Anesthesia for extracorporeal shockwave lithotripsy: Teikyo University Hospital experience using the third generation lithotripter
-
- Kurihara, Koji
- Department of Urology, Teikyo University School of Medicine.
Bibliographic Information
- Other Title
-
- SWLと麻酔 : 帝京大学医学部附属病院での第3世代Lithotripterの使用経験
Search this article
Abstract
A single-board certified urologist with training and experience in anesthesiology was assigned to treat 502 patients (185 with renal stones, 317 with ureteral stones) using the Dornier Compact Delta lithotripter under general or epidural anesthesia. Data were obtained regarding stone location, stone size, shockwave use, stone-free rate, and complications. In all, 502 stones were treated with the Dornier Compact Delta lithotripter. Among renal stones, 73% were in the renal pelvis. Among ureteral stones, 60% were in the upper, 10% in the middle, and 30% in the lower ureter. Diameters of 61.8% of stones were less than 1 cm. The mean number of shocks was 3, 471 at a mean power setting of 5. The stone-free rate for renal stones was 71.5%, while for ureteral stones this reached 99%. The efficiency quotient was calculated as 0.65. One patient with a renal stone developed perinephric hematoma requiring 3 units of transfusion. With a success rate higher than that reported for other lithotripters, the Dornier Compact Delta lithotripter represents a feasible treatment for urolithiasis. We stress that even in the third generation machines the lithotripsy under anesthesia can improve the treatment efficacy.
Journal
-
- Hinyokika Kiyo
-
Hinyokika Kiyo 53 (8), 545-549, 2007-08
泌尿器科紀要刊行会
- Tweet
Details 詳細情報について
-
- CRID
- 1050845760509334144
-
- NII Article ID
- 120001177907
-
- NII Book ID
- AN00208315
-
- ISSN
- 00181994
-
- HANDLE
- 2433/71467
-
- NDL BIB ID
- 8865763
-
- Text Lang
- en
-
- Article Type
- departmental bulletin paper
-
- Data Source
-
- IRDB
- NDL
- CiNii Articles