Which procedure involves lithotripsy with removal of fragments?

The procedure that involves lithotripsy with the removal of fragment is indeed extirpation. Lithotripsy is a medical procedure that uses shock waves or laser energy to break down stones in the urinary tract or other areas of the body into smaller fragments that can be easily passed or removed. Extirpation refers specifically to the removal of tissue or material, which in this case includes the fragments created by lithotripsy. It captures the essence of both fragmentation and the subsequent removal required to clear the stones effectively.

In contrast, reimplantation typically pertains to surgical procedures that involve placing an organ or tissue back into its original position, which would not involve fragmentation or removal of stone material. Resection refers to the removal of a portion of an organ or structure, rather than dealing with fragments produced by lithotripsy. Exploration involves opening a body cavity to look for injury or disease, but it does not entail the specific action of breaking down and removing stones, making extirpation the most suitable choice in this context.