Resorbable clip migration in the collecting system after laparoscopic partial nephrectomy.
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.
Miller
Meredith
M
Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9110, USA.
Anderson
James Kyle
JK
Pearle
Margaret S
MS
Cadeddu
Jeffrey A
JA
D005548:Foreign-Body Migration; D006801:Humans; D007685:Kidney Tubules, Collecting; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000295:instrumentation* / Q000379:methods*; D013537:Sutures