| Revista: | International braz j urol |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000296752 |
| ISSN: | 1677-5538 |
| Autores: | Mezentsev, V. A1 |
| Instituciones: | 1Moscow Regional Scientific Research Clinical Institute, Department of Urology, Moscú. Rusia |
| Año: | 2005 |
| Periodo: | Mar-Abr |
| Volumen: | 31 |
| Número: | 2 |
| Paginación: | 105-110 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Caso clínico, analítico |
| Resumen en inglés | INTRODUCTION: Management of urolithiasis in morbidly obese patients is usually associated with higher morbidity and mortality compared to non-obese patients. In morbidly obese patients, since the kidney and stone are at a considerable distance from the skin (compared to non-obese patients) difficulty may be found in positioning the patient so that the stone is situated at the focal point of the lithotripter. OBJECTIVE: To evaluate the outcomes and cost-efficiency of extracorporeal shock wave lithotripsy (ESWL) in the treatment of renal pelvicalyceal stones sized between 6 and 20 mm in morbidly obese patients. MATERIALS AND METHODS: Using various aids, such as mobile overtable module, extended shock pathway and abdominal compression 37 patients with body mass index more than 40 kg/m2 were treated using the Siemens Lithostar-plus third generation lithotripter. The size of renal pelvicalyceal stones was between 6 and 20 mm. Treatment costs for shock wave lithotripsy were calculated. RESULTS: The overall stone free rate at 3 months of 73% was achieved. The mean number of treatments per patient was 2.1. The post-lithotripsy secondary procedures rate was 5.4%. No complications, such as subcapsular haematoma or acute pyelonephritis were recorded. The most effective (87% success rate) and cost-efficient treatment was in the patients with pelvic stones. The treatment of the patients with low caliceal stones was effective in 60% only. The cost of the treatment of the patients with low calyceal stones was in 1.8 times higher than in the patient |
| Disciplinas: | Medicina |
| Palabras clave: | Cirugía, Nefrología, Terapéutica y rehabilitación, Ondas de choque, Litotripsia, Cálculos renales, Obesidad, Morbilidad |
| Keyword: | Medicine, Nephrology, Surgery, Therapeutics and rehabilitation, Shock waves, Lithotripsy, Kidney stones, Obesity, Morbidity |
| Texto completo: | Texto completo (Ver HTML) |
