Extracorporeal cholelithotripsy, is it still justified as treatment of cholecystolithiasis?
Groebli, Y.; Tschantz, P.
Helvetica Chirurgica Acta 59(4): 637-642
1993
ISSN/ISBN: 0018-0181 PMID: 8473183 Document Number: 420481
This prospective study evaluates the results of extracorporal 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% particularly with pains or intolerance to the adjuvant dissolution therapy. At the end of the treatment, seven cholecystectomies were carried out among the 31 patients for who lithotripsy failed. After 18 months, the success rate was 23% and 12 patients only remained stone free. Nowadays, thanks to the new laparoscopic therapy, extracorporal shock-wave lithotripsy is no longer judged appropriate, especially because of its poor cost-effectiveness and high recurrence ratio.