[The treatment of pelvic ureteral calculi using the Dornier lithotripter. Apropos of 20 cases]. / Le traitement des calculs urétéraux pelviens par le lithotripteur Dornier. A propos de vingt cas.

The authors report a series of twenty patients with pelvic ureteric stones treated by the Dornier lithotriptor. Sixteen men and 4 women were treated over a period of 8 months (November 1988 and June 1989). A single treatment session was sufficient to ensure destruction and elimination of the stones. This technique, which does not require anaesthesia, but at most simple neuroleptanalgesia, has a low morbidity (15%). In the series of 20 patients: the stones were completely eliminated in 16 cases, 1 case was a failure at 3 months and 3 patients were not reviewed. These results are assessed with a minimum follow-up of three months and a maximum follow-up of eight months. This simple, rapide, repeatable and effective therapeutic technique appears to constitute an alternative to operative endoscopy (flexible or rigid ureteroscopy) in the treatment of stones of the pelvic ureter.

[Inferior vena cava thrombus in nephroblastoma in a child. Diagnostic, surgical and prognostic problems]. / Le thrombus cave inférieur dans le néphroblastome de l'enfant. Problèmes diagnostique, chirurgical et pronostique.

The authors report a case of a child Wilm's tumour with inferior vena cava obstruction. The diagnostic, technical and prognostic features are discussed. Ultrasonography appears to be the best diagnostic method to confirm thrombus in the vena cava and allows the choice of an appropriate surgical technique. The presence of vena cava thrombus does not alter the prognosis.