[Extracorporeal shock wave lithotripsy in patients with bile duct calculi].
21 patients with choledocholithiasis, in whom methods such as endoscopy or mechanical lithotripsy were unsuccessful, extracorporeal shock wave lithotripsy was performed. Fragmentation could be achieved in 90%, complete stone clearance after endoscopic stone extraction occurred in 76%. Extracorporeal shock wave lithotripsy has proven highly effective with a low complication rate and zero lethality. Therefore, its role in the management of gall stone disease in the elderly patient at high perioperative risk cannot be overemphasized.
Tudyka
J
J
Medizinische Klinik und Poliklinik, Universität Ulm.
Wechsler
J G
JG
Kratzer
W
W
Janowitz
P
P
Stange
E F
EF
Zemmler
W
W
Ditschuneit
H
H
D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde; D004867:Equipment Design; D005260:Female; D042882:Gallstones / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D008096:Lithotripsy / Q000295:instrumentation*; D008111:Liver Function Tests; D008297:Male; D014463:Ultrasonography
Extrakorporale Stosswellenlithotripsie bei Patienten mit Gallengangsteinen.