{"title":"输尿管镜碎石术治疗腹腔镜部分肾切除术后夹持性肾结石","authors":"Takashi Yoshioka, Hakaru Masumoto, Tomohiro Hongo, Yuji Yata, Sumire Santo, Takuya Hagiwara, Junya Hara, Tomoya Yamasaki, Hideo Otsuki, Kei Fujio","doi":"10.1002/iju5.70024","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Introduction</h3>\n \n <p>Surgical clips used in laparoscopic and robot-assisted surgeries can occasionally migrate into the upper urinary tract, serving as nidi for stone formation. We report a case of a surgical clip-induced renal stone successfully treated with ureteroscopic lithotripsy (URSL) following laparoscopic partial nephrectomy (LPN).</p>\n </section>\n \n <section>\n \n <h3> Case Presentation</h3>\n \n <p>A 37-year-old male with a 17-mm renal stone in the right middle calyx underwent URSL. His surgical history included right LPN performed four years prior, with operative records documenting pyelocaliceal system entry and Hem-o-lok clip placement. During the operation, a Hem-o-lok clip was identified within the stone. All fragments along with the surgical clip were completely retrieved using a basket forceps after laser lithotripsy.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>This case highlights important clinical considerations: the appropriate use of surgical clips during LPN, selection of optimal endourological treatment approaches for stone removal, and the importance of careful follow-up for early detection and intervention of clips and clip-induced stones.</p>\n </section>\n </div>","PeriodicalId":52909,"journal":{"name":"IJU Case Reports","volume":"8 3","pages":"276-280"},"PeriodicalIF":0.0000,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.70024","citationCount":"0","resultStr":"{\"title\":\"Ureteroscopic Lithotripsy for A Surgical Clip-Induced Renal Stone Following Laparoscopic Partial Nephrectomy\",\"authors\":\"Takashi Yoshioka, Hakaru Masumoto, Tomohiro Hongo, Yuji Yata, Sumire Santo, Takuya Hagiwara, Junya Hara, Tomoya Yamasaki, Hideo Otsuki, Kei Fujio\",\"doi\":\"10.1002/iju5.70024\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Introduction</h3>\\n \\n <p>Surgical clips used in laparoscopic and robot-assisted surgeries can occasionally migrate into the upper urinary tract, serving as nidi for stone formation. We report a case of a surgical clip-induced renal stone successfully treated with ureteroscopic lithotripsy (URSL) following laparoscopic partial nephrectomy (LPN).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Case Presentation</h3>\\n \\n <p>A 37-year-old male with a 17-mm renal stone in the right middle calyx underwent URSL. His surgical history included right LPN performed four years prior, with operative records documenting pyelocaliceal system entry and Hem-o-lok clip placement. During the operation, a Hem-o-lok clip was identified within the stone. All fragments along with the surgical clip were completely retrieved using a basket forceps after laser lithotripsy.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>This case highlights important clinical considerations: the appropriate use of surgical clips during LPN, selection of optimal endourological treatment approaches for stone removal, and the importance of careful follow-up for early detection and intervention of clips and clip-induced stones.</p>\\n </section>\\n </div>\",\"PeriodicalId\":52909,\"journal\":{\"name\":\"IJU Case Reports\",\"volume\":\"8 3\",\"pages\":\"276-280\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-04-10\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/iju5.70024\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"IJU Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/iju5.70024\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"IJU Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/iju5.70024","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Ureteroscopic Lithotripsy for A Surgical Clip-Induced Renal Stone Following Laparoscopic Partial Nephrectomy
Introduction
Surgical clips used in laparoscopic and robot-assisted surgeries can occasionally migrate into the upper urinary tract, serving as nidi for stone formation. We report a case of a surgical clip-induced renal stone successfully treated with ureteroscopic lithotripsy (URSL) following laparoscopic partial nephrectomy (LPN).
Case Presentation
A 37-year-old male with a 17-mm renal stone in the right middle calyx underwent URSL. His surgical history included right LPN performed four years prior, with operative records documenting pyelocaliceal system entry and Hem-o-lok clip placement. During the operation, a Hem-o-lok clip was identified within the stone. All fragments along with the surgical clip were completely retrieved using a basket forceps after laser lithotripsy.
Conclusion
This case highlights important clinical considerations: the appropriate use of surgical clips during LPN, selection of optimal endourological treatment approaches for stone removal, and the importance of careful follow-up for early detection and intervention of clips and clip-induced stones.
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