Review Article
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 | | | | | |
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