Review Article
Donor Complications Following Laparoscopic Compared to Hand-Assisted Living Donor Nephrectomy: An Analysis of the Literature
Table 2
Intraoperative complications of LDN and HALDN
| | LDN | HALDN | P-value |
| Bowel injury | 27 | 0.4% | 3 | 0.1% | .031 | | | | | | | Liver/mesenteric/splenic injury | 48 | 0.7% | 4 | 0.2% | .001 | | | | | | | Pulmonary injury | | | | | | Atelectasis | 2 | <0.0% | 0 | 0.0% | .383 | Diaphragm injury | 4 | 0.1% | 0 | 0.0% | .217 | Pneumothorax | 10 | 0.1% | 0 | 0.0% | .051 |
| | 16 | 0.2% | 0 | 0.0% | .014 | Renal/ureteral injury | | | | | | Bladder injury | 5 | 0.1% | 1 | <0.0% | .550 | Degloving of the kidney capsule | 2 | <0.0% | 2 | 0.1% | .315 | Renal laceration | 9 | 0.1% | 0 | 0.0% | .064 | Ureteral injury | 10 | 0.1% | 2 | 0.1% | .398 |
| | 26 | 0.4% | 5 | 0.2% | .154 | Vascular injury/bleeding | | | | | | Bleeding-vascular injury | 97 | 1.4% | 24 | 0.9% | .056 | Major bleeding (>2 UPRBCs or >500 mL) | 35 | 0.5% | 3 | 0.1% | .007 |
| | 132 | 2.0% | 27 | 1.1% | .003 | Procedural complications | | | | | | Conversion—Elective/obesity | 17 | 0.3% | 4 | 0.2% | .382 | Conversion—reason not reported/other | 19 | 0.3% | 5 | 0.2% | .460 | Difficult manual extractions/entrapment sack malfunction | 12 | 0.2% | 0 | 0.0% | .033 | Endotracheal intubation/extubation difficulties | 3 | <0.0% | 0 | 0.0% | .285 | Staple misfire | 4 | 0.1% | 0 | 0.0% | .217 |
| | 55 | 0.8% | 9 | 0.4% | .015 | Other complications | | | | | | Cardiac arrhythmias | 2 | <0.0% | 0 | 0.0% | .383 | Hydrocele | 2 | <0.0% | 0 | 0.0% | .383 | Transient CO2 pneumoperitoneum | 2 | <0.0% | 0 | 0.0% | .383 | Other | 40 | 0.6% | 2 | 0.1% | .001 |
| | 46 | 0.7% | 2 | 0.1% | <.001 | | | | | | | Total intraoperative complications | 350 | 5.2% | 50 | 2.0% | <.001 |
| P< .05 | | | | | |
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