PCNL as live cases
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PCNL involves creating a small tract (usually ~1 cm) from the skin of the back into the kidney to directly access and remove stones using a nephroscope. 📌 Indications PCNL is preferred when: ➖Stone size > 2 cm ➖Staghorn calculi ➖Hard stones (e.g., cystine, calcium oxalate monohydrate) ➖Failed Extracorporeal Shock Wave Lithotripsy or Retrograde Intrarenal Surgery ➖Anatomical abnormalities (e.g., PUJ obstruction) ✅ Advantages ➖High stone clearance rate (≈90–95% for large stones) ➖Single-session t
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