{"id":12698,"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":"litotripsia","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/pt-br\/glossary-term\/litotripsia\/","title":{"rendered":"Litotripsia"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[108,107],"class_list":["post-12698","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>Litotripsia \u00e9 um procedimento m\u00e9dico n\u00e3o invasivo ou minimamente invasivo usado para quebrar pedras no trato urin\u00e1rio, incluindo rins, ureteres, bexiga e uretra, em fragmentos menores que podem ser passados naturalmente atrav\u00e9s da mic\u00e7\u00e3o.<sup>1<\/sup> O termo \"litotripsia\" deriva das palavras gregas \"litho\" (pedra) e \"tripsy\" (esmagamento).<sup>2<\/sup> Existem v\u00e1rios tipos de litotripsia litotripsia, sendo o mais comum a litotripsia extracorp\u00f3rea por ondas de choque (ESWL), que usa ondas de choque de alta energia geradas fora do corpo e focadas no c\u00e1lculo.<sup>3<\/sup> Outros m\u00e9todos incluem a litotripsia a laser, que utiliza energia do laser fornecida por meio de um escopo flex\u00edvel inserido no trato urin\u00e1rio para fragmentar c\u00e1lculos.<sup>4<\/sup> A litotripsia revolucionou o tratamento de c\u00e1lculos renais no in\u00edcio dos anos 1980, fornecendo uma alternativa para procedimentos cir\u00fargicos invasivos, reduzindo significativamente o tempo de recupera\u00e7\u00e3o e complica\u00e7\u00f5es.<sup>5<\/sup><\/p>\n<p>A litotripsia \u00e9 o procedimento de fragmenta\u00e7\u00e3o de c\u00e1lculos urin\u00e1rios (renais e ureterais) em fragmentos menores que possam ser eliminados naturalmente ou removidos endoscopicamente. As modalidades incluem litotripsia extracorp\u00f3rea por ondas de choque (LEOC), litotripsia a laser (holmium, thulium) durante ureteroscopia e litotripsia ultrass\u00f4nica ou pneum\u00e1tica durante nefrolitotomia percut\u00e2nea.<\/p>","gt-synonyms":"Litotripsia extracorp\u00f3rea por ondas de choque (LECO), Litotripsia por ondas de choque (SWL), Litotripsia a laser, Litotripsia a laser de h\u00f3lmio, Litotripsia ultrass\u00f4nica, Litotripsia pneum\u00e1tica, Litotripsia eletro-hidr\u00e1ulica (EHL), Terapia de fragmenta\u00e7\u00e3o de pedras, Litotripsia por ondas de explos\u00e3o (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>A litotripsia \u00e9 indicada principalmente para o tratamento de c\u00e1lculos do trato urin\u00e1rio que s\u00e3o grandes demais para serem eliminados naturalmente (normalmente >5 mm) ou aqueles que causam dor significativa, obstru\u00e7\u00e3o ou infec\u00e7\u00e3o.<sup>1<\/sup> Os crit\u00e9rios de sele\u00e7\u00e3o do paciente incluem tamanho, composi\u00e7\u00e3o e localiza\u00e7\u00e3o do c\u00e1lculo, com resultados ideais normalmente observados em c\u00e1lculos com menos de 2 cm de di\u00e2metro.<sup>2<\/sup> A litotripsia extracorp\u00f3rea por ondas de choque (LECO) \u00e9 geralmente recomendada para c\u00e1lculos renais n\u00e3o complicados localizados na pelve renal ou no c\u00e1lice superior\/m\u00e9dio, enquanto c\u00e1lculos no p\u00f3lo inferior podem ter taxas de elimina\u00e7\u00e3o mais baixas.<sup>3<\/sup><\/p>\n \n <p>Os fatores que afetam o sucesso do tratamento incluem a densidade do c\u00e1lculo (medida em unidades Hounsfield na tomografia computadorizada), a dist\u00e2ncia pele-c\u00e1lculo e o h\u00e1bito corporal do paciente.<sup>4<\/sup> Pacientes com IMC >30 ou dist\u00e2ncia pele-c\u00e1lculo>10cm podem ter efic\u00e1cia reduzida com LECO devido \u00e0 atenua\u00e7\u00e3o da onda de choque atrav\u00e9s do tecido.<sup>5<\/sup> Certas composi\u00e7\u00f5es de c\u00e1lculo, como cistina, brushita, ou oxalato de c\u00e1lcio monohidratado, s\u00e3o mais resistentes \u00e0 fragmenta\u00e7\u00e3o por ondas de choque e podem exigir abordagens alternativas.<sup>6<\/sup><\/p>\n \n <p>O procedimento normalmente \u00e9 realizado em regime ambulatorial sob seda\u00e7\u00e3o ou anestesia leve. Para LECO, os pacientes deitam-se em uma almofada cheia de \u00e1gua ou em banho-maria, enquanto aproximadamente 1.000-2.000 ondas de choque s\u00e3o aplicadas durante 45-60 minutos.<sup>7<\/sup> A recupera\u00e7\u00e3o \u00e9 geralmente r\u00e1pida, com a maioria dos pacientes capazes de retomar as atividades normais dentro de 1-2 dias, embora possam sentir hemat\u00faria e desconforto leve \u00e0 medida que os fragmentos passam.<sup>8<\/sup> As taxas de sucesso variam de acordo com as caracter\u00edsticas do c\u00e1lculo, mas variam de 50-90% para pacientes adequadamente selecionados.<sup>9<\/sup><\/p>\n<p>A EAU 2023 recomenda LEOC como primeira linha para c\u00e1lculos renais < 20 mm e ureterais proximais < 10 mm, com taxa de sucesso de 50-85% dependendo do tamanho e localiza\u00e7\u00e3o. A litotripsia a laser durante ureteroscopia flex\u00edvel \u00e9 preferida para c\u00e1lculos < 20 mm com melhor taxa de stone-free em sess\u00e3o \u00fanica (70-90%). A nefrolitotomia percut\u00e2nea com litotripsia intracorp\u00f3rea \u00e9 indicada para c\u00e1lculos > 20 mm. A escolha depende do tamanho, localiza\u00e7\u00e3o, composi\u00e7\u00e3o e anatomia.<\/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 v27.9 (Yoast SEO v27.9) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Litotripsia: Tratamento de C\u00e1lculos Urin\u00e1rios | Rigicon<\/title>\n<meta name=\"description\" content=\"Guia sobre litotripsia para c\u00e1lculos urin\u00e1rios: LEOC, laser e litotripsia intracorp\u00f3rea. Indica\u00e7\u00f5es, efic\u00e1cia e compara\u00e7\u00e3o de m\u00e9todos. 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