Chapter 8
Instrumentation and Surgical Technique
Intracorporeal Lithotrites
Book Editor(s):Manoj Monga MD, FACS,
Abhay Rane MS, FRCS(Urol),
Manoj Monga MD, FACS
Director
Stevan B. Streem Center for Endourology and Stone Disease, Glickman Urological and Kidney Institute, Cleveland Clinic Cleveland, OH, USA
Search for more papers by this authorAbhay Rane MS, FRCS(Urol)
Professor of Urology
East Surrey Hospital, Redhill, UK
Search for more papers by this authorFirst published: 25 October 2013
Summary
Since its emergence in the mid-1970s, percutaneous nephrolithotomy has been used to successfully treat large and complex stones in the collecting system, including staghorn calculi. In this chapter, we review the literature and discuss our institutional experience with intracorporeal lithotripsy for this procedure. We review commonly used intracorporeal lithotrites and their mechanisms of action, and discuss comparative studies evaluating lithotripter performance. We discuss some surgical techniques using several of the lithotripters and provide an approach to intraoperative trouble-shooting.
References
- Duvdevani M, Razvi H, Sofer M, et al. Third prize: contemporary percutaneous nephrolithotripsy: 1585 procedures in 1338 consecutive patients. J Endourol 2007; 21(8): 824–9.
- Williams SK, Leveillee RJ. A single percutaneous access and flexible nephroscopy is the best treatment for a full staghorn calculus. J Endourol 2008; 22(9): 1835–7; discussion 1839.
- Lowe G, Knudsen BE. Ultrasonic, pneumatic and combination intracorporeal lithotripsy for percutaneous nephrolithotomy. J Endourol 2009; 23(10): 1663–8.
- Denstedt JD, Razvi HA, Rowe E, Grignon DJ, Eberwein PM. Investigation of the tissue effects of a new device for intracorporeal lithotripsy – the Swiss Lithoclast. J Urol 1995; 153(2): 535–7.
- Yinghao S, Linhui W, Songxi Q, et al. Treatment of urinary calculi with ureteroscopy and Swiss lithoclast pneumatic lithotripter: report of 150 cases. J Endourol 2000; 14(3): 281–3.
- Haupt G, Pannek J, Herde T, Schulze H, Senge T. The Lithovac: new suction device for the Swiss Lithoclast. J Endourol 1995; 9(5): 375–7.
- Delvecchio FC, Kuo RL, Preminger GM. Clinical efficacy of combined lithoclast and lithovac stone removal during ureteroscopy. J Urol 2000; 164(1): 40–2.
- Pugh JW, Canales BK. New instrumentation in percutaneous nephrolithotomy. Indian J Urol 2010; 26(3): 389–94.
- Nerli RB, Koura AC, Prabha V, Kamat G, Alur SB. Use of LMA Stonebreaker as an intracorporeal lithotrite in the management of ureteral calculi. J Endourol 2008; 22(4): 641–4.
- Chew BH, Arsovska O, Lange D, et al. The Canadian StoneBreaker trial: a randomized, multicenter trial comparing the LMA StoneBreaker and the Swiss LithoClast(R) during percutaneous nephrolithotripsy. J Endourol 2011; 25(9): 1415–19.
- Terhorst B. [The effect of electrohydraulic waves and ultrasound on the urothelium]. Urologe A 1975; 14(1): 41–5.
- Hofmann R, Weber J, Heidenreich A, Varga Z, Olbert P. Experimental studies and first clinical experience with a new Lithoclast and ultrasound combination for lithotripsy. Eur Urol 2002; 42(4): 376–81.
- Auge BK, Lallas CD, Pietrow PK, Zhong P, Preminger GM. In vitro comparison of standard ultrasound and pneumatic lithotrites with a new combination intracorporeal lithotripsy device. Urology 2002; 60(1): 28–32.
- Pietrow PK, Auge BK, Zhong P, Preminger GM. Clinical efficacy of a combination pneumatic and ultrasonic lithotrite. J Urol 2003; 169(4): 1247–9.
- Lehman DS, Hruby GW, Phillips C, et al. Prospective randomized comparison of a combined ultrasonic and pneumatic lithotrite with a standard ultrasonic lithotrite for percutaneous nephrolithotomy. J Endourol 2008; 22(2): 285–9.
- Kuo RL, Paterson RF, Siqueira TM Jr, et al. In vitro assessment of lithoclast ultra intracorporeal lithotripter. J Endourol 2004; 18(2): 153–6.
- Goldman DM, Pedro RN, Kossett A, Durfee W, Monga M. Maximizing stone fragmentation efficiency with ultrasonic probes: impact of probe pressure and rotation. J Urol 2009; 181(3): 1429–33.
- Liatsikos EN, Dinlenc CZ, Fogarty JD, Kapoor R, Bernardo NO, Smith AD. Efficiency and efficacy of different intracorporeal ultrasonic lithotripsy units on a synthetic stone model. J Endourol 2001; 15(9): 925–8.
- Haupt G, Haupt A. In vitro comparison of 4 ultrasound lithotripsy devices. J Urol 2003; 170(5): 1731–3.
- Kim SC, Matlaga BR, Tinmouth WW, et al. In vitro assessment of a novel dual probe ultrasonic intracorporeal lithotriptor. J Urol 2007; 177(4): 1363–5.
- M Louie, G Lowe, BE Knudsen (eds). Comparison of the Lithoclast Ultra and Cyberwand in a Cystolitholapaxy Model. San Jose, CA: Society of Photo-Optical Instrumentation Engineers, 2008.
- Krambeck AE, Miller NL, Humphreys MR, et al. Randomized controlled, multicentre clinical trial comparing a dual-probe ultrasonic lithotrite with a single-probe lithotrite for percutaneous nephrolithotomy. BJU Int 2011; 107(5): 824–8.
- Soucy F, Ko R, Denstedt JD, Razvi H. Occupational noise exposure during endourologic procedures. J Endourol 2008; 22(8): 1609–11.
- Grocela JA, Dretler SP. Intracorporeal lithotripsy. Instrumentation and development. Urol Clin North Am 1997; 24(1): 13–23.
- Razvi HA, Denstedt JD, Chun SS, Sales JL. Intracorporeal lithotripsy with the holmium:YAG laser. J Urol 1996; 156(3): 912–14.
- Wu TT, Hsu TH, Chen MT, Chang LS. Efficacy of in vitro stone fragmentation by extracorporeal, electrohydraulic, and pulsed-dye laser lithotripsy. J Endourol 1993; 7(5): 391–3.
- BH Chew, JD Denstedt. Ureteroscopy and retrograde ureteral access. In: AJ Wein, LR Kavoussi, MF Campbell (eds). Campbell–Walsh Urology, 10th edn. Philadelphia: Elsevier Saunders; 2012. p. 1513–1514.
- Beiko DT, Denstedt JD. Advances in ureterorenoscopy. Urol Clin North Am 2007; 34(3): 397–408.
- Chan KF, Vassar GJ, Pfefer TJ, et al. Holmium:YAG laser lithotripsy: a dominant photothermal ablative mechanism with chemical decomposition of urinary calculi. Lasers Surg Med 1999; 25(1): 22–37.
- Grasso M. Experience with the holmium laser as an endoscopic lithotrite. Urology 1996; 48(2): 199–206.
- Teichman JM, Rogenes VJ, McIver BJ, Harris JM. Holmium:yttrium-aluminum-garnet laser cystolithotripsy of large bladder calculi. Urology 1997; 50(1): 44–8.
- Buscarini M, Conlin M. Update on flexible ureteroscopy. Urol Int 2008; 80(1): 1–7.
-
Khanna R, Monga M. Instrumentation in endourology. Therapeut Adv Urol 2011; 3(3): 119–26.
10.1177/1756287211403190 Google Scholar
- Mues AC, Teichman JM, Knudsen BE. Quantification of holmium:yttrium aluminum garnet optical tip degradation. J Endourol 2009; 23(9): 1425–8.
