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Updated: Jun 12, 2026
07:17
Single Port Donor Nephrectomy
Published on: March 12, 2011
Ocular complications after open and hand-assisted laparoscopic donor nephrectomy
Jeffrey L Koning1, Lesli I Nicolay, Forrest Jellison
1Department of Urology, Loma Linda University Medical Center, Loma Linda, California, USA.
Urology
|June 25, 2010
Summary
Hand-assisted laparoscopic donor nephrectomy (HALDN) is associated with a higher incidence of ocular complications (OC) and corneal abrasions (CA) compared to open donor nephrectomy (ODN). These issues may stem from increased fluid intake and patient positioning during HALDN.
Area of Science:
- Nephrology
- Ophthalmology
- Surgical Innovation
Background:
- Donor nephrectomy is crucial for kidney transplantation.
- Minimizing surgical complications is essential for patient outcomes.
Purpose of the Study:
- To compare ocular complication (OC) and corneal abrasion (CA) rates between hand-assisted laparoscopic donor nephrectomy (HALDN) and open donor nephrectomy (ODN).
Main Methods:
- Retrospective review of 241 donor nephrectomy patients (141 HALDN, 100 ODN) over 9 years.
- Strict definition of OC requiring treatment or consultation.
- Chi-square tests used for statistical comparison.
Main Results:
- Ocular complications (OC) occurred in 6.4% of HALDN patients versus 0% in ODN patients (P = .01).
- Corneal abrasions (CA) occurred in 1.4% of HALDN patients versus 0% in ODN patients (P = .23).
- HALDN patients had significantly higher net fluid intake (P < .01).
Conclusions:
- Increased OC and CA in HALDN may be linked to higher fluid intake, flank positioning, and pneumoperitoneum effects.
- Conjunctival edema in the dependent eye is a potential common pathway for OC.
- Techniques to mitigate OC after HALDN are important due to their high frequency.
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