ArticleThe Journal of international medical research2019
Hem-o-lok clip found in the common bile duct 3 years after laparoscopic cholecystectomy and surgical exploration.
Article in The Journal of international medical research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 9 citations in OpenAlex.
- Case Report: Clip migration induced recurrent choledocholithiasis after laparoscopic common bile duct exploration.Frontiers in medicine · 2026Article
- Predicting unplanned extubation risk in patients with endoscopic nasobiliary drainage.World journal of gastrointestinal 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
- Perioperative management of Hem-o-lokArchives of medical science : AMS · 2025Article
- Effect of Endoscopic Retrograde Cholangiopancreatography Lithotomy Combined with Laparoscopic Cholecystectomy on Pain and Prognosis of Patients with Gallstones and Extrahepatic Bile Duct Stones.Computational intelligence and neuroscience · 2022Article
- Common bile duct stone development due to a Hem-o-lok clip migration: a rare complication of laparoscopic cholecystectomy.BMJ case reports · 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
9 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Endoscopic retrograde cholangiopancreatography (ERCP) with stone extraction is a common and preferred choice for gallstone disease. Laparoscopic common bile duct exploration (LCBDE) and laparoscopic cholecystectomy (LC) are being increasingly used for managing choledocholithiasis and cholecystolithiasis. We report a case of a Hem-o-lok clip that was dropped into the common bile duct (CBD) after LC and surgical common bile duct exploration (CBDE). An 84-year-old man presented with right upper quadrant pain and jaundice for 2 months, and chills and hyperpyrexia for 1 day. The patient had received ERCP and surgical CBDE at a local hospital 3 years previously. The patient first received ERCP and endoscopic nasobiliary drainage (ENBD). When laboratory tests were normal, the patient then received LCBDE. During exploration, stones and a Hem-o-lok clip in the CBD were removed. The patient made good progress after LCBDE + T-tube placement and was discharged from hospital. The findings from this case suggest the following: 1) an appropriate therapy method should be considered for certain gallstone diseases, especially for choledocholithiasis and cholecystolithiasis; and 2) a Hem-o-lok clip should be carefully used during laparoscopic or robot-assisted surgery and the Hem-o-lok clip should not be in close proximity to the incision on the CBD.
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