Abstract
The reviewer's comments address a most pertinent issue. Of our 103 intercostal access routes, 4 were supra 12th rib, 30 supra 11th rib, and 69 supra 10th rib. The only pulmonary complication occurred in 1 of the 4 supra 12th rib accesses, while 2 AV fistulae arose in the supra 11th rib accesses for staghorn calculi, and only 1 arteriocalyceal fistula occurred in the supra 10th rib access. The probability of a pulmonary or pleural complication seems to increase with a higher point of access and likely also in the presence of obesity, which tends to affect the angle of access trajectory.
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