Surgical Management of Stones: New Technology
Identifieur interne : 000244 ( Pmc/Curation ); précédent : 000243; suivant : 000245Surgical Management of Stones: New Technology
Auteurs : Brian R. Matlaga ; James E. LingemanSource :
- Advances in chronic kidney disease [ 1548-5595 ] ; 2009.
Abstract
In recent years, the surgical treatment of kidney stone disease has undergone tremendous advances, many of which were possible only as a result of improvements in surgical technology. Rigid intracorporeal lithotrites, the mainstay of percutaneous nephrolithotomy, are now available as combination ultrasonic and ballistic devices. These combination devices have been reported to clear a stone burden with much greater efficiency than devices that operate by either ultrasonic or ballistic energy alone. The laser is the most commonly used flexible lithotrite; advances in laser lithotripsy have led to improvements in the currently utilized Holmium laser platform, as well as the development of novel laser platforms such as Thulium and Erbium devices. Our understanding of shock wave lithotripsy (SWL)has been improved over recent years as a consequence of basic science investigations. It is now recognized that there are certain maneuvers with SWL that the treating physician can do that will increase the likelihood of a successful outcome while minimizing the likelihood of adverse treatment-related events.
Url:
DOI: 10.1053/j.ackd.2008.10.008
PubMed: 19095207
PubMed Central: 3169797
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<author><name sortKey="Lingeman, James E" sort="Lingeman, James E" uniqKey="Lingeman J" first="James E." last="Lingeman">James E. Lingeman</name>
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<series><title level="j">Advances in chronic kidney disease</title>
<idno type="ISSN">1548-5595</idno>
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<front><div type="abstract" xml:lang="en"><p id="P1">In recent years, the surgical treatment of kidney stone disease has undergone tremendous advances, many of which were possible only as a result of improvements in surgical technology. Rigid intracorporeal lithotrites, the mainstay of percutaneous nephrolithotomy, are now available as combination ultrasonic and ballistic devices. These combination devices have been reported to clear a stone burden with much greater efficiency than devices that operate by either ultrasonic or ballistic energy alone. The laser is the most commonly used flexible lithotrite; advances in laser lithotripsy have led to improvements in the currently utilized Holmium laser platform, as well as the development of novel laser platforms such as Thulium and Erbium devices. Our understanding of shock wave lithotripsy (SWL)has been improved over recent years as a consequence of basic science investigations. It is now recognized that there are certain maneuvers with SWL that the treating physician can do that will increase the likelihood of a successful outcome while minimizing the likelihood of adverse treatment-related events.</p>
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<pmc article-type="research-article" xml:lang="en"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">101209214</journal-id>
<journal-id journal-id-type="pubmed-jr-id">31964</journal-id>
<journal-id journal-id-type="nlm-ta">Adv Chronic Kidney Dis</journal-id>
<journal-title-group><journal-title>Advances in chronic kidney disease</journal-title>
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<issn pub-type="ppub">1548-5595</issn>
<issn pub-type="epub">1548-5609</issn>
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<article-meta><article-id pub-id-type="pmid">19095207</article-id>
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<article-id pub-id-type="doi">10.1053/j.ackd.2008.10.008</article-id>
<article-id pub-id-type="manuscript">NIHMS319789</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Surgical Management of Stones: New Technology</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Matlaga</surname>
<given-names>Brian R.</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Lingeman</surname>
<given-names>James E.</given-names>
</name>
</contrib>
<aff id="A1">James Buchanan Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, MD; and Methodist Hospital Institute for Kidney Stone Disease and Indiana University School of Medicine, Indianapolis, IN</aff>
</contrib-group>
<author-notes><corresp id="FN1">Address correspondence to Brian R. Matlaga, MD, MPH, Johns Hopkins Medical Institutions, Johns Hopkins Bay view Medical Center, The Brady Urological Institute, 600 North Wolfe Street, Baltimore, MD 21209, <email>bmatlag1@jhmi.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>1</day>
<month>9</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="ppub"><month>1</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>9</day>
<month>9</month>
<year>2011</year>
</pub-date>
<volume>16</volume>
<issue>1</issue>
<fpage>60</fpage>
<lpage>64</lpage>
<permissions><copyright-statement>© 2009 by the National Kidney Foundation, Inc. All rights reserved.</copyright-statement>
<copyright-year>2009</copyright-year>
</permissions>
<abstract><p id="P1">In recent years, the surgical treatment of kidney stone disease has undergone tremendous advances, many of which were possible only as a result of improvements in surgical technology. Rigid intracorporeal lithotrites, the mainstay of percutaneous nephrolithotomy, are now available as combination ultrasonic and ballistic devices. These combination devices have been reported to clear a stone burden with much greater efficiency than devices that operate by either ultrasonic or ballistic energy alone. The laser is the most commonly used flexible lithotrite; advances in laser lithotripsy have led to improvements in the currently utilized Holmium laser platform, as well as the development of novel laser platforms such as Thulium and Erbium devices. Our understanding of shock wave lithotripsy (SWL)has been improved over recent years as a consequence of basic science investigations. It is now recognized that there are certain maneuvers with SWL that the treating physician can do that will increase the likelihood of a successful outcome while minimizing the likelihood of adverse treatment-related events.</p>
</abstract>
<kwd-group><title>Index Words</title>
<kwd>Shockwave lithotripsy</kwd>
<kwd>Lithotrite</kwd>
<kwd>Laser</kwd>
<kwd>Holmium</kwd>
<kwd>Thulium</kwd>
<kwd>Erbium</kwd>
</kwd-group>
<funding-group><award-group><funding-source country="United States">National Institute of Diabetes and Digestive and Kidney Diseases : NIDDK</funding-source>
<award-id>P01 DK056788-09 || DK</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
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