Impact of Right-Sided Nephrectomy on Long-Term Outcomes in Retroperitoneoscopic Live Donor Nephrectomy at Single Center
Table 4
Complications of right RPLDN and ureteral complications in recipients.
Clavien classification
Right
Left
value
24
509
Conversion to open procedure1
Grade III
0
1
0.822
Slow graft function
Grade I
0
10
0.939
Intraoperative hemorrhage (≥500 g)
N/A
0
0
—
Adrenal bleeding
Grade I
0
1
0.822
Renal capsular injury
Grade I
0
1
0.822
Postoperative hemorrhage
Grade I, III2
1
6
0.767
Blood transfusion
Grade II
0
4
0.278
Lung embolism3
Grade II
0
1
0.822
Atelectasis
Grade I
0
1
0.822
Pneumothorax
Grade I
0
1
0.822
Subcutaneous emphysema
Grade I
1
1
0.140
Mediastinal emphysema
Grade I
0
1
0.822
Bowel complications
N/A
0
0
—
Rhabdomyolysis
N/A
0
0
—
Ureteral complications
1
4
0.513
(using double-J catheter)
Grade III
(0)
(2)
0.140
(ureter reconstruction)
Grade III
(1)
(2)
0.278
Wound infection
Grade II
1
1
0.140
Total (%)
4 (17)
33 (6.5)
0.132
The reason for open donor nephrectomy was severe adhesion in the renal hilum due to previous surgery. Flank incision was added in one donor for hemostasis after left RPLDN, and blood transfusion alone in another donor. The clinical symptoms improved fortunately by conservative therapy alone.
