Donor Complications Following Laparoscopic Compared to Hand-Assisted Living Donor Nephrectomy An Analysis of the Literature.pdfVIP

Hindawi Publishing Corporation Journal of Transplantation Volume 2010, Article ID 825689, 10 pages doi:10.1155/2010/825689 Review Article Donor Complications Following Laparoscopic Compared to Hand-Assisted Living Donor Nephrectomy: An Analysis of the Literature Whitney R. Halgrimson,1 Jeffrey Campsen,1 M. Susan Mandell,1, 2 Mara A. Kelly,1 Igal Kam,1 and Michael A. Zimmerman1 1 Division of Transplant Surgery, University of Colorado Health Sciences Center, P.O. Box 6510, Aurora, CO 80045I, USA 2 Department of Anesthesia, University of Colorado Health Sciences Center, P.O. Box 6510, Aurora, CO 80045I, USA Correspondence should be addressed to Michael A. Zimmerman, michael.zimmerman@ Received 10 August 2009; Accepted 2 November 2009 Academic Editor: Bruce Kaplan Copyright © 2010 Whitney R. Halgrimson et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 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