Renal pelvic stones: choosing shock wave lithotripsy or percutaneous nephrolithotomy
Introduction of minimally invasive techniques has revolutionized the surgical management of renal calculi. Extracorporeal shock wave lithotripsy and percutaneous nephrolithotomy are now both well-established procedures. Each modality has advantages and disadvantages, and the application of each shou...
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Sociedade Brasileira de Urologia
2003-06-01
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doaj-23e1cf67f75e44b581929e39bfaf58d12020-11-24T21:51:11ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-55381677-61192003-06-0129319520710.1590/S1677-55382003000300002Renal pelvic stones: choosing shock wave lithotripsy or percutaneous nephrolithotomyRobert MarcovichArthur D. SmithIntroduction of minimally invasive techniques has revolutionized the surgical management of renal calculi. Extracorporeal shock wave lithotripsy and percutaneous nephrolithotomy are now both well-established procedures. Each modality has advantages and disadvantages, and the application of each should be based on well-defined factors. These variables include stone factors such as number, size, and composition; factors related to the stone's environment, including the stone's location, spatial anatomy of the renal collecting system, presence of hydronephrosis, and other anatomic variables, such as the presence of calyceal diverticula and renal anomalies; and clinical or patient factors like morbid obesity, the presence of a solitary kidney, and renal insufficiency. The morbidity of each procedure in relation to its efficacy should be taken in to account. This article will review current knowledge and suggest an algorithm for the rational management of renal calculi with shock wave lithotripsy and percutaneous nephrolithotomy.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382003000300002kidneykidney calculilithotripsynephrolithotomypercutaneousshock wave lithotripsy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Robert Marcovich Arthur D. Smith |
spellingShingle |
Robert Marcovich Arthur D. Smith Renal pelvic stones: choosing shock wave lithotripsy or percutaneous nephrolithotomy International Brazilian Journal of Urology kidney kidney calculi lithotripsy nephrolithotomy percutaneous shock wave lithotripsy |
author_facet |
Robert Marcovich Arthur D. Smith |
author_sort |
Robert Marcovich |
title |
Renal pelvic stones: choosing shock wave lithotripsy or percutaneous nephrolithotomy |
title_short |
Renal pelvic stones: choosing shock wave lithotripsy or percutaneous nephrolithotomy |
title_full |
Renal pelvic stones: choosing shock wave lithotripsy or percutaneous nephrolithotomy |
title_fullStr |
Renal pelvic stones: choosing shock wave lithotripsy or percutaneous nephrolithotomy |
title_full_unstemmed |
Renal pelvic stones: choosing shock wave lithotripsy or percutaneous nephrolithotomy |
title_sort |
renal pelvic stones: choosing shock wave lithotripsy or percutaneous nephrolithotomy |
publisher |
Sociedade Brasileira de Urologia |
series |
International Brazilian Journal of Urology |
issn |
1677-5538 1677-6119 |
publishDate |
2003-06-01 |
description |
Introduction of minimally invasive techniques has revolutionized the surgical management of renal calculi. Extracorporeal shock wave lithotripsy and percutaneous nephrolithotomy are now both well-established procedures. Each modality has advantages and disadvantages, and the application of each should be based on well-defined factors. These variables include stone factors such as number, size, and composition; factors related to the stone's environment, including the stone's location, spatial anatomy of the renal collecting system, presence of hydronephrosis, and other anatomic variables, such as the presence of calyceal diverticula and renal anomalies; and clinical or patient factors like morbid obesity, the presence of a solitary kidney, and renal insufficiency. The morbidity of each procedure in relation to its efficacy should be taken in to account. This article will review current knowledge and suggest an algorithm for the rational management of renal calculi with shock wave lithotripsy and percutaneous nephrolithotomy. |
topic |
kidney kidney calculi lithotripsy nephrolithotomy percutaneous shock wave lithotripsy |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382003000300002 |
work_keys_str_mv |
AT robertmarcovich renalpelvicstoneschoosingshockwavelithotripsyorpercutaneousnephrolithotomy AT arthurdsmith renalpelvicstoneschoosingshockwavelithotripsyorpercutaneousnephrolithotomy |
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