[Extracorporeal shockwave lithotripsy: our experience in 5,000 cases].
The authors report their experience on 7,500 patients who underwent extracorporeal shock wave lithotripsy (ESWL1). The first 6,800 were treated with the standard Dornier HM-3 lithotripter, while the remaining 700 were treated with the modified HM-3 machine equipped with the new ellipsoid (and the double-shot generator). The authors present the results and conclusions from their experience with 5,000 ESWL treatments which were performed at their Urology Department. An analysis is made on patient age, sex, stone site, duration of sessions, average number of shock waves used, exposure time, number of electrodes per session, retreatments, and results achieved relative to stone size. Furthermore, the authors report on the complications and treatment in special cases; i. e., patients with horseshoe kidneys, solitary kidneys, spinal cord lesions, radiolucent calculi, hemophilia, and staghorn stones. The mean duration of treatment was 37 minutes. The average number of shock waves used was 1,703. The mean radiation exposure time was 1.9 minutes. Two electrodes per session were required in 48% of the patients. Three months following lithotripsy, 72% of the patients were stone-free, 19% had small remaining stone fragments, and 9% had unimportant stone particles.
Krayannis
A
A
Kostakopoulos
A
A
Deliveliotis
C
C
Delakas
D
D
Goulandris
N
N
Dimopoulos
C
C
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006467:Hemophilia A / Q000150:complications; D006801:Humans; D007668:Kidney / Q000002:abnormalities; D007669:Kidney Calculi / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000628:therapy*; D008096:Lithotripsy; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D011859:Radiography; D013118:Spinal Cord Diseases / Q000150:complications
Litotricia extracorpórea por ondas de choque: nuestra experiencia en 5,000 casos.