+ Site Statistics
References:
52,572,879
Abstracts:
28,705,754
PMIDs:
27,750,366
DOIs:
25,464,004
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Donor complications following laparoscopic compared to hand-assisted living donor nephrectomy: an analysis of the literature



Donor complications following laparoscopic compared to hand-assisted living donor nephrectomy: an analysis of the literature



Journal of Transplantation 2010: 825689



THERE ARE TWO APPROACHES TO LAPAROSCOPIC DONOR NEPHRECTOMY: standard laparoscopic donor nephrectomy (LDN) and hand-assisted laparoscopic donor nephrectomy (HALDN). In this study we report the operative statistics and donor complications associated with LDN and HALDN from large-center peer-reviewed publications. Methods. We conducted PubMed and Ovid searches to identify LDN and HALDN outcome studies that were published after 2004. Results. There were 37 peer-reviewed studies, each with more than 150 patients. Cumulatively, over 9000 patients were included in this study. LDN donors experienced a higher rate of intraoperative complications than HALDN donors (5.2% versus. 2.0%, P < .001). Investigators did not report a significant difference in the rate of major postoperative complications between the two groups (LDN 0.5% versus HALDN 0.7%, P = .111). However, conversion to open procedures from vascular injury was reported more frequently in LDN procedures (0.8% versus 0.4%, P = .047). Conclusion. At present there is no evidence to support the use of one laparoscopic approach in preference to the other. There are trends in the data suggesting that intraoperative injuries are more common in LDN while minor postoperative complications are more common in HALDN.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 052700073

Download citation: RISBibTeXText

PMID: 20130811

DOI: 10.1155/2010/825689


Related references

Minimal incision living donor nephrectomy compared to the hand-assisted laparoscopic living donor nephrectomy. World Journal of Urology 20(6): 356-359, 2003

Safety and Efficacy of Retroperitoneoscopic Living Donor Nephrectomy: Comparison of Early Complication, Donor and Recipient Outcome with Hand-Assisted Laparoscopic Living Donor Nephrectomy. Journal of Endourology 2018, 2018

Hand-assisted laparoscopic donor nephrectomy: comparable donor/recipient outcomes, costs, and decreased convalescence as compared to open donor nephrectomy. Transplantation Proceedings 33(1-2): 1106-1107, 2001

Results and surgical complications of living donor nephrectomy: open vs hand-assisted laparoscopic nephrectomy. Progres en Urologie 19(6): 389-394, 2009

Ureteral complications after hand-assisted laparoscopic living donor nephrectomy. Transplantation 97(7): 788-792, 2014

Early and late graft function after laparoscopic hand-assisted donor nephrectomy for living kidney transplantation: comparison with open donor nephrectomy. Urologia Internationalis 84(1): 61-66, 2010

Hand-assisted laparoscopic living-donor nephrectomy as an alternative to traditional laparoscopic living-donor nephrectomy. American Journal of Transplantation 2(10): 983-988, 2002

A randomized clinical trial of living donor nephrectomy: a plea for a differentiated appraisal of mini-open muscle splitting incision and hand-assisted laparoscopic donor nephrectomy. Transplant International 25(9): 976-986, 2013

Renal vein extension during living-donor kidney transplantation in the era of hand-assisted laparoscopic living-donor nephrectomy. Transplantation 99(4): 786-790, 2015

Impact of hand-assisted laparoscopic living donor nephrectomy on donor's quality of life, emotional, and social state. Transplantation Proceedings 42(5): 1487-1491, 2010

Should hand-assisted retroperitoneoscopic nephrectomy replace the standard laparoscopic technique for living donor nephrectomy? A meta-analysis. International Journal of Surgery 40: 83-90, 2017

Comparison of renal function recovery in donor and recipient after living donor nephrectomy: Hand-assisted laparoscopic vs. open procedures. European Urology Suppl.s 7(3): 195, 2008

Comparison of open live donor nephrectomy, laparoscopic live donor nephrectomy, and hand-assisted live donor nephrectomy: a cost-minimization analysis. Journal of Surgical Research 176(2): E89-E94, 2012

Mini-incision versus hand-assisted laparoscopic donor nephrectomy in living-donor kidney transplantation: A retrospective cohort study. International Journal of Surgery 53: 339-344, 2018

Single-Center Analysis of Living Donor Nephrectomy: Hand-Assisted Laparoscopic, Pure Laparoscopic, and Traditional Open. Progress in Transplantation 12(3): 208-211, 2002