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Erschienen in: Urologie in der Praxis 3/2018

11.09.2018 | 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: Urologie in der Praxis | 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. 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. 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):904–922View Article
    3. Tailly GG (2013) Extracorporeal shock wave lithotripsy today. Indian J Urol 29:200–207View Article
    4. Kroczak T, Scotland KB, Chew B, Pace KT (2017) Shockwave lithotripsy: techniques for improving outcomes. World J Urol. https://​doi.​org/​10.​1007/​s00345-017-2056-y View ArticlePubMed
    5. 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):1219–1225View Article
    6. 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 186:556–562View Article
    7. 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 23:1383View Article
    8. 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 95:1285–1288View Article
    9. 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 167:1968–1971View Article
    10. 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):2072–2080View Article
    11. Platonov MA, Gillis AM, Kavanagh KM (2008) Pacemakers, implantable cardioverter/defibrillators and extracorporeal shockwave lithotripsy: evidence-based guidelines for the modern era. J Endourol 22:243–247View Article
    12. 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 187:157–163View Article
    13. 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–E133View Article
    14. 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 168:2211–2215View Article
    15. Jain A, Shah TK (2007) Effect of air bubbles in the coupling medium on efficacy of extracorporeal shock wave lithotripsy. Eur Urol 51(6):1680–1686View Article
    16. 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):784–796View Article
    17. Lingeman JE, McAteer JA, Gnessin E et al (2009) Shock wave lithotripsy: advances in technology and technique. Nat Rev Urol 6:660–670View Article
    18. Paterson RF, Lifshitz DA, Kuo R et al (2002) Shock wave litho-tripsy monotherapy for renal calculi. Int Braz J Urol 28:291–301PubMed
    19. 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 190:1260–1267View Article
    20. 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 103:1284–1288View Article
    21. Türk C, Knoll T, Seitz C et al (2017) Medical expulsive therapy for ureterolithiasis: the EAU recommendations in 2016. Eur Urol 71(4):504–507View Article
    22. Patterson JM, Wiseman OJ (2017) The role of medical expulsive therapy for ureteral stones: against MET. Eur Urol Focus 3(1):5–6View Article
    23. Knoll T, Türk C (2017) The role of medical expulsive therapy for ureteral stones: pro MET. Eur Urol Focus 3(1):3–4View Article
    24. 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):27–45View Article
    25. 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 23:387–393View Article
    26. Seitz C, Liatsikos E, Porpiglia F et al (2009) Medical therapy to facilitate the passage of stones: what is the evidence? Eur Urol 56:455–471View Article
    27. 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):2065–2071View Article
    28. 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):745–759View Article
    1. Maxwell A, Cunitz B, Kreider W et al (2015) Fragmentation of urinary calculi in vitro by burst wave lithotripsy. J Urol 193(1):338–344View Article
    2. Neisius A (2017) Hat die extrakorporale Stoßwellenlithotrispie noch einen Stellenwert? Urologe A 2017(56):1147–1157View Article
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
11.09.2018
Verlag
Springer Vienna
Erschienen in
Urologie in der Praxis / Ausgabe 3/2018
Print ISSN: 2661-8737
Elektronische ISSN: 2661-8745
DOI
https://doi.org/10.1007/s41973-018-0033-8

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