Renal pelvic stones: choosing shock wave lithotripsy or percutaneous nephrolithotomy
Autor(a) principal: | |
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Data de Publicação: | 2003 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | International Braz J Urol (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382003000300002 |
Resumo: | 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. |
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Renal pelvic stones: choosing shock wave lithotripsy or percutaneous nephrolithotomykidneykidney calculilithotripsynephrolithotomypercutaneousshock wave lithotripsyIntroduction 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.Sociedade Brasileira de Urologia2003-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382003000300002International braz j urol v.29 n.3 2003reponame:International Braz J Urol (Online)instname:Sociedade Brasileira de Urologia (SBU)instacron:SBU10.1590/S1677-55382003000300002info:eu-repo/semantics/openAccessMarcovich,RobertSmith,Arthur D.eng2004-01-30T00:00:00Zoai:scielo:S1677-55382003000300002Revistahttp://www.brazjurol.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||brazjurol@brazjurol.com.br1677-61191677-5538opendoar:2004-01-30T00:00International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU)false |
dc.title.none.fl_str_mv |
Renal pelvic stones: choosing shock wave lithotripsy or percutaneous nephrolithotomy |
title |
Renal pelvic stones: choosing shock wave lithotripsy or percutaneous nephrolithotomy |
spellingShingle |
Renal pelvic stones: choosing shock wave lithotripsy or percutaneous nephrolithotomy Marcovich,Robert kidney kidney calculi lithotripsy nephrolithotomy percutaneous shock wave lithotripsy |
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 |
author |
Marcovich,Robert |
author_facet |
Marcovich,Robert Smith,Arthur D. |
author_role |
author |
author2 |
Smith,Arthur D. |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Marcovich,Robert Smith,Arthur D. |
dc.subject.por.fl_str_mv |
kidney kidney calculi lithotripsy nephrolithotomy percutaneous shock wave lithotripsy |
topic |
kidney kidney calculi lithotripsy nephrolithotomy percutaneous shock wave lithotripsy |
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. |
publishDate |
2003 |
dc.date.none.fl_str_mv |
2003-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382003000300002 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382003000300002 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1677-55382003000300002 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Urologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Urologia |
dc.source.none.fl_str_mv |
International braz j urol v.29 n.3 2003 reponame:International Braz J Urol (Online) instname:Sociedade Brasileira de Urologia (SBU) instacron:SBU |
instname_str |
Sociedade Brasileira de Urologia (SBU) |
instacron_str |
SBU |
institution |
SBU |
reponame_str |
International Braz J Urol (Online) |
collection |
International Braz J Urol (Online) |
repository.name.fl_str_mv |
International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU) |
repository.mail.fl_str_mv |
||brazjurol@brazjurol.com.br |
_version_ |
1750318068594114560 |