Stone Formation from Nonabsorbable Clip Migration into the Collecting System after Robot-Assisted Partial Nephrectomy

We describe a case in which a Weck Hem-o-lok clip (Teleflex, Research Triangle Park, USA) migrated into the collecting system and acted as a nidus for stone formation in a patient after robot-assisted partial nephrectomy. The patient presented 2 years postoperatively with left-sided renal colic. Abdominal computed tomography scan showed a 10 millimeter renal calculus in the left middle pole. After using laser lithotripsy to fragment the overlying renal stone, a Weck Hem-o-lok clip was found to be embedded in the collecting system. A laser fiber through a flexible ureteroscope was used to successfully dislodge the clip from the renal parenchyma, and a stone basket was used to extract the clip.

Download Full-text

Re: Has Sliding-Clip Renorrhaphy Eliminated the Need for Collecting System Repair during Robot-Assisted Partial Nephrectomy?

The Journal of Urology ◽

10.1016/j.juro.2017.08.011 ◽

2017 ◽

Vol 198 (5) ◽

pp. 962-963

Author(s):

Jeffrey A. Cadeddu

Keyword(s):

Partial Nephrectomy ◽

Robot Assisted ◽

Collecting System

Download Full-text

Has Sliding-Clip Renorrhaphy Eliminated the Need for Collecting System Repair During Robot-Assisted Partial Nephrectomy?

Journal of Endourology ◽

10.1089/end.2016.0562 ◽

2017 ◽

Vol 31 (3) ◽

pp. 289-294 ◽

Cited By ~ 6

Author(s):

Robert D. Williams ◽

Caroline Snowden ◽

Ryan Frank ◽

David D. Thiel

Keyword(s):

Partial Nephrectomy ◽

Robot Assisted ◽

Collecting System

Download Full-text

R.E.N.A.L. Nephrometry Score Profile of Kidney Cancer Patients in Cipto Mangunkusumo Hospital

Indonesian Journal of Cancer ◽

10.33371/ijoc.v13i3.656 ◽

2019 ◽

Vol 13 (3) ◽

pp. 75

Author(s):

Rinto Hariwibowo ◽

Agus Rizal AH Hamid ◽

Chaidir Arif Mochtar

Keyword(s):

Cancer Patients ◽

Partial Nephrectomy ◽

Kidney Cancer ◽

Scoring Systems ◽

Low Complexity ◽

High Complexity ◽

Nephrometry Score ◽

System A ◽

Posterior Position ◽

Collecting System

Background: The variation of sizes, shapes, and location of kidney cancer complicates the choices of surgical treatment.To determine which technique to use, R.E.N.A.L. nephrometry scoring systems were established. This study was conducted to evaluate R.E.N.A.L.-NS profile in kidney cancer patients at CMHMethod: The data were collected retrospectively from patients that underwent both open and laparoscopic Radical (RN) and Partial Nephrectomy (PN) procedure from 2014-2017. R.E.N.A.L.-NS was calculated based on (R)adius, (E)xophytic/ Endophytic properties, (N)earness to the collecting system, (A)nterior or Posterior position of the tumor, and (L)ocation of the tumor. It was categorized into three complexity: low (4-6 points), medium (7-9 points), and high (10-12 points). Subjects then divided based on the procedure given. Profile of R.E.N.A.L.-NS was shown based on each procedure.Result: In this study, 63 patients were included. 52 underwent RN and 11 underwent PN. In low complexity tumors, all patients received PN. In medium complexity tumors, 22 (78.5%) patients received RN and 6 (21.5%) received PN. All high complexity tumors received RN. Mean renal score in all patient 9.03 (+1.72), RN 9.59 (+1.11), PN 6.36 (+1.6). Higher (R), (N), and (L) scores mean a higher prevalence of RN.Conclusion: Higher complexity tumors were more likely to be treated with RN. Furthermore, (R), (N), and (L) score can be useful to determine RN or PN as a treatment of choice. This study could be used as a reference to another study regarding R.E.N.A.L.-NS in Indonesia.

Download Full-text