{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T04:26:20Z","timestamp":1745468780251,"version":"3.40.4"},"reference-count":17,"publisher":"S. Karger AG","issue":"6","license":[{"start":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T00:00:00Z","timestamp":1704758400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"},{"start":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T00:00:00Z","timestamp":1704758400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/karger.com\/pages\/terms-and-conditions"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"abstract":"<jats:p>Introduction: Hem-o-lok clips (HOLCs) are a useful tool in mini-invasive surgery, especially for renal surgery. However, in rare cases, they could migrate into the collecting system and be calculogenic. Case Presentation: We present a case of a 53 years old man with an incidental CT finding of a left staghorn caliceal stone increasing its size in the last 2 years. He had a medical history of ipsilateral robotic partial nephrectomy (RAPN) at another institution 8 years before and a previous renal colic with spontaneous stone elimination about 20 years before. The stone was located in the upper calyx. He underwent a flexible ureteroscopy. After an initial fragmentation, a Hem-o-lok was reported, partially wedged into the renal parenchyma. After removing the HOLC with a basket, a small urinary leak was observed and managed with a JJ stent placement. In the postoperative period, the patient had a fever managed with antibiotics and was discharged on the 4th postoperative day without problems. Conclusion: HOLC migration into the collecting system is a rare complication following robotic and laparoscopic renal surgery. HOLC could act as a nidus for stone formation. Avoiding too much tension during renal sutures using HOLC could reduce the possibility of migration. Simple knotting in particular conditions is a valuable option. However, this kind of stone can be managed endoscopically without complaints, minding the possibility that HOLC could be partially wedged into renal parenchyma leading to a urinary leak. With the widening indications for RAPN, this kind of complication could be more frequent. <\/jats:p>","DOI":"10.1159\/000536090","type":"journal-article","created":{"date-parts":[[2024,1,9]],"date-time":"2024-01-09T22:00:35Z","timestamp":1704837635000},"page":"570-573","source":"Crossref","is-referenced-by-count":1,"title":["Staghorn Caliceal Hem-o-lok Stone: A Long-Term Complication of Robotic Partial Nephrectomy \u2013 A Case Report and Literature Review"],"prefix":"10.1159","volume":"108","author":[{"given":"Francesco","family":"Dibitetto","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierluigi","family":"Russo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Filippo","family":"Marino","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mauro","family":"Ragonese","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Domenico","family":"Nigro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nazario","family":"Foschi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2024,1,9]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.23736\/S0393-2249.19.03598-7"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ctrv.2023.102528"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2019.03.024"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/872989"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.5301\/uro.5000106"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.eucr.2022.102073"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2005.10.009"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1089\/cren.2019.0087"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1159\/000511755"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/397427"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1007\/s00240-007-0124-2"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2017-219374"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.4103\/0366-6999.179784"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v10.i10.3188"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1089\/end.2007.0318"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2019.03.024"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.3109\/21681805.2015.1040450"}],"container-title":["Urologia Internationalis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/karger.com\/uin\/article-pdf\/108\/6\/570\/4307404\/000536090.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/karger.com\/uin\/article-pdf\/108\/6\/570\/4307404\/000536090.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:04:23Z","timestamp":1745424263000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000536090"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,9]]},"references-count":17,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2024,12,2]]},"published-print":{"date-parts":[[2024,12,4]]}},"URL":"https:\/\/doi.org\/10.1159\/000536090","archive":["Portico"],"relation":{},"ISSN":["0042-1138","1423-0399"],"issn-type":[{"type":"print","value":"0042-1138"},{"type":"electronic","value":"1423-0399"}],"subject":[],"published":{"date-parts":[[2024,1,9]]}}}