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Troubleshooting Supine PCNL

Amid the sterile hum of the operating theater, a urologist navigates the delicate art of supine PCNL, where the kidney's gentle curves are exposed under soft, focused lights. Challenges arise—obscured calyceal access, limited maneuverability, and bleeding risks cast shadows over precision. Yet, with a steady hand and keen eye, troubleshooting shines through: ultrasound guidance pierces the fog, strategic patient positioning opens new angles, and meticulous hemostasis restores calm. Each adjustment is a dance with anatomy, blending science and intuition, transforming obstacles into triumphs as the stone yields, revealing the kidney’s serene resilience beneath the surgeon’s skilled orchestration.