Donor Complications Following Laparoscopic Compared to Hand-Assisted Living Donor Nephrectomy: An Analysis of the Literature
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 p...
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| Format: | Article |
| Language: | English |
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Wiley
2010-01-01
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| Series: | Journal of Transplantation |
| Online Access: | http://dx.doi.org/10.1155/2010/825689 |
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| _version_ | 1832568393079717888 |
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| author | Whitney R. Halgrimson Jeffrey Campsen M. Susan Mandell Mara A. Kelly Igal Kam Michael A. Zimmerman |
| author_facet | Whitney R. Halgrimson Jeffrey Campsen M. Susan Mandell Mara A. Kelly Igal Kam Michael A. Zimmerman |
| author_sort | Whitney R. Halgrimson |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-e95ddc7202d64485a99e5533feab1a34 |
| institution | Kabale University |
| issn | 2090-0007 2090-0015 |
| language | English |
| publishDate | 2010-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Transplantation |
| spelling | doaj-art-e95ddc7202d64485a99e5533feab1a342025-02-03T00:59:10ZengWileyJournal of Transplantation2090-00072090-00152010-01-01201010.1155/2010/825689825689Donor Complications Following Laparoscopic Compared to Hand-Assisted Living Donor Nephrectomy: An Analysis of the LiteratureWhitney R. Halgrimson0Jeffrey Campsen1M. Susan Mandell2Mara A. Kelly3Igal Kam4Michael A. Zimmerman5Division of Transplant Surgery, University of Colorado Health Sciences Center, P.O. Box 6510, Aurora, CO 80045I, USADivision of Transplant Surgery, University of Colorado Health Sciences Center, P.O. Box 6510, Aurora, CO 80045I, USADivision of Transplant Surgery, University of Colorado Health Sciences Center, P.O. Box 6510, Aurora, CO 80045I, USADivision of Transplant Surgery, University of Colorado Health Sciences Center, P.O. Box 6510, Aurora, CO 80045I, USADivision of Transplant Surgery, University of Colorado Health Sciences Center, P.O. Box 6510, Aurora, CO 80045I, USADivision of Transplant Surgery, University of Colorado Health Sciences Center, P.O. Box 6510, Aurora, CO 80045I, USAThere 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.http://dx.doi.org/10.1155/2010/825689 |
| spellingShingle | Whitney R. Halgrimson Jeffrey Campsen M. Susan Mandell Mara A. Kelly Igal Kam Michael A. Zimmerman Donor Complications Following Laparoscopic Compared to Hand-Assisted Living Donor Nephrectomy: An Analysis of the Literature Journal of Transplantation |
| title | Donor Complications Following Laparoscopic Compared to Hand-Assisted Living Donor Nephrectomy: An Analysis of the Literature |
| title_full | Donor Complications Following Laparoscopic Compared to Hand-Assisted Living Donor Nephrectomy: An Analysis of the Literature |
| title_fullStr | Donor Complications Following Laparoscopic Compared to Hand-Assisted Living Donor Nephrectomy: An Analysis of the Literature |
| title_full_unstemmed | Donor Complications Following Laparoscopic Compared to Hand-Assisted Living Donor Nephrectomy: An Analysis of the Literature |
| title_short | Donor Complications Following Laparoscopic Compared to Hand-Assisted Living Donor Nephrectomy: An Analysis of the Literature |
| title_sort | donor complications following laparoscopic compared to hand assisted living donor nephrectomy an analysis of the literature |
| url | http://dx.doi.org/10.1155/2010/825689 |
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