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The Treatment of Renal Stones by Lithotripsy: Indications, Limits, Results, Complications

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International Yearbook of Nephrology 1990

Part of the book series: International Yearbooks of Nephrology ((IYNE,volume 2))

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Abstract

Extracorporeal shockwave lithotripsy (ESWL) was introduced clinically in 1980, eight years after renal calculi were successfully destroyed in vitro using shock waves (1, 2). To date, more than 500,000 patients have been treated worldwide and ESWL, either alone or in conjunction with percutaneous nephrolithotomy (PCNL), has replaced open surgery as the ideal mode of treatment for the vast majority of symptomatic renal calculi. Herein, we have reviewed the treatment results, the complications and the limits of ESWL therapy with the Dornier HM3 lithotriptor. This task is complicated by the lack of uniformity between different published series and the absence of substratification of patient populations with regards to stone site, size and multiplicity. We have also briefly outlined the characteristics of the various “second generation lithotriptors” which are available worldwide.

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Authors and Affiliations

  1. Scott Department of Urology, Baylor College of Medicine, Houston, Texas, 77030, USA

    Malachy J. Gleeson & Donald P. Griffith

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  1. Malachy J. Gleeson
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  2. Donald P. Griffith
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Editors and Affiliations

  1. University of Naples, Naples, Italy

    Vittorio E. Andreucci

  2. Division of Nephrology, University of California, Los Angeles, California, USA

    Leon G. Fine

  3. Department of Medicine, Hennepin County Medical Center, Minneapolis, Minnesota, USA

    Carl M. Kjellstrand

  4. Department of Medicine Kidney Center, Tokyo Women’s Medical College, Tokyo, Japan

    Nobuhiro Sugino

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© 1990 Kluwer Academic Publishers

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Gleeson, M.J., Griffith, D.P. (1990). The Treatment of Renal Stones by Lithotripsy: Indications, Limits, Results, Complications. In: Andreucci, V.E., Fine, L.G., Kjellstrand, C.M., Sugino, N. (eds) International Yearbook of Nephrology 1990. International Yearbooks of Nephrology, vol 2. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1491-2_6

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  • DOI: https://doi.org/10.1007/978-1-4613-1491-2_6

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