Ureteroscopic Lithotripsy for A Surgical Clip‐Induced Renal Stone Following Laparoscopic Partial Nephrectomy

Abstract

ABSTRACT 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.

Keywords

• laparoscopy
• laser
• lithotripsy
• nephrolithiasis
• surgical instruments
• ureteroscopy