“Clip-strasse”: A novel complication following partial nephrectomy

Bayles, Andrew C; Bhatti, Aftab; Sakthivel, Ashok; Naisby, G. P.; Gowda, Basavaraj

doi:10.3109/21681805.2015.1040450

Cited by 10 publications

(7 citation statements)

References 3 publications

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“…However, this case has some several peculiarities: rst of all, the vast majority of the urinary stones secondary to HOLC have been described as ureteral calculi [9,10]. In this case the stone was instead located into a renal calyx.…”

Section: Discussionmentioning

confidence: 91%

Urolithiasis secondary to Hem-o-lok partial migration into renal calyx as a long-term complication of robotic partial nephrectomy: a case report and literature review

Dibitetto

Russo

Marino

et al. 2023

Preprint

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Background: Hem-o-lok clips (HOLCs) are a useful tool in mini-invasive surgery, especially for renal surgery. However, in rare cases they could migrate into the collecting system and be calculogenic. Case presentation: we present a case of a 53 years old man with an incidental CT finding of a left renal stone increasing its size in the last 2 years. He had a medical history of ipsilateral robotic partial nephrectomy at another institution 8 years before. The stone was located in the upper calyx. He underwent a flexible ureteroscopy. After an initial fragmentation a Hem-o-lok was reported, partially wedged into the renal parenchyma. After the removal of the HOLC with a basket it was observed a small urinary leak, managed with a JJ stent placement. In the postoperative period the patient had fever managed with antibiotics and was discharged in the 4th postoperative day without problems. Conclusions: HOLC migration into the collecting system is a rare complication following robotic and laparoscopic renal surgery. HOLC could act as a nidus for stone formation. Avoiding too much tension during renal suture using HOLC could reduce the possibility of migration. Simple knotting in particular conditions is a useful option. However, this kind of stones can be managed endoscopically without particular complaints, minding the possibility that HOLC could be partially wedged into renal parenchyma leading to urinary leak.

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Section: Discussionmentioning

confidence: 91%

Urolithiasis secondary to Hem-o-lok partial migration into renal calyx as a long-term complication of robotic partial nephrectomy: a case report and literature review

Dibitetto

Russo

Marino

et al. 2023

Preprint

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“…The majority of reported patients presented as renal or ureteral stones complicated by hydronephrosis. The narrow lumen of ureter and the curvature of HOLCs in locked position might be attributed to the difficulty of spontaneous passage [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Hem-o-Lok clip migration into renal pelvis and stone formation as a long-term complication following laparoscopic pyelolithotomy: a case report and literature review

Zhou

et al. 2022

BMC Urol

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Background Hem-o-Lok clips (HOLCs) are widely used in minimal access urological operations due to the advantage of vascular control and suture stabilization. In rare cases, however, they can develop problems themselves. Migration of HOLCs into the collecting system is a fairly rare complication after laparoscopic pyelolithotomy. To date, only two cases were reported in the literature. Case presentation This article describes a case of 51-year-old man with a complaint of left flank pain. He had a medical history of ipsilateral retroperitoneal laparoscopic pyelolithotomy at another hospital 8 years ago. Non-contrast CT scan demonstrated a renal stone in the left ureteropelvic junction complicated by mild hydronephrosis. A straight foreign body was found near the renal pelvis, with part of it wedging into renal pelvic wall. A percutaneous nephrolithotomy (PNL) was performed for this patient. After some fragmentation, a HOLC was found in the kernel of the stone. With an alligator plier, the clip was totally removed out of the collecting system. The postoperative period and follow-up were uneventful. Conclusions HOLC migration into renal pelvis is a rare complication following laparoscopic pyelolithotomy. It could act as nidus for stone formation under extended exposure to urine. Using HOLCs to stabilize the anastomotic suture near renal pelvis should be avoided to prevent this complication. Instead, knotting is a better choice under such condition. The secondary calculi and dislodged HOLCs can be removed through PNL by an alligator plier after laser lithotripsy.

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“…In our case, we think that our patient had initially undergone a laparoscopic pyelolithotomy, but, surgical clips were applied and one of the metal clips fell in the collecting system because of bleeding during the surgery. There have been case reports of clips migrating to the urinary system after the partial nephrectomy [6,7]. So, the migrating of the clips should be kept in mind and the patients should be informed after the laparoscopic pyelolithotomy like the partial nephrectomy.…”

Section: Discussionmentioning

confidence: 99%

An Interesting Foreign Body In Urinary System: Metal Clips

Şenol

Kaya

2021

Archives of Clinical and Experimental Medicine

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Migration of surgical materials into the urinary system is a rare situation. Forgotten and/or fragmented ureteral stents were defined more frequently as foreign bodies in urinary system in the literature. But surgical clips migration is an interesting case. In this paper, we aim to present a 31-year-old man with a medical history of multiple urinary operations. We extracted two metal clips, one of them was from the ureter and the other from the renal pelvis of this patient. The case is discussed in the light of the literature.

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“Clip-strasse”: A novel complication following partial nephrectomy

Cited by 10 publications

References 3 publications

Urolithiasis secondary to Hem-o-lok partial migration into renal calyx as a long-term complication of robotic partial nephrectomy: a case report and literature review

Urolithiasis secondary to Hem-o-lok partial migration into renal calyx as a long-term complication of robotic partial nephrectomy: a case report and literature review

Hem-o-Lok clip migration into renal pelvis and stone formation as a long-term complication following laparoscopic pyelolithotomy: a case report and literature review

An Interesting Foreign Body In Urinary System: Metal Clips

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