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International braz j urol

Print version ISSN 1677-5538On-line version ISSN 1677-6119

Int. braz j urol. vol.44 no.5 Rio de Janeiro Sept./Oct. 2018 

Video Section

Complete supine percutaneous nephrolithotomy with GoPro®. Ten steps for success

Fabio Carvalho Vicentini1 

Hugo Daniel Barone dos Santos1 

Carlos Alfredo Batagello1 

Julia Rothe Amundson2 

Evaristo Peixoto Oliveira Neto1 

Giovanni Scala Marchini1 

Miguel Srougi1 

Willian Carlos Nahas1 

Eduardo Mazzucchi1 

1Divisão de Urologia, Grupo de Endourologia do Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo, USP, São Paulo, SP, Brasil

2University of Miami, Miller School of Medicine, Miami, EUA



To show a video of a complete supine Percutaneous Nephrolithotomy (csPCNL) performed for the treatment of a staghorn calculus, from the surgeon's point of view. The procedure was recorded with a GoPro® camera, demonstrating the ten essential steps for a successful procedure.

Materials and methods:

The patient was a 38 years-old woman with 2.4cm of left kidney lower pole stone burden who presented with 3 months of lumbar pain and recurrent urinary tract infections. She had a previous diagnosis of polycystic kidney disease and chronic renal failure stage 2. CT scan showed two 1.2cm stones in the lower pole (Guy's Stone Score 2). She had a previous ipsilateral double J insertion due to an obstructive pyelonephritis. The csPCNL was uneventful with a single access in the lower pole. The surgeon had a Full HD GoPro Hero 4 Session® camera mounted on his head, controlled by the surgical team with a remote control. All of the mains steps were recorded. Informed consent was obtained prior to the procedure.


The surgical time was 90 minutes. Hemoglobin drop was 0.5g/dL. A post-operative CT scan was stone-free. The patient was discharged 36 hours after surgery. The camera worked properly and didn't cause pain or muscle discomfort to the surgeon. The quality of the recorded movie was excellent.


GoPro® camera proved to be a very interesting tool to document surgeries without interfering with the procedure and with great educational potential. More studies should be conducted to evaluate the role of this equipment.


Available at:

Int Braz J Urol. 2018; 44 (Video #13): 1046-1046

Published as Ahead of Print: March 15, 2018

Received: June 01, 2017; Accepted: February 18, 2018

Correspondence address: Carlos Alfredo Batagello, MD, Divisão de Urologia, Grupo de Endourologia, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo, Av. Enéas de Carvalho Aguiar, 255, São Paulo, SP, 05403-000, Brasil, Fax: + 55 11 2661-8080 E-mail:


None declared.

Creative Commons License This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.