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

Table 3

Postoperative complications of LDN and HALDN.

	LDN		HALDN		P-value
Abdominal complications
Chylous ascites	5	0.1%	4	0.2%	.257
Other	10	0.1%	11	0.4%	.011 ${}^{†}$
	15	0.2%	15	0.6%	.006 ${}^{†}$
Bowel complications
Ileus	35	0.5%	26	1.0%	.008 ${}^{†}$
Intestinal obstruction	9	0.1%	2	0.1%	.486
Other	1	<0.1%	1	<0.1%	.478
	45	0.7%	29	1.1%	.025 ${}^{†}$
Cardiac complications
Hypertension requiring medication	11	0.2%	0	0.0%	.041 ${}^{†}$
Myocardial infarction	1	<0.0%	0	0.0%	.537
Other	2	<0.1%	1	<0.1%	.823
	14	0.2%	1	<0.0%	.070
Incision/wound complications
Incisional hernia	10	0.1%	18	0.7%	<.001 ${}^{†}$
Incisional, back or abdominal pain	12	0.2%	9	0.4%	.116
Wound infection	91	1.4%	50	2.0%	.034 ${}^{†}$
Other	3	<0.1%	3	0.1%	.218
	116	1.7%	80	3.1%	<.001 ${}^{†}$
Neural complications
Extremity neuropathy	13	0.2%	3	0.1%	.430
Paralysis, emesis, vomitus	4	0.1%	2	0.1%	.752
	17	0.3%	5	0.2%	.611
Pulmonary complications
Pneumonia	13	0.2%	4	0.2%	.710
Other	7	0.1%	1	<0.1%	.340
	20	0.3%	5	0.2%	.397
Renal/ureteric complications
Urinary retention	12	0.2%	19	0.7%	<.001 ${}^{†}$
Urinary tract infection	12	0.2%	19	0.7%	<.001 ${}^{†}$
Other	5	0.1%	2	0.1%	.952
	29	0.4%	40	1.6%	<.001 ${}^{†}$
Vascular/hematoma complications
Continued bleeding	13	0.2%	0	0.0%	.026 ${}^{†}$
Hematoma	28	0.4%	8	0.3%	.473
Pulmonary embolism/DVT	0	0.0%	5	0.2%	<.001 ${}^{†}$
Subcapsular hematoma	13	0.2%	0	0.0%	.026 ${}^{†}$
Other	5	0.1%	6	0.2%	.045 ${}^{†}$
	59	0.9%	19	0.7%	.525
Other complications	135	2.0%	26	1.0%	.001 ${}^{†}$
Total postoperative complications	450	6.7%	220	8.6%	.002 ${}^{†}$
${}^{†}$ P< .05