部分腎切除術後止血夾位移形成遠端輸尿管結石:個案報告及文獻探討

 陳兆宏 吳翊豪 陳鴻毅 林政鋒 劉冠麟 吳俊德 陳文祥 林承家

基隆長庚醫院 外科部 泌尿科

Migration of Hem-O-Lok Mimicking Distal Ureteral Stone Following Robotic Partial Nephrectomy:A Case Report with Review of Literature

Chao-Hung Chen, Yi-Hao Wu, Hong-Yi Chen, Cheng-Feng Lin, Kuan-Lin Liu, Chun-Te Wu, Wen-Hsiang Chen, Cheng-Chia Lin

Divisions of Urology, Department of Surgery, Chang Gung Memorial Hospital, Keelung, Taiwan

Abstract:

Minimal invasive nephron-sparing sugery emerged as viable surgical options for small renal mass.Renorrhaphy is common performed in two layer with continuing running suture, which are secured in place with Hem-o-Lok clips using sliding clip technique.We report a case of a 74-year-old man with history of left hand-assisted laparoscopic partial nephrectomy that performed seven years ago due to incidental left renal upper pole renal cell carcinoma.This time, he had experienced about right distal ureteral stone with hydronephrosis.He received the ureteroscopic surgery and found hem-O-Lok mimicking distal ureteral stone.We reviewed the literature of nephron-sparing surgery rare complication.From the case, we should be aware of possibility of migrated Hem-o-Lok clips serving as the stone formation.

Keywords:  partial nephrectomy, Hem-o-Lok clips, ureteral stone