Clip migration after minimally-invasive surgical procedures
https://doi.org/10.21886/2308-6424-2023-11-3-156-161
Abstract
Introduction. Today absorbable suture material as well as plastic nonabsorbable clips are widely used for surgical haemostasis and stabilisation of sutures during minimally invasive operations, however, they are capable of potential and spontaneous migration into the lower and upper urinary tract.
Objective. In this paper, we present clinical cases of clip migration after radical prostatectomy and renal resection.
Clinical cases. Clinical cases of spontaneous clip migration after the two most common minimally invasive interventions: kidney resection with subsequent removal of a foreign body after the use of lithokinetic therapy and a case of hemostatic material migration after robot-assisted radical prostatectomy. The literature review is also available.
Conclusion. Excessive use of non-absorbable plastic clips around their close contact with the kidney cavity or the bladder wall should be avoided to achieve adequate hemostasis during minimally invasive methods of treating patients.
About the Authors
S. V. Kotov
Pirogov Russian National Research Medical University; Pirogov City Clinical Hospital No. 1; “Kommunarka” Moscow Multidisciplinary Clinical Center
Russian Federation
Competing Interests:
Russian Federation
Sergey V. Kotov — M.D., Dr.Sc. (Med), Full Prof.; Head, Dept. of Urology and Andrology; Head, University Clinic of Urology, Oncourology and Andrology; Urologist, Urology Division
Moscow
Competing Interests:
The author declare no conflict of interest.
R. I. Guspanov
Pirogov Russian National Research Medical University; Pirogov City Clinical Hospital No. 1; “Kommunarka” Moscow Multidisciplinary Clinical Center
Russian Federation
Competing Interests:
Russian Federation
Renat I. Guspanov — M.D., Cand.Sc.(Med); Assoc.Prof., Dept. of Urology and Andrology; Urologist, Urology Division; Oncologist, Oncology (Oncourology) Division No. 4
Moscow
Competing Interests:
The author declare no conflict of interest.
A. K. Zhuravleva
Pirogov Russian National Research Medical University
Russian Federation
Competing Interests:
Russian Federation
Anastasia K. Zhuravleva — M.D.; Urologist, Postgrad. Student, Dept. of Urology and Andrology
Moscow
Competing Interests:
The author declare no conflict of interest.
References
1. Ryabov M.A., Kotov S.V. Comparative assessment of the learning curve of retropubic, laparoscopic, perineal, and robot-assisted radical prostatectomy. Urology Herald. 2022;10(2):63-71. (In Russian) DOI: 10.21886/2308-6424-2022-10-2-63-71
2. Bayles AC, Bhatti A, Sakthivel A, Naisby G, Gowda B. "Clip-strasse": A novel complication following partial nephrectomy. Scand J Urol. 2015;49(5):424-5. DOI: 10.3109/21681805.2015.1040450
3. Yadav S, Singh P, Nayak B, Dogra PN. Unusual cause of renal stone following robotic pyeloplasty. BMJ Case Rep. 2017;2017:bcr2017219374. DOI: 10.1136/bcr-2017-219374
4. Zhou H, Li Y, Li G, Liang G, Zhao Z, Luo X, Chen S. 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. BMC Urol. 2022;22(1):66. DOI: 10.1186/s12894-022-01015-6
5. Turco M, Guiggi P, Tiezzi A, Boni A, Paladini A, Mearini E, Cochetti G. Endoscopic Combined Intrarenal Surgery for Stone Formation After Previous Laparoscopic and Open Renal Surgery. J Endourol Case Rep. 2020;6(2):60-63. DOI: 10.1089/cren.2019.0082
6. Msezane LP, Katz MH, Gofrit ON, Shalhav AL, Zorn KC. Hemostatic agents and instruments in laparoscopic renal surgery. J Endourol. 2008;22(3):403-8. DOI: 10.1089/end.2007.9844
7. Banks EB, Ramani A, Monga M. Intravesical Weck clip migration after laparoscopic radical prostatectomy. Urology. 2008;71(2):351.e3-4. DOI: 10.1016/j.urology.2007.10.014
8. Miedema EB, Redman JF. Case profile: radiolucent urethral calculus with hemostatic clip nidus. Urology. 1982;19(3):328. DOI: 10.1016/0090-4295(82)90517-9
9. Jaeger CD, Cockerill PA, Gettman MT, Tollefson MK. Presentation, Endoscopic Management, and Significance of Hemostatic Clip Migration into the Lower Urinary Tract Following Radical Prostatectomy. J Laparoendosc Adv Surg Tech A. 2015;25(10):800-3. DOI: 10.1089/lap.2015.0054
10. Blumenthal KB, Sutherland DE, Wagner KR, Frazier HA, Engel JD. Bladder neck contractures related to the use of Hem-o-lok clips in robot-assisted laparoscopic radical prostatectomy. Urology. 2008;72(1):158-61. DOI: 10.1016/j.urology.2007.11.105
Review
For citations:
Kotov S.V., Guspanov R.I., Zhuravleva A.K. Clip migration after minimally-invasive surgical procedures. Urology Herald. 2023;11(3):156-161. (In Russ.) https://doi.org/10.21886/2308-6424-2023-11-3-156-161
Views:
2021
Email this article 
