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机器人辅助腹腔镜根治性前列腺切除术后膀胱内漂浮的Hem-o-Lok夹且无结石形成

Floating Hem-o-Lok Clips in the Bladder without Stone Formation after Robot-Assisted Laparoscopic Radical Prostatectomy.

作者信息

Shin Yu Seob, Doo A Ram, Cha Jai Seong, Kim Myung Ki, Jeong Young Beom, Kim Hyung Jin

机构信息

Department of Urology, Chonbuk National University Medical School, Jeonju, Korea.

出版信息

Korean J Urol. 2012 Jan;53(1):60-2. doi: 10.4111/kju.2012.53.1.60. Epub 2012 Jan 25.

DOI:10.4111/kju.2012.53.1.60
PMID:22323977
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3272559/
Abstract

Hem-o-Lok clips (Weck Surgical Instruments, Teleflex Medical, Durham, NC, USA) are widely used in robot-assisted laparoscopic radical prostatectomy because of their easy application and secure clamping. To date, there have been some reports of intravesical migration of these clips causing urethral erosion, bladder neck contractures, and subsequent calculus formation. We report the first case of bladder migration of Hem-o-Lok clips without stone formation after robot-assisted laparoscopic radical prostatectomy. The Hem-o-Lok clips were found during urethral dilation with a guide wire for bladder neck contracture under cystourethroscopy. The Hem-o-Lok clips were floating in the bladder without stone formation and were removed by a cystoscopic procedure.

摘要

Hem-o-Lok夹（美国北卡罗来纳州达勒姆市Teleflex Medical公司的Weck Surgical Instruments生产）因其应用简便且夹闭牢固，在机器人辅助腹腔镜根治性前列腺切除术中被广泛使用。迄今为止，已有一些关于这些夹子膀胱内迁移导致尿道侵蚀、膀胱颈挛缩及随后结石形成的报道。我们报告了首例机器人辅助腹腔镜根治性前列腺切除术后Hem-o-Lok夹膀胱迁移但未形成结石的病例。在膀胱尿道镜检查下，使用导丝进行尿道扩张以处理膀胱颈挛缩时发现了Hem-o-Lok夹。这些Hem-o-Lok夹漂浮在膀胱内，未形成结石，通过膀胱镜操作将其取出。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5668/3272559/797f478998a5/kju-53-60-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5668/3272559/2ded85d6735c/kju-53-60-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5668/3272559/2e465b1e7dc4/kju-53-60-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5668/3272559/797f478998a5/kju-53-60-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5668/3272559/2ded85d6735c/kju-53-60-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5668/3272559/2e465b1e7dc4/kju-53-60-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5668/3272559/797f478998a5/kju-53-60-g003.jpg

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本文引用的文献

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Surgical clip-related complications after radical prostatectomy.前列腺癌根治术后与手术夹相关的并发症
Korean J Urol. 2010 Oct;51(10):683-7. doi: 10.4111/kju.2010.51.10.683. Epub 2010 Oct 21.
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Stone formation from intravesical Hem-o-lok clip migration after laparoscopic radical prostatectomy.腹腔镜前列腺癌根治术后膀胱内Hem-o-lok夹移位导致结石形成
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根治性前列腺切除术后五年，手术夹膀胱内迁移后出现膀胱结石。
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Ann Surg Treat Res. 2018 Mar;94(3):159-161. doi: 10.4174/astr.2018.94.3.159. Epub 2018 Feb 28.
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