ArticleJournal of minimal access surgery
Clip-stone and T clip-sinus: A clinical analysis of six cases on migration of clips and literature review from 1997 to 2017.
Article in Journal of minimal access surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 16 citations in OpenAlex.
- Transient Cholangitis due to Post-Cholecystectomy Clip Migration.Journal of general and family medicine · 2026Article
- Case Report: Clip migration induced recurrent choledocholithiasis after laparoscopic common bile duct exploration.Frontiers in medicine · 2026Article
- Displacement of Hem-o-lok clips into the common bile duct after LCBDE: a case report.Frontiers in surgery · 2026Article
- Article
- Cholecystectomy clip-induced biliary stone: Case report and literature review.Journal of minimal access surgery · 2025Article
- Clip-stone and T clip-sinus post laparoscopic biliary surgery: Two case reports and review of the literature.World journal of gastrointestinal surgery · 2025Article
- 30 years later-a case report of late surgical clip migration after laparoscopic cholecystectomy.AME case reports · 2025Article
- Post-cholecystectomy Clip Migration: A Case Report.Cureus · 2024Article
- Hem-o-lok clip migration to the common bile duct after laparoscopic common bile duct exploration: A case report.World journal of clinical cases · 2022Article
- Post-cholecystectomy clip migration-a unique method of retrieval.Journal of surgical case reports · 2022Article
- Acute Cholangitis Secondary to Surgical Clip Migration 18 Years After Cholecystectomy: A Case Report.Cureus · 2022Article
- Migration of non-absorbable polymer clips in hepato-biliary-pancreatic surgery: a report of four cases.Surgical case reports · 2021Article
- Cholangitis caused by surgical clip migration into the common bile duct: a rare complication of a daily practice.BMJ case reports · 2020Article
- CholedochoClip: A Case of Obstructive Jaundice 14 Years after Cholecystectomy.Case reports in gastrointestinal medicine · 2019Article
- Clip as Nidus for Choledocholithiasis after Cholecystectomy-Literature Review.JSLS : Journal of the Society of Laparoendoscopic SurgeonsReview
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionWith the development of laparoscopic skills, the laparoscopic common bile duct exploration (LCBDE) and laparoscopic cholecystectomy (LC) has become the standard surgical procedure for choledocholithiasis. We usually use Hem-o-lok clips to control cystic duct and vessels, which is safe on most occasions and has few perioperative complications such as major bleeding, wound infection, bile leakage, and biliary and bowel injury. However, a rare complication of post-cholecystectomy clip migration (PCCM) increases year by year due to the advancement and development of LC, CBD exploration as well as the wide use of surgical ligation clips. MATERIALS AND
methodsSix patients whose clips are found dropping into CBD or forming T-tube sinus after laparoscopic surgery in our department.
resultsSix patients whose clips are found dropping into CBD (clip-stone) (3/6) or forming T-tube sinus (T clip-sinus) (3/6) after LCBDE or LC.
conclusionsPCCM is a rare but severe complication of LCBDE. A pre-operative understanding of bile duct anatomy, the use of the minimum number of clips and the harmonic scalpel during the surgeries is necessary. Considering clip-stone or clip-sinus in the differential diagnosis of patients with biliary colics or cholangitis after LCBDE even years after surgery, the detailed medical history and pre-operative examination are inevitable, especially for these patients who had undergone LCBDE.
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