scholarly journals Prestenting and its role in the URS: a study on the advantages it could have in intracorporeal lithotripsy interventions

2022 ◽  
Author(s):  
Piero Mannone ◽  
Rosa Giaimo ◽  
Davide Baiamonte ◽  
Gianpaolo Di Gregorio ◽  
Gabriele Tulone ◽  
...  
Keyword(s):  
Intracorporeal Lithotripsy

Laparoscopic cholecystectomy using intracorporeal lithotripsy

1991 ◽  
Vol 161 (3) ◽  
pp. 371-376 ◽  
Author(s):  
Jacques Perissat ◽  
Denis Collet ◽  
Gary Vitale ◽  
Renaud Belliard ◽  
Maurice Sosso
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Intracorporeal Lithotripsy

scholarly journals Management of bladder stones: the move towards non-invasive treatment

2017 ◽  
Vol 26 (2) ◽  
pp. 128-33 ◽  
Author(s):  
Isaac A. Deswanto ◽  
Ari Basukarno ◽  
Ponco Birowo ◽  
Nur Rasyid
Keyword(s):  
Hospital Stay ◽  
Bladder Stone ◽  
Outpatient Basis ◽  
Invasive Treatment ◽  
Invasive Approach ◽  
Bladder Calculi ◽  
Bladder Stones ◽  
Non Invasive ◽  
Extracorporeal Shock Wave ◽  
Intracorporeal Lithotripsy

Background: Bladder stone accounts for 5% of all cases of urolithiasis. Bladder stones management has evolved over the last decades from open bladder surgery (sectio alta) to intracorporeal cystholithotripsy as well as extracorporeal shock wave lithotripsy (ESWL). ESWL presents to be a promising modality in the management of bladder calculi due to its simplicity and well tolerability. This study is thus conducted to present data on the safety and effectiveness of ESWL in the management of bladder stone patients.Methods: This is a retrospective study evaluating the medical records of 92 bladder calculi patients admitted to Cipto Mangunkusumo General Hospital (RSCM) from January 2011 to April 2015. Patient’s age, gender, type of stone and procedure being done, status of stone disintegration, length of hospital stay, and any complications that may occur are noted down and statistically analyzed using SPSS v. 20.Results: Majority of the patients underwent ESWL (49 out of 92, 53.3%). The stone free rates for ESWL, intracorporeal lithotripsy, and sectio alta are 93.9%, 97.0% and 100% respectively. One patient had to repeat ESWL. The ESWL group had the smallest stone size average compared to the intracorporeal lithotripsy and section alta group (2.5 cm±2.0 cm vs 4.8 cm±3.7 cm vs 7.4 cm±5.4 cm respectively). The ESWL sessions were conducted in the outpatient clinic, and thus no hospital stay was required.Conclusion: ESWL can be suggested as an effective non-invasive approach in the disintegration of bladder stone of ≤25 mm with a promisingly high stone-free rate (93.9%) Furthermore, ESWL can be performed on an outpatient basis with minimal complications.

In vitro comparison of standard ultrasound and pneumatic lithotrites with a new combination intracorporeal lithotripsy device

Urology ◽  
2002 ◽  
Vol 60 (1) ◽  
pp. 28-32 ◽  
Author(s):  
Brian K Auge ◽  
Costas D Lallas ◽  
Paul K Pietrow ◽  
Pei Zhong ◽  
Glenn M Preminger
Keyword(s):  
New Combination ◽  
Intracorporeal Lithotripsy ◽  
In Vitro Comparison

Intracorporeal Lithotripsy During PCNL

2020 ◽  
pp. 83-91
Author(s):  
Xiaofeng Gao ◽  
Ziyu Fang ◽  
Hao Dong ◽  
Fei Xie ◽  
Chaoyue Lu ◽  
...  
Keyword(s):  
Intracorporeal Lithotripsy

Treatment of Ureteral Stones: Intracorporeal Or Extracorporeal Lithotripsy?

1998 ◽  
Vol 65 (1_suppl) ◽  
pp. 47-50
Author(s):  
F. Merlo ◽  
E. Cicerello ◽  
L Maccatrozzo ◽  
A. Fandella ◽  
L. Faggiano ◽  
...  
Keyword(s):  
General Anesthesia ◽  
Day Surgery ◽  
Ureteral Stones ◽  
Less Invasive ◽  
Intracorporeal Lithotripsy ◽  
Extracorporeal Lithotripsy

Over the last 15 years the treatment of ureteral stones has been considerably revolutionised thanks to new, less invasive technologies compared to traditional surgery. The urologist is, however, faced with a dilemma: whether to cure the patient with easy-to-perform extracorporeal lithotripsy (ESWL) without anesthesia in Day Surgery, but which often requires more than one session to clear the stones completely, or to carry out ureteroscopy and intracorporeal lithotripsy, which resolves most cases in just one treatment but is more invasive in that it requires general anesthesia and hospitalisation. The authors present their experience and compare the two methods.

Intracorporeal techniques of stone fragmentation

2017 ◽  
Author(s):  
Gastón M. Astroza ◽  
Michael E. Lipkin ◽  
Glenn M. Preminger
Keyword(s):  
Renal Calculi ◽  
Laser Lithotripsy ◽  
Ureteral Stones ◽  
Pneumatic Lithotripsy ◽  
Stone Fragmentation ◽  
Intracorporeal Lithotripsy ◽  
Ultrasonic Lithotripsy ◽  
Laser Fibres ◽  
Power Generation Systems ◽  
Percutaneous Nephrolithotripsy

The use of intracorporeal lithotripsy for the management of larger ureteral and intrarenal calculi has dramatically improved. Although the choice of intracorporeal fragmentation is frequently based on the location and composition of the stone to be treated, the experience of the clinician and availability of equipment often dictates this decision. Several different modalities of intracorporeal lithotripsy are currently available. Ultrasonic lithotripsy is mainly used for the fragmentation of large renal calculi during percutaneous nephrolithotripsy procedures. Ultrasound is used rarely via an ureteroscopic approach. Significant advances in laser fibres and power generation systems have propelled laser lithotripsy to the treatment of choice for fragmentation of most ureteral stones. Pneumatic lithotripsy consists of a pneumatically driven piston which will fragment stones by direct contact.

scholarly journals Consultation on kidney stones, Copenhagen 2019: aspects of intracorporeal lithotripsy in flexible ureterorenoscopy

2020 ◽  
Author(s):  
Søren Kissow Lildal ◽  
Kim Hovgaard Andreassen ◽  
Joyce Baard ◽  
Marianne Brehmer ◽  
Matthew Bultitude ◽  
...  
Keyword(s):  
Kidney Stones ◽  
Current Knowledge ◽  
Laser Lithotripsy ◽  
Fibre Laser ◽  
Future Research ◽  
Pulse Modulation ◽  
Flexible Ureterorenoscopy ◽  
Intracorporeal Lithotripsy ◽  
Stone Free Rate ◽  
The Individual

Abstract Purpose To summarize current knowledge on intracorporeal laser lithotripsy in flexible ureterorenoscopy (fURS), regarding basics of laser lithotripsy, technical aspects, stone clearance, lithotripsy strategies, laser technologies, endoscopes, and safety. Methods A scoping review approach was applied to search literature in PubMed, EMBASE, and Web of Science. Consensus was reached through discussions at the Consultation on Kidney Stones held in September 2019 in Copenhagen, Denmark. Results and conclusions Lasers are widely used for lithotripsy during fURS. The Holmium laser is still the predominant technology, and specific settings for dusting and fragmenting have evolved, which has expanded the role of fURS in stone management. Pulse modulation can increase stone ablation efficacy, possibly by minimizing stone retropulsion. Thulium fibre laser was recently introduced, and this technology may improve laser lithotripsy efficiency. Small fibres give better irrigation, accessibility, and efficiency. To achieve optimal results, laser settings should be adjusted for the individual stone. There is no consensus whether the fragmentation and basketing strategy is preferable to the dusting strategy for increasing stone-free rate. On the contrary, different stone scenarios call for different lithotripsy approaches. Furthermore, for large stone burdens, all laser settings and lithotripsy strategies must be applied to achieve optimal results. Technology for removing dust from the kidney should be in focus in future research and development. Safety concerns about fURS laser lithotripsy include high intrarenal pressures and temperatures, and measures to reduce both those aspects must be taken to avoid complications. Technology to control these parameters should be targeted in further studies.

Expanding Endourology for Biliary Stone Disease: The Efficacy of Intracorporeal Lithotripsy on Refractory Biliary Calculi

2014 ◽  
Vol 28 (7) ◽  
pp. 877-880 ◽  
Author(s):  
Brian C. Sninsky ◽  
Priyanka D Sehgal ◽  
J. Louis Hinshaw ◽  
John C. McDermott ◽  
Stephen Y. Nakada
Keyword(s):  
Stone Disease ◽  
Biliary Stone ◽  
Biliary Calculi ◽  
Intracorporeal Lithotripsy

Intracorporeal Lithotripsy With the Holmium

1996 ◽  
pp. 912-914 ◽  
Author(s):  
Hassan A. Razvi ◽  
John D. Denstedt ◽  
Samuel S. Chun ◽  
Jack L. Sales
Keyword(s):  
Intracorporeal Lithotripsy
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