{"id":12113,"date":"2025-07-11T10:23:13","date_gmt":"2025-07-11T14:23:13","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/lithotripsy\/"},"modified":"2025-07-11T10:23:13","modified_gmt":"2025-07-11T14:23:13","slug":"litotricia","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/litotricia\/","title":{"rendered":"Litotricia"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[108,107],"class_list":["post-12113","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures","glossary-product-conticlassic-aus","glossary-product-contireflex-enhanced-aus"],"acf":{"gt-definition":"<p>La litotricia es un procedimiento m\u00e9dico no invasivo o m\u00ednimamente invasivo que se utiliza para romper los c\u00e1lculos del tracto urinario, incluidos los ri\u00f1ones, los ur\u00e9teres, la vejiga y la uretra, en fragmentos m\u00e1s peque\u00f1os que pueden eliminarse naturalmente a trav\u00e9s de la orina.<sup>1<\/sup> El t\u00e9rmino \"litotricia\" deriva de las palabras griegas \"litho\" (piedra) y \"tripsia\". (aplastamiento).<sup>2<\/sup> Existen varios tipos de litotricia, siendo la m\u00e1s com\u00fan la litotricia extracorp\u00f3rea por ondas de choque (ESWL), que utiliza ondas de choque de alta energ\u00eda generadas fuera del cuerpo y enfocadas en el c\u00e1lculo.<sup>3<\/sup> Otros m\u00e9todos incluyen la litotricia con l\u00e1ser, que utiliza energ\u00eda l\u00e1ser administrada a trav\u00e9s de un instrumento flexible insertado en el tracto urinario para fragmentar c\u00e1lculos.<sup>4<\/sup> La litotricia revolucion\u00f3 el tratamiento de c\u00e1lculos renales a principios de la d\u00e9cada de 1980 al proporcionar una alternativa a los procedimientos quir\u00fargicos invasivos, reduciendo significativamente el tiempo de recuperaci\u00f3n y las complicaciones.<sup>5<\/sup><\/p>","gt-synonyms":"Litotricia extracorp\u00f3rea por ondas de choque (LEOC), Litotricia por ondas de choque (SWL), Litotricia l\u00e1ser, Litotricia con l\u00e1ser de holmio, Litotricia ultras\u00f3nica, Litotricia Neum\u00e1tica, Litotricia electrohidr\u00e1ulica (EHL), Terapia de fragmentaci\u00f3n de c\u00e1lculos, Litotricia por ondas en r\u00e1faga (BWL)","gt-citation":"[1] Elmansy HE, Lingeman JE. Recent advances in lithotripsy technology and treatment strategies: A systematic review update. Int J Surg. 2016 Nov 24;36(Pt D):676-680. DOI: 10.1016\/j.ijsu.2016.11.097\n\n[2] Leighton TG, Cleveland RO. Lithotripsy. Proc Inst Mech Eng H. 2010;224(2):317-342. DOI: 10.1243\/09544119JEIM588\n\n[3] McAteer JA, Evan AP. The acute and long-term adverse effects of shock wave lithotripsy. Semin Nephrol. 2008 Mar;28(2):200-213. DOI: 10.1016\/j.semnephrol.2008.01.003\n\n[4] Harper JD, Cunitz BW, Dunmire B, et al. First in-human clinical trial of ultrasonic propulsion of kidney stones. J Urol. 2016;195(4 Pt 1):956-964. DOI: 10.1016\/j.juro.2015.10.131\n\n[5] T\u00fcrk C, Pet\u0159\u00edk A, Sarica K, et al. EAU Guidelines on Interventional Treatment for Urolithiasis. Eur Urol. 2016;69(3):475-482. DOI: 10.1016\/j.eururo.2015.07.041","gt-clinical-context":"<p>La litotricia est\u00e1 indicada principalmente para el tratamiento de c\u00e1lculos del tracto urinario que son demasiado grandes para pasar naturalmente (normalmente >5 mm) o aquellos que causan dolor, obstrucci\u00f3n o infecci\u00f3n significativos.<sup>1<\/sup> Los criterios de selecci\u00f3n del paciente incluyen el tama\u00f1o, la composici\u00f3n y la ubicaci\u00f3n de los c\u00e1lculos, y los resultados \u00f3ptimos generalmente se observan en c\u00e1lculos de menos de 2 cm de di\u00e1metro.<sup>2<\/sup> Onda de choque extracorp\u00f3rea La litotricia (ESWL) generalmente se recomienda para c\u00e1lculos renales no complicados ubicados en la pelvis renal o en el c\u00e1liz superior\/medio, mientras que los c\u00e1lculos en el polo inferior pueden tener tasas de eliminaci\u00f3n m\u00e1s bajas.<sup>3<\/sup><\/p>\n    \n    <p>Los factores que afectan el \u00e9xito del tratamiento incluyen la densidad de c\u00e1lculos (medida en unidades Hounsfield en una tomograf\u00eda computarizada), la distancia piel-c\u00e1lculo y el h\u00e1bito corporal del paciente.<sup>4<\/sup> Los pacientes con un IMC >30 o una distancia piel-c\u00e1lculo >10 cm pueden tener una eficacia reducida con ESWL debido a la atenuaci\u00f3n de las ondas de choque a trav\u00e9s de tejido.<sup>5<\/sup> Ciertas composiciones de c\u00e1lculos, como cistina, brushita u oxalato de calcio monohidrato, son m\u00e1s resistentes a la fragmentaci\u00f3n de las ondas de choque y pueden requerir enfoques alternativos.<sup>6<\/sup><\/p>\n    \n    <p>El procedimiento generalmente se realiza de forma ambulatoria bajo sedaci\u00f3n o anestesia ligera. Para ESWL, los pacientes se acuestan sobre un coj\u00edn lleno de agua o en un ba\u00f1o de agua mientras se administran aproximadamente entre 1000 y 2000 ondas de choque durante 45 a 60 minutos.<sup>7<\/sup> La recuperaci\u00f3n es generalmente r\u00e1pida, y la mayor\u00eda de los pacientes pueden reanudar sus actividades normales dentro de 1 a 2 d\u00edas, aunque pueden experimentar hematuria y una leve molestia a medida que pasan los fragmentos.<sup>8<\/sup> Las tasas de \u00e9xito var\u00edan seg\u00fan caracter\u00edsticas de los c\u00e1lculos, pero oscilan entre el 50 % y el 90 % en pacientes seleccionados adecuadamente.<sup>9<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":60},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Lithotripsy: Breaking Down C\u00e1lculos Renales Without Surgery<\/title>\n<meta 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