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Percutaneous ultrasonic lithotripsy.

A J LeRoy, G R May, J W Segura

    Radiologic Clinics of North America
    |June 1, 1984
    PubMed
    Summary
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    Percutaneous ultrasonic lithotripsy is a common method for removing kidney stones in the US. This technique involves accessing the kidney through a small incision, widening the path, and breaking up and removing stones.

    Area of Science:

    • Urology
    • Minimally Invasive Surgery

    Background:

    • Symptomatic upper urinary tract calculi are a common clinical problem.
    • Percutaneous ultrasonic lithotripsy is the predominant method for managing these calculi in the United States.

    Purpose of the Study:

    • To review the key components of percutaneous ultrasonic lithotripsy.
    • To provide an overview of the techniques involved in establishing percutaneous renal access, track dilatation, and stone removal.

    Main Methods:

    • Endoscopically guided fragmentation and removal of calculi.
    • Establishment of percutaneous renal access.
    • Percutaneous track dilatation.
    • Ultrasonic energy for stone fragmentation.

    Main Results:

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    • Percutaneous ultrasonic lithotripsy is a widely adopted technique.
    • The procedure involves a systematic approach to access, dilatation, and stone removal.

    Conclusions:

    • Percutaneous ultrasonic lithotripsy is a well-established and effective technique for symptomatic upper urinary tract calculi.
    • Understanding the procedural steps is crucial for successful outcomes.