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Donor Complications Following Laparoscopic Compared to Hand-Assisted Living Donor Nephrectomy : An Analysis of the Literature
Joint Authors
Campsen, Jeffrey
Kam, Igal
Mandell, M. Susan
Zimmerman, Michael A.
Kelly, Mara A.
Halgrimson, Whitney R.
Source
Issue
Vol. 2010, Issue 2010 (31 Dec. 2010), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2010-01-06
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
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.
American Psychological Association (APA)
Halgrimson, Whitney R.& Campsen, Jeffrey& Mandell, M. Susan& Kelly, Mara A.& Kam, Igal& Zimmerman, Michael A.. 2010. Donor Complications Following Laparoscopic Compared to Hand-Assisted Living Donor Nephrectomy : An Analysis of the Literature. Journal of Transplantation،Vol. 2010, no. 2010, pp.1-10.
https://search.emarefa.net/detail/BIM-501152
Modern Language Association (MLA)
Halgrimson, Whitney R.…[et al.]. Donor Complications Following Laparoscopic Compared to Hand-Assisted Living Donor Nephrectomy : An Analysis of the Literature. Journal of Transplantation No. 2010 (2010), pp.1-10.
https://search.emarefa.net/detail/BIM-501152
American Medical Association (AMA)
Halgrimson, Whitney R.& Campsen, Jeffrey& Mandell, M. Susan& Kelly, Mara A.& Kam, Igal& Zimmerman, Michael A.. Donor Complications Following Laparoscopic Compared to Hand-Assisted Living Donor Nephrectomy : An Analysis of the Literature. Journal of Transplantation. 2010. Vol. 2010, no. 2010, pp.1-10.
https://search.emarefa.net/detail/BIM-501152
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-501152