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[Extracorporeal gallbladder lithotripsy: technology, practical methods, results and current value].

J P Trigaux1, T De Ronde, L Michel

  • 1Unité de lithotripsie, Cliniques Universitaires UCL de Mont-Godinne, Yvoir.

Acta Clinica Belgica
|January 1, 1992
PubMed
Summary
This summary is machine-generated.

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Extracorporeal shock wave lithotripsy (ESWL) for gallstones is safe and effective for select patients, offering outpatient treatment without anesthesia. Optimal candidates have single, radiolucent stones (≤20 mm), achieving high stone-free rates with adjuvant therapy.

Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery
  • Medical Devices

Background:

  • Gallstones (cholelithiasis) are a common condition requiring treatment.
  • Traditional treatments include open cholecystectomy, with newer options emerging.
  • Extracorporeal shock wave lithotripsy (ESWL) offers a non-invasive approach.

Purpose of the Study:

  • To evaluate the safety, efficacy, and patient selection criteria for ESWL in gallstone treatment.
  • To compare ESWL with other available gallstone therapies.

Main Methods:

  • ESWL procedure details and patient management protocols.
  • Assessment of side effects, including biliary colic, cholecystitis, and pancreatitis.
  • Evaluation of stone-free rates at 12 months post-treatment.

Related Experiment Videos

  • Consideration of adjuvant oral bile-acid dissolution therapy.

    • Main Results:

    • ESWL is safe and well-tolerated, often performed on an outpatient basis without general anesthesia.
    • Common side effects include skin petechiae and transient hematuria; serious complications are rare.
    • Optimal candidates are those with solitary, radiolucent stones (≤20 mm), achieving >80% stone-free rates at 12 months.
    • Adjuvant bile-acid therapy is recommended.

    Conclusions:

    • ESWL is a viable treatment for select gallstone patients, particularly those with single, radiolucent stones.
    • Laparoscopic surgery may reduce the pool of candidates for ESWL.
    • ESWL offers an incisionless, anesthesia-free outpatient option.