title: [Extracorporeal lithotripsy as the primary procedure in the treatment of large kidney calculi].
abstract: Extracorporeal shock wave lithotripsy (ESWL) as primary treatment for large renal stones has been evaluated in this clinical study of 55 patients. Patients were treated using the Dornier HM-3 lithotripter. Twenty-one (38%) patients presented with a stone burden greater than 4 centimeters. Nineteen patients had "steinstrasse", of which 8 had to undergo a secondary procedure. Sixteen (29%) patients had no residual stone, 5 had clinically non significant stones and 34 had clinically significant stones. Out of the 15 patients who underwent a second ESWL, only 2 were rendered stone-free. In this study, ESWL was not found to be a satisfactory treatment for large renal stones.
authors.affiliation: Clinique Urologique, Hôpital Cochin, Paris.
authors.forename: T
authors.initials: T
authors.lastname: Flam
authors.forename: M
authors.initials: M
authors.lastname: Gnagne
authors.forename: M
authors.initials: M
authors.lastname: Zerbib
authors.forename: L
authors.initials: L
authors.lastname: Boccon-Gibod
authors.forename: B
authors.initials: B
authors.lastname: Debré
authors.forename: A
authors.initials: A
authors.lastname: Steg
mesh_terms: D004724:Endoscopy; D006801:Humans; D007669:Kidney Calculi / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D008096:Lithotripsy / Q000379:methods; D012008:Recurrence
vernacular_title: La lithotritie extra-corporelle de première intention dans le traitement des calculs rénaux volumineux.