Review Article
Donor Complications Following Laparoscopic Compared to Hand-Assisted Living Donor Nephrectomy: An Analysis of the Literature
Table 1
Study characteristics, donor demographics and intraoperative data.
| Author et al. | | | | | | | | Total | | | Warm | | | Study | Cases | Age | BMI | operative | Operative | ischemia | Length of | type | | | (years) | (kg/m2) | time | blood loss | time | stay | | | | | | | | (min) | (mL) | (min) | (days) |
| | | L | H | L | H | L | H | L | H | L | H | L | H | L | H |
| Anderson [14] | R | | 103 | | 34.4 | | 25.9 | | 283 | | | | 2.3 | | 3.7 | Bargman [15] | RCT | 20 | 20 | | | | | 200 | 219 | 141.5 | 97.4 | 2.6 | 2.3 | 1.9 | 2.1 | Branco [16] | R | 89 | 67 | 38.9 | 38 | | | 78.4 | 83 | 98.9 | 130.9 | 2.5 | 3.6 | 1.4 | 2.8 | Breda [17] | R | 300 | | 36.7 | | 28.3 | | 180 | | 80 | | 4.0 | | | | Chandak [18] | P | | 144 | | 44 | | | | 198 | | 160 | | 2.9 | | | Chin [9] | R | 500 | | 40.3 | | 27.3 | | 208.2 | | 197 | | 3.5 | | 2.3 | | Desai [19] | | 303 | | 45.2 | | 24.2 | | 159.0 | | | | 6.5 | | 4.4 | | Diner [20] | R | 167 | | 39.0 | | | | 226.3 | | 108.3 | | 5.0 | | 2.5 | | Dolce [21] | P | | 217 | | 39.6 | | | | 177.3 | | 71.1 | | 1.1 | | 3.6 | Dols [22] | P | 283 | | 50 | | | | 222 | | 206 | | 5.6 | | 3.5 | | El-Galley [23] | P | | 80 | | 43 | | | | 184 | | 50 | | 4.0 | | | Fettouh [24] | R | 400 | | 32 | | | | 117 | | 56 | | 2.6 | | | | Fisher [25] | R | | 200 | | 42 | | 27 | | 229 | | 243 | | 2.6 | | 1.9 | Giron [26] | R | | 85 | | 34.3 | | | | 132 | | 125 | | 4.0 | | 2.5 | Gupta [27] | P | 343 | | 43 | | | | 191 | | | | 3.3 | | 3.7 | | Hawasli [28] | R | 168 | | | | | | 132 | | 92 | | 3.5 | | 1.2 | | Heimbach [29] | R | | 553 | | 42 | | 28.0 | | 137 | | | | | | 2.3 | Husted [30] | R | 213 | 40 | 41 | 41 | 27.5 | | 192 | 186 | | | 3.3 | 3.9 | 1.9 | 1.9 | Jacobs [31] | R | 738 | | 40.2 | | 27.7 | | 202.1 | | 128 | | 2.8 | | 2.7 | | Jeon [32] | R | 71 | 12 | 36 | 38 | | | 206.7 | 143.4 | | | 3.8 | 2.4 | | | Keller [33] | R | | 230 | | | | | | 176 | | 71 | | 1.1 | | 3.7 | Ko [34] | R | 400 | | 40.9 | | 27.1 | | 147.6 | | 83.2 | | 1.5 | | 2.0 | | Kocak [35] | R | 482 | 318 | 39 | 41 | 27 | 29 | | | | | | | 1.6 | 1.2 | Lai [36] | P | 12 | 12 | 48.6 | 44 | 22.5 | 25 | 215 | 258 | | | 4.5 | 3.8 | 5.8 | 5.6 | Lallas [37] | R | 230 | | 40.6 | | | | 112 | | 92.8 | | | | 2.3 | | Li [38] | R | | 65 | | | | | | 157.92 | | 37.38 | | 3.3 | | 5.0 | Melcher [39] | R | 530 | | 40.4 | | 26.1 | | 196 | | | | | | 3.2 | | Minnee [40] | P | | 158 | | 46.7 | | | | 173.8 | | | | 3.2 | | 4.9 | Percegona [41] | R | 34 | 21 | | | | | 184 | 191 | 441 | 545 | 3.8 | 4.3 | 2.6 | 3.6 | Permpongkosol [42] | R | 553 | | 41.4 | | | | | | | | | | | | Rajab [43] | R | | 80 | | 38 | | 26.5 | | | | | | | | | Ruszat [44] | R | 12 | 33 | 46 | 50 | 24 | 24 | 212 | 192 | 307 | 208 | 4.0 | 2.1 | 13.0 | 11.0 | Salazar [45] | | 11 | 24 | 39 | 44 | 26 | 26 | 213 | 235 | | | | | 3.0 | 4.0 | Seo [46] | R | | 100 | | 38.1 | | 23 | | 202 | | | | 3.0 | | 4.1 | Simforoosh [47] | P | 241 | | 27.8 | | 24.8 | | 136.5 | | | | 7.5 | | | | Su [48] | R | 381 | | | | | | 253 | | 334 | | 4.9 | | 3.3 | | Sundaram [49] | R | 253 | | 39.3 | | 26.1 | | 199 | | 115 | | 2.2 | | 2.8 | |
| Total | 6734 | 2562 | | | | | | | | | | | | | Weighted mean | | | 39.9 | 41.2 | 26.8 | 27.3 | 187.0 | 189.3 | 144.0 | 128.6 | 3.7 | 2.5 | 2.7 | 3.0 |
| Difference (L–H) (95% CI) | | | (, 1.7) | (, 0.8) | (, 26.7) | 15.4(, 95.8) | 1.2(0.1, 2.3) | (, 0.6) | P-value | | | .401 | .426 | .876 | .711 | .037 | .547 |
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R:Retrospective; P:Prospective; RCT:Randomized Control Trial; L:LDN; H:HALDN. Excluded from weighted mean calculation (alternative endpoints); P< .05.
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