Case Report
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Feb 27, 2025; 17(2): 99423
Published online Feb 27, 2025. doi: 10.4240/wjgs.v17.i2.99423
Clip-stone and T clip-sinus post laparoscopic biliary surgery: Two case reports and review of the literature
Ying-Zi Huang, Yuan-Yu Lin, Ju-Ping Xie, Gang Deng, Di Tang
Ying-Zi Huang, Yuan-Yu Lin, Ju-Ping Xie, Gang Deng, Di Tang, Department of General Surgery, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen 518107, Guangdong Province, China
Co-corresponding authors: Gang Deng and Di Tang.
Author contributions: Huang YZ contributed to the manuscript writing and editing, and literature review; Xie JP and Lin YY contributed to the case information; Deng G and Tang D contributed to the conceptualization and supervision of the study; All authors have read and approved the final manuscript.
Supported by Shenzhen Science and Technology Program Project, No. JCYJ20220530145006013.
Informed consent statement: Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Gang Deng, Associate Professor, Department of General Surgery, The Seventh Affiliated Hospital, Sun Yat-sen University, No. 628 Zhenyuan Road, Guangming District, Shenzhen 518107, Guangdong Province, China. dengg5@mail.sysu.edu.cn
Received: August 2, 2024
Revised: November 29, 2024
Accepted: December 23, 2024
Published online: February 27, 2025
Processing time: 173 Days and 3.9 Hours
Core Tip

Core Tip: Postoperative migration of clips is an overlooked complication of laparoscopic biliary surgery. This report describes two cases in which Hem-o-lok clips migrated into the common bile duct (CBD) and T-tube sinus tract after laparoscopic cholecystectomy (LC) and laparoscopic CBD (LCBDE) exploration operation. One clip was removed using a stone extraction balloon, while the other was expelled spontaneously without treatment. Furthermore, literature regarding clip migration following laparoscopic biliary surgery was reviewed. In patients with a history of LC and LCBDE presenting with biliary colic, cholangitis, or abdominal discomfort, clip migration should be considered a differential diagnosis.