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Extracorporeal Shock Wave Therapy and Percutaneous Nephrolithotripsy

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Anesthesia for Urologic Surgery

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Abstract

Nephrolithiasis is a common disease. It is estimated that the lifetime risk of urinary tract stone formation is 5–15 % and appears to be increasing in the United States. The disease afflicts men in excess of women in a 1.3:1 proportion (J Urol 173:848, 2005; Kidney Int 69:760–764, 2006). About 12 % of American population will develop renal stones by the age of 70 years. Patients with nephrolithiasis relapse at a rate of 50 % within 5–10 years and 75 % within 20 years (Lancet 367:333–344, 2006). Although the majority of patients with nephrolithiasis are managed conservatively, surgical interventions remain the mainstay for more complicated renal calculi. Traditional open surgical treatments essentially disappeared by the 1990s, after less invasive surgical approaches were introduced and refined. Two techniques, percutaneous nephrolithotomy (PCNL) and extracorporeal shock wave lithotripsy (ESWL), and their anesthetic implications are discussed.

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Authors and Affiliations

  1. Department of Anesthesiology, University of Florida College of Medicine, 1600 SW Archer Road, Gainesville, FL, 32621, USA

    Stephen D. Lucas M.D. & Dietrich Gravenstein M.D.

  2. Department of Anesthesiology & Perioperative Medicine, The University of Texas MD Anderson Cancer Center, 1400 Holcombe Blvd, FC Unit 409, Houston, TX, 77030, USA

    Gang Zheng M.D.

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  1. Stephen D. Lucas M.D.
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  2. Gang Zheng M.D.
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  3. Dietrich Gravenstein M.D.
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Correspondence to Dietrich Gravenstein M.D. .

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Editors and Affiliations

  1. Departments of Anesthesiology and Urolog, Icahn School of Medcine at Mount Sinai, New York, New York, USA

    Daniel M. Gainsburg

  2. The Mount Sinai Medical Center, Icahn School of Medicine at Mount Sinai Department of Anesthesiology, New York, New York, USA

    Ethan O. Bryson

  3. The Mount Sinai Medical Center, Icahn School of Medicine at Mount Sinai Department of Anesthesiology, New York, New York, USA

    Elizabeth A. M. Frost

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Lucas, S.D., Zheng, G., Gravenstein, D. (2014). Extracorporeal Shock Wave Therapy and Percutaneous Nephrolithotripsy. In: Gainsburg, D., Bryson, E., Frost, E. (eds) Anesthesia for Urologic Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7363-3_5

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