[Value of extracorporeal piezoelectric lithotripsy in treatment of gallstone disease].
Alternative techniques were introduced in the last 20 years for the treatment of gallstones. Among these the extracorporeal shock wave lithotripsy followed by a systemic litholytic therapy represents undoubtedly the most attractive one. A group of two surgeons and two gastroenterologists has started to evaluate this treatment in April 1988, using a piezoceramic lithotryptic system (Piezolith 2300). From April 1988 to May 1989 we have treated 32 patients who fulfilled the selection criteria-symptomatic gallstone disease, 1-3 radiolucent concrements of less than 30 mm of diameter, functioning gallbladder. We noted only one pancreatitis as a complication of this treatment. The overall stonefree rate is 16% after two months, 32% after four months and 56% after six months, depending on the size and number of stones. A definitive evaluation and final conclusion will only be possible when the rate of late recurrences after this treatment will be known.
Rothenbühler
J M
JM
Allgemeinchirurgische Klinik, Departement Chirurgie, Kantonsspital Basel.
Beglinger
C
C
Meyer
B
B
Marx
A
A
Harder
F
F
Stalder
G
G
D000328:Adult; D000368:Aged; D002769:Cholelithiasis / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008096:Lithotripsy; D008297:Male; D008875:Middle Aged
Stellenwert der extrakorporellen piezoelektrischen Lithotripsie in der Behandlung des Gallensteinleidens.