Donor Complications Following Laparoscopic Compared to Hand-Assisted Living Donor Nephrectomy: An Analysis of the Literature

Table 4

Major intraoperative and postoperative complications of LDN and HALDN.

	LDN		HALDN		P-value
Intraoperative complications
Aborted procedures
Colon injury	1	<0.1%	0	0.0%	.537
Mesenteric vein injury	1	<0.1%	0	0.0%	.537
	2	0.0%	0	0.0%	.383
Blood transfusions	51	0.8%	6	0.2%	.004 ${}^{†}$
Conversions
Bleeding	55	0.8%	11	0.4%	.047 ${}^{†}$
Elective/obesity	15	0.2%	4	0.2%	0.525
Reason not reported/other	19	0.3%	5	0.2%	0.460
	89	1.3%	20	0.8%	.030 ${}^{†}$
Other
Bowel resection	1	<0.1%	0	0.0%	0.537
Splenectomy	4	0.1%	2	0.1%	0.752
	5	0.1%	2	0.1%	0.952
Total intraoperative complications	147	2.2%	28	1.1%	.001 ${}^{†}$
Post-operative complications
Re-hospitalizations
Ileus	3	<0.1%	5	0.2%	.027 ${}^{†}$
Infection	1	<0.1%	1	<0.1%	.478
Pain	0	0.0%	1	0.0%	.105
	4	0.1%	7	0.3%	.007 ${}^{†}$
Re-operations
Bleeding/hematoma	10	0.1%	1	<0.1%	.170
Bowel injury	2	<0.1%	1	<0.1%	.823
Incisional hernia	4	0.1%	0	0.0%	.217
Small bowel obstruction	6	0.1%	3	0.1%	.698
Other	4	0.1%	4	0.2%	.155
	26	0.4%	9	0.4%	.807
Death
Myocardial infarction	1	<0.1%	0	0.0%	.537
Pulmonary embolism	0	0.0%	1	<0.1%	.105
	1	0.0%	1	0.0%	.478
Total post-operative complications	31	0.5%	17	0.7%	.222
Total major complications	178	2.6%	45	1.8%	.013 ${}^{†}$
${}^{†}$ P< .05