[Extracorporeal lithotripsy as the primary procedure in the treatment of large kidney calculi].
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.
Flam
T
T
Clinique Urologique, Hôpital Cochin, Paris.
Gnagne
M
M
Zerbib
M
M
Boccon-Gibod
L
L
Debré
B
B
Steg
A
A
D004724:Endoscopy; D006801:Humans; D007669:Kidney Calculi / Q000473:pathology / Q000601:surgery / Q000628:therapy*; D008096:Lithotripsy / Q000379:methods; D012008:Recurrence
La lithotritie extra-corporelle de première intention dans le traitement des calculs rénaux volumineux.