EXTRACORPOREAL LITHOTRIPSY : Update On Technology - 05/09/11

Doi : 10.1016/S0094-0143(05)70260-3

George K. Chow, MD ^{^{*
Department of Urology, The Cleveland Clinic Foundation, Cleveland, Ohio}}, Stevan B. Streem, MD ^{^{*
Department of Urology, The Cleveland Clinic Foundation, Cleveland, Ohio}}

Resumen

The first clinical application of extracorporeal shock-wave lithotripsy (ESWL) was reported by Chaussy et al in 1980,^{8 Chaussy C., Brendel W., Schmiedt E. Extracorporeally induced destruction of kidney stones by shock waves Lancet 1980 ; ii : 1265-1268 [cross-ref]

Haga clic aquí para ir a la sección de Referencias} and during the ensuing two decades the urologic management of nephrolithiasis has undergone a complete revolution. With the nearly simultaneous development of percutaneous and ureteroscopic techniques, open stone surgery, once a mainstay of treatment, rarely is indicated today.^{22 Paik M.L., Wainstein M.A., Spirnak J.P. , y al. Current indications for open stone surgery in the treatment of renal and ureteral calculi J Urol 1998 ; 159 : 374-379 [cross-ref]

Haga clic aquí para ir a la sección de Referencias} In this article, the authors relate the history of the development of ESWL, discuss the basic technical components of ESWL, compare the various lithotripters currently in use, and explore the future of ESWL.

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Esquema

HISTORICAL ASPECTS

FUNCTIONAL COMPONENTS OF ESWL

COMPARISON OF LITHOTRIPTERS

FUTURE DEVELOPMENTS

Shock-wave Energy

Clinical Shock-wave Measurement

Calculus Targeting

SUMMARY

Address reprint requests to Stevan B. Streem, MD, Department of Urology, Desk A100, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, e-mail: streems@cesmtp.ccf.org