Abstract

Objective: To report a case of forgotten intraabdominal renal tumor due to a self- performing retrieval bag failure, its management and lessons learned. 
Case Report: A 72 years old man underwent a laparoscopic partial nephrectomy due to 3cm renal tumor. A plastic self-performed retrieval bag was used for specimen extraction. Immediately after surgery, with the patient awake, the tumor was not inside the bag and this was broken at the bottom. A computer tomography showed a small mass next to the renorrhaphy; therefore, an exploratory laparoscopy was performed. The tumor was located over the sigmoid colon and finally extracted.
Conclusion: In order to avoid this complication some lesson can be learned. Retrieval bags must be tasted previously and watched during its extraction. Surgeon must verify the bag and the intact specimen integrity before the surgery is finished and the incision must be as large as possible to avoid any traction of the bag.

Keywords

partial nephrectomy, laparoscopy, complications, lumbotomy, hemostatic agents, renorraph