title: Perioperative Events and Complications in Minimally Invasive Live Donor Nephrectomy: A Systematic Review and Meta-Analysis.
abstract: BACKGROUND
  Minimally invasive live donor nephrectomy has become a fully implemented and accepted procedure. Donors have to be well educated about all risks and details during the informed consent process. For this to be successful, more information regarding short-term outcome is necessary.
  
  
  METHODS
  A literature search was performed; all studies discussing short-term complications after minimally invasive live donor nephrectomy were included. Outcomes evaluated were intraoperative and postoperative complications, conversions, operative and warm ischemia times, blood loss, length of hospital stay, pain score, convalescence, quality of life, and costs.
  
  
  RESULTS
  One hundred ninety articles were included in the systematic review, 41 in the meta-analysis. Conversion rate was 1.1%. Intraoperative complication rate was 2.3%, mainly bleeding (1.5%). Postoperative complications occurred in 7.3% of donors, including infectious complications (2.6%), of which mainly wound infection (1.6%) and bleeding (1.0%). Reported mortality rate was 0.01%. All minimally invasive techniques were comparable with regard to complication or conversion rate.
  
  
  CONCLUSIONS
  The used techniques for minimally invasive live donor nephrectomy are safe and associated with low complication rates and minimal risk of mortality. These data may be helpful to develop a standardized, donor-tailored informed consent procedure for live donor nephrectomy.
authors.affiliation: 1 Department of Surgery, division of HPB & Transplant Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
authors.forename: Kirsten
authors.initials: K
authors.lastname: Kortram
authors.forename: Jan N M
authors.initials: JN
authors.lastname: Ijzermans
authors.forename: Frank J M F
authors.initials: FJ
authors.lastname: Dor
mesh_terms: D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects*; D009392:Nephrectomy / Q000009:adverse effects* / Q000401:mortality; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications / Q000209:etiology*