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Erschienen in: Journal für Urologie und Urogynäkologie/Österreich 3/2018

05.09.2018 | Originalien

Extrakorporale Stoßwellenlithotripsie

verfasst von: Dr. J. Klein, C. Netsch, K. D. Sievert, A. Miernik, J. Westphal, H. Leyh, T. R. W. Herrmann, P. Olbert, A. Häcker, A. Bachmann, R. Homberg, M. Schoenthaler, J. Rassweiler, A. J. Gross

Erschienen in: Journal für Urologie und Urogynäkologie/Österreich | Ausgabe 3/2018

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Zusammenfassung

Die interventionelle Steintherapie beinhaltet im Wesentlichen 3 Therapiemodalitäten. Hierbei stellt die extrakorporale Stoßwellenlithotripsie (ESWL) neben der Ureterorenoskopie (URS) und der perkutanen Nephrolitholapaxie (PCNL) einen wesentlichen Behandlungspfeiler sowie die einzige nichtinvasive Behandlungsoption von Steinen im Harntrakt dar. Nach einer langen Phase der hohen Akzeptanz der ESWL sank in den letzten Jahren die Anzahl an ESWL-Interventionen zugunsten der beiden anderen Therapiemodalitäten (URS und PCNL). In diesem Artikel werden die Indikationen, die Operationstechnik und die Komplikationen sowie das Komplikationsmanagement des Eingriffs beschrieben.
Literatur
1.
Zurück zum Zitat Türk C, Petrik A, Seitz C, Skolarikos A, Knoll T, Neisius A, Tepeler A (2017) EAU Guidelines on Urolithiasis (Guideline sssociates: Debestani S, Drake T, Grivas N, Ruhayel Y) Türk C, Petrik A, Seitz C, Skolarikos A, Knoll T, Neisius A, Tepeler A (2017) EAU Guidelines on Urolithiasis (Guideline sssociates: Debestani S, Drake T, Grivas N, Ruhayel Y)
2.
Zurück zum Zitat Knoll T, Bach T, Humke U, Neisius A, Stein R, Schönthaler M, Wendt-Nordahl G (2016) S2k-Leitliniezur Diagnostik, Therapie und Metaphylaxe der Urolithiasis (AWMF 043/025). Urologe A 55(7):904–922 CrossRefPubMed Knoll T, Bach T, Humke U, Neisius A, Stein R, Schönthaler M, Wendt-Nordahl G (2016) S2k-Leitliniezur Diagnostik, Therapie und Metaphylaxe der Urolithiasis (AWMF 043/025). Urologe A 55(7):904–922 CrossRefPubMed
5.
Zurück zum Zitat Lam HS, Lingeman JE, Barron M et al (1992) Staghorn calculi: analysis of treatment results between initial percutaneous nephr-ostolithotomy and extracorporeal shock wave lithotripsy mono-therapy with reference to surface area. J Urol 147(5):1219–1225 CrossRefPubMed Lam HS, Lingeman JE, Barron M et al (1992) Staghorn calculi: analysis of treatment results between initial percutaneous nephr-ostolithotomy and extracorporeal shock wave lithotripsy mono-therapy with reference to surface area. J Urol 147(5):1219–1225 CrossRefPubMed
6.
Zurück zum Zitat Wiesenthal JD, Ghiculete D, Ray AA et al (2011) A clinical nomogram to predict the successful shock wave lithotripsy of renal and ureteral calculi. J Urol 186:556–562 CrossRefPubMed Wiesenthal JD, Ghiculete D, Ray AA et al (2011) A clinical nomogram to predict the successful shock wave lithotripsy of renal and ureteral calculi. J Urol 186:556–562 CrossRefPubMed
7.
Zurück zum Zitat Patel T, Kozakowski K, Hruby G et al (2009) Skin to stone distance is an independent predictor of stone-free status following shockwave lithotripsy. J Endourol 23:1383 CrossRefPubMed Patel T, Kozakowski K, Hruby G et al (2009) Skin to stone distance is an independent predictor of stone-free status following shockwave lithotripsy. J Endourol 23:1383 CrossRefPubMed
8.
Zurück zum Zitat Gupta NP, Ansari MS, Kesarvani P et al (2005) Role of computed tomography with no contrast medium enhancement in predicting the outcome of extracorporeal shock wave lithotripsy for urinary calculi. BJU Int 95:1285–1288 CrossRefPubMed Gupta NP, Ansari MS, Kesarvani P et al (2005) Role of computed tomography with no contrast medium enhancement in predicting the outcome of extracorporeal shock wave lithotripsy for urinary calculi. BJU Int 95:1285–1288 CrossRefPubMed
9.
Zurück zum Zitat Joseph P, Mandal AK, Singh SK et al (2002) Computerized tomography attenuation value of renal calculus: can it predict successful fragmentation of the calculus by extracorporeal shock wave lithotripsy? A preliminary study. J Urol 167:1968–1971 CrossRefPubMed Joseph P, Mandal AK, Singh SK et al (2002) Computerized tomography attenuation value of renal calculus: can it predict successful fragmentation of the calculus by extracorporeal shock wave lithotripsy? A preliminary study. J Urol 167:1968–1971 CrossRefPubMed
10.
Zurück zum Zitat Albala DM, Assimos DG, Clayman RV et al (2001) Lower pole I: a prospective randomized trial of extracorporeal shock wave lithotripsy and percutaneous nephrostolithotomy for lower pole nephrolithiasis-initial results. J Urol 166(6):2072–2080 CrossRefPubMed Albala DM, Assimos DG, Clayman RV et al (2001) Lower pole I: a prospective randomized trial of extracorporeal shock wave lithotripsy and percutaneous nephrostolithotomy for lower pole nephrolithiasis-initial results. J Urol 166(6):2072–2080 CrossRefPubMed
11.
Zurück zum Zitat Platonov MA, Gillis AM, Kavanagh KM (2008) Pacemakers, implantable cardioverter/defibrillators and extracorporeal shockwave lithotripsy: evidence-based guidelines for the modern era. J Endourol 22:243–247 CrossRefPubMed Platonov MA, Gillis AM, Kavanagh KM (2008) Pacemakers, implantable cardioverter/defibrillators and extracorporeal shockwave lithotripsy: evidence-based guidelines for the modern era. J Endourol 22:243–247 CrossRefPubMed
12.
Zurück zum Zitat Bohris C, Roosen A, Dickmann M et al (2012) Monitoring the coupling of the lithotripter head with skin during routine shock wave lithotripsy with a surveillance camera. J Urol 187:157–163 CrossRefPubMed Bohris C, Roosen A, Dickmann M et al (2012) Monitoring the coupling of the lithotripter head with skin during routine shock wave lithotripsy with a surveillance camera. J Urol 187:157–163 CrossRefPubMed
13.
Zurück zum Zitat Phipps S, Stephenson C, Tolley D (2013) Extracorporeal shockwave lithotripsy to distal ureteric stones: the transgluteal approach signi cantly increases stone-free rates. BJU Int 112:E129–E133 CrossRefPubMed Phipps S, Stephenson C, Tolley D (2013) Extracorporeal shockwave lithotripsy to distal ureteric stones: the transgluteal approach signi cantly increases stone-free rates. BJU Int 112:E129–E133 CrossRefPubMed
14.
Zurück zum Zitat Paterson R, Lifshitz DA, Lingeman JE et al (2002) Stone fragmentation during shock wave lithotripsy is improved by slowing the shock wave rate: studies with a new animal model. J Urol 168:2211–2215 CrossRefPubMed Paterson R, Lifshitz DA, Lingeman JE et al (2002) Stone fragmentation during shock wave lithotripsy is improved by slowing the shock wave rate: studies with a new animal model. J Urol 168:2211–2215 CrossRefPubMed
15.
Zurück zum Zitat Jain A, Shah TK (2007) Effect of air bubbles in the coupling medium on efficacy of extracorporeal shock wave lithotripsy. Eur Urol 51(6):1680–1686 CrossRefPubMed Jain A, Shah TK (2007) Effect of air bubbles in the coupling medium on efficacy of extracorporeal shock wave lithotripsy. Eur Urol 51(6):1680–1686 CrossRefPubMed
16.
Zurück zum Zitat Rassweiller JJ, Knoll T, Kohrmann KU, McAteer JA, Lingeman JE, Cleveland RO, Bailey MR, Chaussy C (2011) Shock wave technology and application: an update. Eur Urol 59(5):784–796 CrossRef Rassweiller JJ, Knoll T, Kohrmann KU, McAteer JA, Lingeman JE, Cleveland RO, Bailey MR, Chaussy C (2011) Shock wave technology and application: an update. Eur Urol 59(5):784–796 CrossRef
17.
18.
Zurück zum Zitat Paterson RF, Lifshitz DA, Kuo R et al (2002) Shock wave litho-tripsy monotherapy for renal calculi. Int Braz J Urol 28:291–301 PubMed Paterson RF, Lifshitz DA, Kuo R et al (2002) Shock wave litho-tripsy monotherapy for renal calculi. Int Braz J Urol 28:291–301 PubMed
19.
Zurück zum Zitat Li K, Lin T, Zhang C et al (2013) Optimal frequency of shock wave lithotripsy in urolithiasis treatment: a systematic review and meta-analysis of randomized controlled trials. J Urol 190:1260–1267 CrossRefPubMed Li K, Lin T, Zhang C et al (2013) Optimal frequency of shock wave lithotripsy in urolithiasis treatment: a systematic review and meta-analysis of randomized controlled trials. J Urol 190:1260–1267 CrossRefPubMed
20.
Zurück zum Zitat Gillitzer R, Neisius A, Wšllner J et al (2009) Low-frequency extracorporeal shock wave lithotripsy improves renal pelvic stone disintegration in a pig model. BJU Int 103:1284–1288 CrossRefPubMed Gillitzer R, Neisius A, Wšllner J et al (2009) Low-frequency extracorporeal shock wave lithotripsy improves renal pelvic stone disintegration in a pig model. BJU Int 103:1284–1288 CrossRefPubMed
21.
Zurück zum Zitat Türk C, Knoll T, Seitz C et al (2017) Medical expulsive therapy for ureterolithiasis: the EAU recommendations in 2016. Eur Urol 71(4):504–507 CrossRefPubMed Türk C, Knoll T, Seitz C et al (2017) Medical expulsive therapy for ureterolithiasis: the EAU recommendations in 2016. Eur Urol 71(4):504–507 CrossRefPubMed
22.
Zurück zum Zitat Patterson JM, Wiseman OJ (2017) The role of medical expulsive therapy for ureteral stones: against MET. Eur Urol Focus 3(1):5–6 CrossRefPubMed Patterson JM, Wiseman OJ (2017) The role of medical expulsive therapy for ureteral stones: against MET. Eur Urol Focus 3(1):5–6 CrossRefPubMed
23.
Zurück zum Zitat Knoll T, Türk C (2017) The role of medical expulsive therapy for ureteral stones: pro MET. Eur Urol Focus 3(1):3–4 CrossRefPubMed Knoll T, Türk C (2017) The role of medical expulsive therapy for ureteral stones: pro MET. Eur Urol Focus 3(1):3–4 CrossRefPubMed
24.
Zurück zum Zitat Skolarikos A, Ghani KR, Seitz C et al (2017) Medical expulsive therapy in urolithiasis: a review of the quality of the current evidence. Eur Urol Focus 3(1):27–45 CrossRefPubMed Skolarikos A, Ghani KR, Seitz C et al (2017) Medical expulsive therapy in urolithiasis: a review of the quality of the current evidence. Eur Urol Focus 3(1):27–45 CrossRefPubMed
25.
Zurück zum Zitat Schuler TD, Shahani R, Honey RJ et al (2009) Medical expulsive therapy as an adjunct to improve shockwave lithotripsy outcomes: a systematic review and meta-analysis. J Endourol 23:387–393 CrossRefPubMed Schuler TD, Shahani R, Honey RJ et al (2009) Medical expulsive therapy as an adjunct to improve shockwave lithotripsy outcomes: a systematic review and meta-analysis. J Endourol 23:387–393 CrossRefPubMed
26.
Zurück zum Zitat Seitz C, Liatsikos E, Porpiglia F et al (2009) Medical therapy to facilitate the passage of stones: what is the evidence? Eur Urol 56:455–471 CrossRefPubMed Seitz C, Liatsikos E, Porpiglia F et al (2009) Medical therapy to facilitate the passage of stones: what is the evidence? Eur Urol 56:455–471 CrossRefPubMed
27.
Zurück zum Zitat Pace KT, Tariq N, Dyer SJ et al (2001) Mechanical percussion, inversion and diuresis for residual lower pole fragments after shock wave lithotripsy: a prospective, single blind, randomized controlled trial. J Urol 166(6):2065–2071 CrossRefPubMed Pace KT, Tariq N, Dyer SJ et al (2001) Mechanical percussion, inversion and diuresis for residual lower pole fragments after shock wave lithotripsy: a prospective, single blind, randomized controlled trial. J Urol 166(6):2065–2071 CrossRefPubMed
28.
Zurück zum Zitat Zhang W, Zhou T, Wu T et al (2015) Retrograde surgery versus percutaneous nephrolithotomy versus extracorporeal shockwave lithotripsy for treatment of lower pole renal stones: a meta-analysis and systematic review. J Endourol 29(7):745–759 CrossRefPubMed Zhang W, Zhou T, Wu T et al (2015) Retrograde surgery versus percutaneous nephrolithotomy versus extracorporeal shockwave lithotripsy for treatment of lower pole renal stones: a meta-analysis and systematic review. J Endourol 29(7):745–759 CrossRefPubMed
1.
Zurück zum Zitat Maxwell A, Cunitz B, Kreider W et al (2015) Fragmentation of urinary calculi in vitro by burst wave lithotripsy. J Urol 193(1):338–344 CrossRefPubMed Maxwell A, Cunitz B, Kreider W et al (2015) Fragmentation of urinary calculi in vitro by burst wave lithotripsy. J Urol 193(1):338–344 CrossRefPubMed
2.
Zurück zum Zitat Neisius A (2017) Hat die extrakorporale Stoßwellenlithotrispie noch einen Stellenwert? Urologe A 2017(56):1147–1157 CrossRef Neisius A (2017) Hat die extrakorporale Stoßwellenlithotrispie noch einen Stellenwert? Urologe A 2017(56):1147–1157 CrossRef
Metadaten
Titel
Extrakorporale Stoßwellenlithotripsie
verfasst von
Dr. J. Klein
C. Netsch
K. D. Sievert
A. Miernik
J. Westphal
H. Leyh
T. R. W. Herrmann
P. Olbert
A. Häcker
A. Bachmann
R. Homberg
M. Schoenthaler
J. Rassweiler
A. J. Gross
Publikationsdatum
05.09.2018
Verlag
Springer Vienna
Erschienen in
Journal für Urologie und Urogynäkologie/Österreich / Ausgabe 3/2018
Print ISSN: 1023-6090
Elektronische ISSN: 1680-9424
DOI
https://doi.org/10.1007/s41972-018-0046-y

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