title: [Piezo-electric extracorporeal lithotripsy of non-coralliform kidney calculi with a maximal measurement of greater than or equal to 25 mm. Apropos of 25 cases].
abstract: From June 1991 to April 1993, 25 non-staghorn renal stones with a maximal diameter greater than or equal to 25 mm were treated by piezoelectric extracorporeal lithotripsy (EDAP LT 01). The complete success rate was 56% after 1 (16%), 2 (12%), 3 (16%) or 4 sessions (12%). 14 double J ureteric stents were implanted (56% of cases) and 4 complications were observed (2 cases of acute pyelonephritis and 2 cases of ureteric silting). These results were inferior to those obtained with percutaneous surgery, but help to define the potential indications of extracorporeal shock-wave lithotripsy. This treatment modality can therefore be applied to large friable weddellite or even struvite stones, particularly when the anatomical conditions are unfavourable for percutaneous surgery.
authors.affiliation: Service d'Urologie, Hôpital Lapeyronie, Montpellier.
authors.forename: M
authors.initials: M
authors.lastname: Robert
authors.forename: P
authors.initials: P
authors.lastname: Villéna
authors.forename: J
authors.initials: J
authors.lastname: Guiter
authors.forename: M
authors.initials: M
authors.lastname: Avérous
authors.forename: D
authors.initials: D
authors.lastname: Grasset
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002129:Calcium Oxalate / Q000032:analysis; D002130:Calcium Phosphates / Q000032:analysis; D004322:Drainage; D004724:Endoscopy; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000737:chemistry / Q000000981:diagnostic imaging / Q000473:pathology* / Q000628:therapy*; D008096:Lithotripsy / Q000009:adverse effects / Q000379:methods; D008297:Male; D008875:Middle Aged; D011704:Pyelonephritis / Q000209:etiology; D011859:Radiography; D015607:Stents; D014513:Ureter
chemical_list: D002130:Calcium Phosphates; D002129:Calcium Oxalate
vernacular_title: Lithotripsie extra-corporelle piézo-électrique des calculs rénaux non coralliformes de mensuration maximale supérieure ou égale à 25 mm. A propos de 25 observations.