    Pages 209-221
  15. Antonio Frattini, Cesare Marco Scoffone, Stefania Ferretti
    Pages 223-232
  16. Cristian Demelas, Gianni De Masi, Debora Crepaldi, Elena Bertinaria, Michele Trimboli, Angela Palamuso et al.
    Pages 249-264
  17. Francisco Pedro Juan Daels, Mariano Sebastian Gonzalez
    Pages 265-277
  18. Oscar R. Negrete-Pulido, Jorge Gutiérrez-Aceves
    Pages 279-292
  19. András Hoznek, Julie Rode, Cecilia Maria Cracco, Cesare Marco Scoffone
    Pages 293-301
  20. Cesare Marco Scoffone, Cecilia Maria Cracco
    Pages 303-310
  21. András Hoznek, Cecilia Maria Cracco, Cesare Marco Scoffone
    Pages 311-312

About this book


PNL is the gold standard for the management of large and/or otherwise complex renal stones. Since its introduction in the seventies PNL has undergone considerable evolution, mainly driven by the improvement in access techniques, endoscopic instrument technology, lithotripsy devices and drainage management. The conventional prone position for PNL has been challenged in the last two decades by a variety of modifications, including the supine and Galdakao-modified supine Valdivia positions, which make simultaneous retrograde working access to the collecting system possible and have proven anesthesiological advantages. The Galdakao-modified supine Valdivia position allowed the development of ECIRS (Endoscopic Combined IntraRenal Surgery), a technique exploiting a combined antegrade and retrograde approach to the upper urinary tract, using both rigid and flexible endoscopes with the related accessories. The synergistic teamwork of ECIRS provides a safe and efficient, minimally-invasive procedure for the treatment  of all kinds of urolithiasis.

The aim of this book is to share with the urologic community worldwide our experience, our standardization of all the steps, and tips and tricks for the procedure.


Endoscopic combined intra-renal surgery Percutaneous nephrolithotomy Ureteroscopy Urolithiasis

Editors and affiliations

  • Cesare Marco Scoffone
    • 1
  • András Hoznek
    • 2
  • Cecilia Maria Cracco
    • 3
  1. 1.Dept. Of UrologyCottolengo HospitalTorinoItaly
  2. 2.Service d’UrologieCHU Henri MondorCréteil cedexFrance
  3. 3.Cottolengo HospitalTorinoItaly

Bibliographic information