Abstract
Sixty-one patients with staghorn calculi (complete, 19 cases; partial, 28 cases) and 14 patients with large upper urinary tract stone (over 3 cm in diameter) were treated by extracorporeal shock wave lithotripsy (ESWL) between April 1, 1986, and October 30, 1987. Fracturization occurred in 98.4% of cases. There was only one patient whose staghorn calculi (composed of cystine) could not be fracturized. Twenty-seven cases (57.4%) required preoperative auxiliary procedures in staghorn calculi cases, and five cases (35.7%) of large stones required similar measures. Postoperative auxiliary measures were necessary in 15 cases (24.2%). As stone fragments passed through the ureter, symptoms such as fever and pain occurred in 52 cases (85.2%).
In all cases, 72.7% of patients with double-J stents, 60% of patients with percutaneous nephrostomy, and 65.5% of patients without preoperative auxiliary procedures became stone free.
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References
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© 1988 Springer Science+Business Media New York
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Harada, M. et al. (1988). Extracorporeal Shock Wave Lithotripsy of Staghorn and Large Calculi. In: Lingeman, J.E., Newman, D.M. (eds) Shock Wave Lithotripsy. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-1977-2_16
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DOI: https://doi.org/10.1007/978-1-4757-1977-2_16
Publisher Name: Springer, Boston, MA
Print ISBN: 978-1-4757-1979-6
Online ISBN: 978-1-4757-1977-2
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