Zusammenfassung
Die interventionelle Steintherapie beinhaltet im Wesentlichen 3 Therapiemodalitäten. Hierbei stellt die extrakorporale Stoßwellenlithotripsie (ESWL) neben der Ureterorenoskopie (URS) und der perkutanen Nephrolitholapaxie (PCNL) einen wesentlichen Behandlungspfeiler sowie die einzige nichtinvasive Behandlungsoption von Steinen im Harntrakt dar. Nach einer langen Phase der hohen Akzeptanz der ESWL sank in den letzten Jahren die Anzahl an ESWL-Interventionen zugunsten der beiden anderen Therapiemodalitäten (URS und PCNL). In diesem Artikel werden die Indikationen, die Operationstechnik und die Komplikationen sowie das Komplikationsmanagement des Eingriffs beschrieben.
Schlüsselwörter
Harnsteine Urolithiasis Steintherapie Operative Techniken Minimal-invasive TechnikenExtracorporeal shock wave lithotripsy
Abstract
Interventional treatment of stones essentially consists of three treatment modalities. Extracorporeal shockwave lithotripsy (ESWL), in addition to uterorenoscopy (URS) and percutaneous nephrolitholapaxy (PCNL) is an essential treatment pillar and is the only noninvasive therapy option for the treatment of urinary stones. After a long period of ESWL being the leading choice in stone treatment, the number of SWL interventions diminished in recent years in favor of the other two treatment modalities (URS and PCNL). This article describes the indications, surgical technique and management of complications of SWL.
Keywords
Urinary calculi Urolihiasis Stone treatment Surgical techniques Minimally invasive techniquesNotes
Einhaltung ethischer Richtlinien
Interessenkonflikt
J. Klein, C. Netsch, K.D. Sievert, A. Miernik, J. Westphal, H. Leyh, T.R.W. Herrmann, P. Olbert, A. Häcker, A. Bachmann, R. Homberg, M. Schoenthaler, J. Rassweiler und A. J. Gross geben an, dass kein Interessenkonflikt besteht.
Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.
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