Summary
Operative management of renal calculi has changed radically in the past decade. New imaging techniques for intraoperative stone localization, the use of cooling techniques and drugs to protect renal function, and new operative techniques have even made possible the removal of complete staghorn calculi in short and kidney-preserving procedures. Considerable morbidity, however, still results from conventional renal stone surgery, especially when repeated operations are necessary for recurrent stone disease. Since the introduction of new less invasive methods, such as percutaneous nephrolithotomy (PCN) and stone extraction using an especially designed ureteroscope (URS), and above all, since the clinical application of extracorporeal shock wave lithotripsy (ESWL), policies for stone management have changed completely. A review of 1340 consecutive patients presenting with stones between October 1983 and October 1984 shows that only 7% of all patients with urinary stones — 1% of all renal stones and 15% of all ureteral stones — still required an open operation.
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References
Alken P, Hutschenreiter G, Günther R, Marberger M (1981) Percutaneous stone manipulation. J Urol 125:463–466
Chaussy Ch, Eisenberger F, Wanner K, Forssmann B (1978) Extrakorporale Anwendung von hochenergetischen Stoßwellen. Ein neuer Aspekt in der Behandlung des Harnsteinleidens (Teil 2). Aktuel Urol 9:95–101
Chaussy Ch, Schmiedt E, Jocham D, Walther V, Brendel W (1983) Stoßwellentherapie zur Behandlung von Nierensteinen. MMW 125:151–155
Chaussy Ch (1983) Wie wirtschaftlich sind Nierentransplantationen und die extracorporale Stoßwellenlithotripsie von Nierensteinen. Read at 12. Deutscher Krankenhaustag, Düsseldorf
Chaussy Ch, Schmiedt E, Jocham D, Schüller J, Brandl H, Liedl B (1984) ESWL-experience in 1100 patients. Proceedings of the 2nd World Congress on Percutaneous Renal Surgery, Mainz (abstr no 50)
Eisenberger F, Chaussy C, Wanner K (1977) Extracorporale Anwendung von hochenergetischen Stoßwellen — ein neuer Aspekt in der Behandlung des Harnsteinleidens. Aktuel Urol 8:3–15
Eisenberger F, Schmiedt E, Chaussy C, Wanner K, Forssmann B, Hepp W, Pielsticker K, Brendel W (1977) Berührungsfreie Harnsteinzertrümmerung (Stand der Forschung). Dtsch Ärztebl 74:1145–1150
Eisenberger F, Fuchs G, Miller K (1984) Development of a new revolutionary method in kidney stone therapy. Symposium of the Japanese Urological Association, Osaka
Eisenberger F, Fuchs G, Miller K (1983) Nierensteintherapie: Erste klinische Erfahrungen mit der berührungsfreien Nierensteintherapie (ESWL) am Katharinenhospital Stuttgart. ÄBW 38:504–506
Eisenberger F, Fuchs G, Miller K (1984) What is left for open surgery in complicated renal calculi? Read at the 9th Annual Meeting of the European Intrarenal Surgery Society, Vienna
Eisenberger F, Fuchs G, Miller K, Rassweiler J (1984) Non-invasive renal stone therapy with extracorporeal shockwave lithotripsy (ESWL). Proceedings of the 3rd Multinational Postgraduate Course Radiology Today. Springer, Berlin Heidelberg New York
Eisenberger F, Fuchs G, Miller K (1984) Clinical experience of the Dornier Extracorporeal Lithotripter in Stuttgart. Course on Practical Percutaneous Renal Surgery, London
Fernstroem I, Johannson B (1976) Percutaneous pyeloithotomy: a new extraction technique. Scand J Urol 4:257–259
Forssmann B, Hepp W, Chaussy C, Eisenberger F, Wanner K (1977) Eine Methode zur berührungsfreien Zertrümmerung von Nierensteinen durch Stoßwellen. Biomed Tech 22:164–168
Fuchs G, Miller K, Rassweiler J (1984) Alternatives to open surgery for renal calculi: percutaneous nephrolithotomy and extracorporeal shockwave lithotripsy. In: Schilling W (ed) Klinische und experimentelle Urologie. Zuckschwerdt, München
Fuchs G, Miller K, Eisenberger F (1984) ESWL: method, indications and clinical experience. Symposium of the Japanese Urological Association, Osaka
Fuchs G, Miller K, Bub P, Rassweiler J, Eisenberger F (1984) Extracorporeal shockwave lithotripsy (ESWL): clinical experience and results. Proceedings of the 2nd World Congress on Percutaneous Renal Surgery, Mainz (abstr no 53)
Fuchs G, Miller K, Rassweiler J, Eisenberger F (1984) Ultrasound before, during and after ESWL: reduction of X-ray exposure. Proceedings of the 2nd World Congress on Percutaneous Renal Surgery, Mainz (abstr no 57)
Korth K (1984) Percutaneous renal stone surgery. Springer, Berlin Heidelberg New York Tokyo
Marberger M, Stackl W, Hruby W (1982) Percutaneous litholapaxy of renal stones. Eur Urol 8:236–242
Marberger M, Hruby W, Stackl W, Kroiss A (1984) Late sequelae of ultrasonic lithotripsy. A 4 year experience. Annual Meeting of the American Urological Association, New Orleans (abstr no 570)
Miller K, Fuchs G, Bub P, Rassweiler J, Eisenberger F (1984) Änderungen der Indikationen bei der Behandlung des Harnsteinleidens durch die neuen Therapieformen extracorporale Stoßwellenlithotripsie (ESWL), perkutane Nephrolithotomie (PCN) und Ureterorenoskopie (URS). Read at 25. Tagung der Südwestdeutschen Gesellschaft für Urologie, Ludwigshafen.
Miller K, Fuchs G, Rassweiler J, Eisenberger F (1984) Financial analysis, personnel planning and organizational requirements for the installation of a kidney lithotripter at an urologic department. Eur Urol 2:210–217
Miller K, Fuchs G, Bub P, Rassweiler J, Eisenberger F (1984) Kombination von perkutaner Nephrolithotomie (PCN) und extracorporaler Stoßwellenlithotripsie (ESWL) — eine neue Möglichkeit zur Behandlung von Nierenausgußsteinen. Aktuel Urol 15:317–321
Perez-Castro Ellendt E, Martinez-Pineiro JA (1980) Transurethral ureteroscopy — a current urological procedure. Arch Esp Urol 33:445
Rassweiler J, Miller K, Fuchs G, Eisenberger F (1984) Ureterorenoscopic stone extraction (URS) — its role in the management of urolithiasis. Proceedings of the 2nd World Congress on Percutaneous Renal Surgery, Mainz (abstr no 42)
Schneider H-J, Berg Ch (1981) Epidemiologische Aussagen zum Harnsteinleiden auf der Grundlage von 100 000 Harnsteinanalysen unter besonderer Berücksichtigung der Rezidive. In: Vahlensieck W, Gasser G (eds) Pathogenese und Klinik der Harnsteine VIII. Steinkopf, Darmstadt
Wickham J, Miller R (1983) Percutaneous surgery of renal calculi. Churchill-Livingstone, London Edinburgh
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Present address: Department of Urology, UCLA School of Medicine, 10833 Le Conte Ave. Los Angeles, CA 90024, USA
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Eisenberger, F., Fuchs, G., Miller, K. et al. Extracorporeal shockwave lithotripsy (ESWL) and endourology: an ideal combination for the treatment of kidney stones. World J Urol 3, 41–47 (1985). https://doi.org/10.1007/BF00326887
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DOI: https://doi.org/10.1007/BF00326887