Routine postoperative CXR is not needed after PCNL. Obtaining selective CXR when a
recognized intraoperative hydropneumothorax has occurred, the physical examination reveals an
abnormality, or the patient experiences respiratory difficulties in the postoperative period is safe,
cost-effective, and reduces unnecessary radiation exposure to the patients. UROLOGY 79:
791–795, 2012. © 2012 Elsevier Inc.