Sandwich Technique: Is There Still a Role in Large Renal Calculus?

A presentation on managing large and complex kidney stones, including staghorn stones that fill the kidney. It discusses the "sandwich" approach: PCNL first to remove the bulk of the stone, then shock wave treatment or further scope procedures for what remains. The talk concludes that no single procedure suits every stone and that the plan should be tailored to the patient. From Dr. Joshi's own slides; the event and date come from the name of his presentation file.