Resorbable clip migration in the collecting system after laparoscopic partial nephrectomy

Urology
Meredith MillerJeffrey A Cadeddu

Abstract

A complication is reported in which Lapra-Ty absorbable suture clips (Ethicon EndoSurgery) migrated from a laparoscopic partial nephrectomy bed into the collecting system, causing renal colic. During surgery performed with hilar occlusion, visual inspection did not reveal collecting system entry. Transected vessels were oversewn with absorbable suture secured with Lapra-Tys. Absorbable bolsters were placed in the parenchymal bed, and compression sutures secured with Lapra-Tys were placed through the renal capsule. Six weeks postoperatively, the patient developed ipsilateral renal colic, and computed tomography demonstrated several 3-mm opacities within the ureter. After 2 weeks of conservative management, he spontaneously passed several Lapra-Ty clips.

References

Jul 12, 2003·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Paolo Dell'AbateMario Sianesi
Jul 16, 2004·Journal of Endourology·Eckart Gronau, Juergen Pannek
Nov 13, 2004·The Journal of Urology·Marcelo A OrvietoArieh L Shalhav

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Citations

Sep 13, 2014·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·G FiardB Soulimane
Sep 1, 2007·Current Opinion in Urology·Günter Janetschek
Aug 30, 2012·Urologic Oncology·J Stuart Wolf
Jan 11, 2011·Urology·Michael A GorinRaymond J Leveillee
Sep 1, 2016·Journal of Endourology Case Reports·David Anthony Kurz, Phillip Mucksavage
Apr 26, 2017·BMJ Case Reports·Peter Fisker VedelThomas Peter Norus

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