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Laparoscopic retrieval of a migrated Amplatz sheath
Octavio A Castillo1, Esteban Metrebian, Gonzalo Vitagliano
1Section of Endourology and Laparoscopic Urology, Department of Urology, Clínica Santa Maria, Santiago de Chile, Chile. octaviocastillo@vtr.net
Objectives:
Percutaneous nephrolithotomy is a relatively safe technique. However, it is not exempt from complications, some of which can be severe and even fatal. Some complications may be plausible for laparoscopic management. We report our experience in the management of a rare complication by laparoscopic means.
Methods:
We report the case of an Amplatz sheath that inadvertently migrated out of the renal parenchyma during a percutaneous nephrolithotomy. Patient data, procedure conditions, and laparoscopic retrieval of the sheath are detailed.
Results:
The Amplatz sheath was successfully retrieved laparoscopically. Total operative time was 180 minutes. Operative bleeding was minimal. The postoperative period was uneventful, and the patient was discharged on postoperative day 3.
Conclusions:
Laparoscopy must be regarded as an option for the management of a surgical complication, especially if a minimally invasive approach is to be kept.