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Endoscopic Combined Intrarenal Surgery (ECIRS)

A combined antegrade and retrograde approach to the upper urinary tract

Procedure

ECIRS, Endoscopic Combined Intrarenal Surgery, embodies a full mastery of the operating room: This endourology technique exploits 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. (Scoffone, et al., 2013).

ECIRS – Endoscopic Combined Intrarenal Surgery

Dr. Martin Drerup and Dr. Thomas Kunit, demonstrating the use of ECIRS at the Landeskrankenhaus Salzburg, Austria.

Learning goals of this video case:
•    Why was ECIRS was chosen?
•    How was the patient positioned?
•    What equipment was used?
•    How is the full OR team involved in the set-up and during the procedure?
•    How flexible ureterorenoscope and nephroscope can work together to obtain full stone clearance 

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