Ekrem BAŞARAN, Emre EDİZ, Ali İbrahim İZULA, Dursun BABA, Ahmet Yıldırım BALIK, Arda Taşkın TAŞKIRAN
Journal of Urological Surgery - 2026;13(3):249-251
Laparoscopic nephrectomy is a widely performed urologic surgical procedure in which non-absorbable polymer ligation (NPL) clips are frequently used for vascular control. We present a case involving a 64-year-old male scheduled for laparoscopic radical nephrectomy due to renal cell carcinoma, during which two Hem-o-lok clips applied to the renal artery unexpectedly reopened intraoperatively. Even when applied by experienced surgeons in accordance with standard protocols, the risk of malfunction remains and must be considered during laparoscopic renal surgery. NPL clips are frequently used to achieve secure vascular control. Although generally considered reliable, these clips may occasionally malfunction leading to potentially life-threatening complications.
