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. 2025 Jul 2;10(9):3058–3069. doi: 10.1016/j.ekir.2025.06.052

Table 3.

Perioperative complications after donor nephrectomy

Donors with …, n (%) All
N = 924
OAN n = 35 ORN n = 145 LDN n = 551 RDN n = 193 P-value
Injury of other organs 4 (0.4) 0 0 4 (0.7) 0 0.549
Any bleeding complication 24 (2.6) 2 (5.7) 1 (0.7) 19 (3.5) 2 (1.0) 0.059
  • -

    Bleeding with transfusion

13 (1.4) 2 (5.7) 0 11 (2.0) 0 0.011
Any thrombotic complication 6 (0.7) 1 (2.9) 0 4 (0.7) 1 (0.5) 0.247
  • -

    Lung embolism

2 (0.2) 0 0 1 (0.2) 1 (0.5) n.a.
Any pulmonary complication 8 (0.9) 1 (2.9) 3 (2.1) 3 (0.5) 1 (0.5) 0.109
  • -

    Pneumonia

1 (0.1) 0 0 1 (0.2) 0 n.a.
  • -

    Pneumothorax

1 (0.1) 0 0 0 1 (0.5) n.a.
Wound complications 29 (3.1) 0 2 (1.4) 20 (3.6) 7 (3.6) 0.460
  • -

    Wound healing problems/ wound infections

22 (2.4) 0 1 (0.7) 14 (2.5) 7 (3.6) 0.315
Other complaints related to the surgical technique 29 (3.1) 1 (2.9) 7 (4.8) 18 (3.3) 3 (1.6) 0.358
  • -

    Constipation, ileus, adhesions

9 (1.0) 1 (2.9) 1 (0.7) 6 (1.1) 1 (0.5) 0.481
  • -

    Other complications due to anesthesia or positioning

9 (1.0) 0 5 (3.5) 4 (0.7) 0 0.024
Summary I: complications associated with surgical technique 97 (10.5) 5 (14.3) 13 (9.0) 65 (11.8) 14 (7.3) 0.237
complications unlikely related to surgical technique 30 (3.3) 1 (2.9) 6 (4.1) 18 (3.3) 5 (2.6) 0.850
Summary II: All complications 123 (13.3) 6 (17.1) 19 (13.1) 79 (14.3) 19 (9.8) 0.369

LDN, laparoscopic donor nephrectomy; ; n.a., not applicable, no statistical analysis performed if n < 3; OAN, open abdominal nephrectomy; ORN, open retroperitoneal nephrectomy; RDN, retroperitoneoscopic donor nephrectomy.

Typical, severe and most common complications are presented as subcategories and number of complications. More than 1 complication per donor is possible.