title: Long-Term Donor Outcomes after Pure Laparoscopic versus Open Living Donor Nephrectomy: Focus on Pregnancy Rates, Hypertension and Quality of Life.
abstract: BACKGROUND
  The aim of the present study was to compare long-term donor outcomes after open and laparoscopic living donor nephrectomy. The focus was on pregnancy rates, hypertension and quality of life parameters.
  
  
  METHODS
  Data were retrospectively collected using our institution's electronic database and a structured questionnaire. The study included 30 donors after open donor nephrectomy (ODN) and 131 donors after laparoscopic donor nephrectomy (LDN).
  
  
  RESULTS
  Demographic data did not differ between groups. When asked for their preference, significantly more donors in the LDN group would choose the same surgical approach again. The overall frequency of postoperative complications was significantly lower in the LDN group. The incidence of grade III complications was 2% after LDN and 10% after ODN (p = 0.79). Only 2 out of 15 female donors aged between 18 and 45 years delivered a healthy child after DN. On interview, only 4 out of 15 female donors declared the desire to have children after DN.
  
  
  CONCLUSIONS
  From the donor perspective, long-term outcomes after LDN are more favorable than after ODN. To ensure favorable functional outcomes, strict preoperative donor selection and diligent long-term donor follow-up are required.
authors: Department of Urology, Charité University Hospital, Berlin, Germany.
authors: Frank
authors: F
authors: Friedersdorff
authors: Lisa
authors: L
authors: Kothmann
authors: Philipp
authors: P
authors: Manus
authors: Jan
authors: J
authors: Roigas
authors: Carsten
authors: C
authors: Kempkensteffen
authors: Ahmed
authors: A
authors: Magheli
authors: Jonas
authors: J
authors: Busch
authors: Lutz
authors: L
authors: Liefeldt
authors: Markus
authors: M
authors: Giessing
authors: Serdar
authors: S
authors: Deger
authors: Martin
authors: M
authors: Schostak
authors: Kurt
authors: K
authors: Miller
authors: Tom Florian
authors: TF
authors: Fuller
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D006973:Hypertension; D016030:Kidney Transplantation; D010535:Laparoscopy; D019520:Living Donors; D008875:Middle Aged; D009392:Nephrectomy; D011247:Pregnancy; D018873:Pregnancy Rate; D011788:Quality of Life; D055815:Young Adult