ESWL — A Therapeutic Chance in Gallbladder Stones?

Meiser, G; Waclawiczek, H. W.; Boeckl, O; Albes, J.; Pimpl, W.

doi:10.1007/978-3-642-95662-1_149

Cited by 1 publication

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“…The time interval between lithotripsy and laparoscopic cholecystectomy, however, had not been mentioned. Meiser [4] reported about 27 patients with stones measuring at least 30 mm in diameter. These patients underwent ESWL 24 h prior to surgery (Lithostar plus, Siemens Co.), receiving up to 4,000 shock waves.…”

Section: Discussionmentioning

confidence: 99%

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Extracorporeal shock-wave lithotripsy prior to laparoscopic cholecystectomy

Lange¹,

Meyer²,

Schardey³

et al. 1994

Surg Endosc

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The extraction of large gallstones in laparoscopic cholecystectomy either requires the enlargement of one of the incisions or intraoperative lithotripsy. Preoperative extracorporeal shock-wave lithotripsy (ESWL) might theoretically solve the problem and facilitate the extraction of the gallbladder. Ten patients with at least one gallstone larger than 20 mm in diameter underwent ESWL treatment within 24 h prior to laparoscopic surgery. Complete pulverization of stones was achieved in one patient. Fragmentation into pieces smaller than 10 mm could be observed in another three cases. Additional mechanical fragmentation employing forceps was necessary in seven and an enlargement of the incision in five of the 10 patients. Compared to a matched group of 10 control patients with gallstones of corresponding size receiving mechanical lithotripsy, the ESWL did not show an advantage, but rather an increase in costs. It therefore cannot be recommended.

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Section: Discussionmentioning

confidence: 99%

“…For some of the available techniques additional instruments are a prerequisite. Some communications proposed the advantage of preoperative, extracorporal shock-wave lithotripsy (ESWL) [1,2,4]. This was an impetus for us to plan a clinical trial in order to determine the usefulness of the method.…”

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confidence: 99%