Impact of extracorporeal shock wave lithotripsy on percutaneous stone procedures

Bush, William H.; Rp, Gibbons; Lewis, G P; Brannen, GE

doi:10.2214/ajr.147.1.89

Cited by 13 publications

(4 citation statements)

References 12 publications

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“…Although or other complications of ESWL. Nevertheless, more patients having ESWL required a subsequent general this (and other) studies have suggested that PCN is superior to ESWL in terms of stone clearance [10-13], anaesthetic (55) than patients having percutaneous stone surgery (11), while the number of deaths in the the number of PCNs performed has generally decreased [18] in favour of ESWL, as the latter is given in an outtwo groups is comparable. Although analgesic requirements were not examined, two of the authors have had patient setting and is cheaper than PCN.…”

Section: Pcn Eswlmentioning

confidence: 99%

A case‐control study of percutaneous nephrolithotomy versus extracorporeal shock wave lithotripsy

Saxby

Sorahan

Slaney

et al. 1997

British Journal of Urology

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Objectives To assess the relative efficacy of percutaneous (P=0.001). ESWL results were also affected by re-treatment rates, which were influenced by distance nephrolithotomy (PCN) and extracorporeal shock wave lithotripsy (ESWL) in clearing stones and to examine of the local hospital from the lithotripter. The results with PCN improved with experience. The results of factors which affected the results from each treatment. Patients and methods The study comprised 390 patients ESWL were satisfactory and the treatment cheaper, with a lower morbidity and hospital stay than after treated with PCN who were compared to 618 patients treated with ESWL. Unconditional logistic regression PCN for stones <2 cm in diameter, making it the treatment of choice. However for stones >2 cm, the analysis was used to compare the odds of success and failure in the PCN group with those in the ESWL results of ESWL were not as good and costs of treatment, morbidity and hospital stay were much closer group, whilst controlling for any potential effects of age, sex, laterality, presence of other stones, previous to those of PCN for similar sized stones. Conclusions PCN is more effective than ESWL in clearing stone history, pre-operative treatment and centre. Results PCN was more successful in obtaining satisfacstones. However, ESWL is an effective treatment and is usually the treatment of choice for most stones. tory results than ESWL, with an odds ratio of 2.67 (P<0.001, 95% confidence intervals 1.84-3.87). The Nevertheless, PCN remains an important and extremely effective method of treatment. The choice odds ratio in favour of PCN was increased after controlling for differences by centre (odds ratio 5.18, of treatment for stones will be influenced by the distance of a centre from a static lithotripter, and the 95% confidence intervals 2.89-9.16). No other factors significantly influenced the odds ratio. ESWL was less potential availability of a mobile lithotripter. Keywords Lithotripsy, percutaneous nephrolithotomy, successful in treating stones >2 cm in diameter compared to treating stones <2 cm in diameter case-match control study ESWL as the treatment of choice in view of the lower

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Section: Pcn Eswlmentioning

confidence: 99%

A case‐control study of percutaneous nephrolithotomy versus extracorporeal shock wave lithotripsy

Saxby

Sorahan

Slaney

et al. 1997

British Journal of Urology

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“…Newer lithotripters with improved shock-wave generators and better shock-wave focusing do not cause discomfort requiring anesthesia. Treatable complications of lithotripsy, other than complications associated with anesthesia alone, have been reported, including renal parenchymal disruption, subcapsular renal hematoma formation, and, rarely, cardiac dysrhythmias, pancreatitis, liver hematomas, and hemorrhage requiring blood transfusions (2,(4)(5)(6)(7). We report two cases of severe hemorrhage soon after lithotripsy.…”

Section: Severe Hemorrhage After Extracorporeal Shock-wave Lithotripsymentioning

confidence: 96%

Severe Hemorrhage after Extracorporeal Shock-Wave Lithotripsy

Stoller

Litt²,

Salazar³

1989

Ann Intern Med

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Brief reports of new clinical or laboratory observations, cases of unusual importance,and new developments in medical care will be considered for publication in this section. Manuscripts must be typed double-spaced. Text length must not exceed 750 words; not more than ten references and one figure or table can be used. See "Information for Readers and Authors" for form of references. Manuscripts should include an abstract of not over 150 words. Reports will be reviewed by consultants when, in the opinion of the editors, such review is needed. The Editor reserves the right to shorten reports and to make changes in style.

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“…While all this was going on, Christian Chaussy and his coworkers in Germany were creating the Dornier lithotripter, a large machine that compensates for its enormous cost by removing stones from 80% to 90% of patients with generally satisfying speed and little morbidity: patients usually can return to work a day or two after treatment. 7,8 Department of Urologic Surgery, University of Minnesota Health Science Center, Minneapolis, Minnesota Some of the more enthusiastic observers predicted that the Dornier machine would eliminate all percutaneous stone-manipulation procedures. This has not been the case, as will be discussed.…”

Section: Eswlmentioning

confidence: 99%

The Role of Endourologic Procedures in Relation to Extracorporeal Shock Wave Lithotripsy

Hulbert¹

1987

Semin intervent Radiol

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Impact of extracorporeal shock wave lithotripsy on percutaneous stone procedures

Cited by 13 publications

References 12 publications

A case‐control study of percutaneous nephrolithotomy versus extracorporeal shock wave lithotripsy

A case‐control study of percutaneous nephrolithotomy versus extracorporeal shock wave lithotripsy

Severe Hemorrhage after Extracorporeal Shock-Wave Lithotripsy

The Role of Endourologic Procedures in Relation to Extracorporeal Shock Wave Lithotripsy

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