[Is extracorporeal cholelithotripsy still justified as treatment in cholelithiasis?].
This prospective study evaluates the results of extracorporeal shock-wave piezoelectric lithotripsy in 52 patients, 41 with radiolucent and 11 with calcified shell gallstones. The fragmentation rate was above 90% and the complication rate 31%, with pain or intolerance to the adjuvant dissolution therapy in particular. At the end of the treatment, 7 cholecystectomies were carried out among the 31 patients in whom lithotripsy failed. After 18 months, the success rate was 23% and only 12 patients remained stone free. Nowadays, thanks to the new laparoscopic therapy, extracorporeal shock-wave lithotripsy is no longer judged appropriate, particularly in view of its poor cost-effectiveness and high recurrence ratio.
Groebli
Y
Y
Service de chirurgie, Hôpital des Cadolles, Neuchâtel.
Tschantz
P
P
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017081:Cholecystectomy, Laparoscopic; D002769:Cholelithiasis / Q000601:surgery / Q000628:therapy*; D003365:Costs and Cost Analysis; D005260:Female; D006801:Humans; D008096:Lithotripsy / Q000009:adverse effects / Q000191:economics; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D011446:Prospective Studies; D012008:Recurrence; D017211:Treatment Failure
La cholélithotripsie extra-corporelle est-elle encore justifiée comme traitement de la cholécystolithiase?