Laparoendoscopic single-site versus conventional laparoscopic living donor nephrectomy: a systematic review and meta-analysis of randomized controlled trials.
Hanlin Liu, Li Wang, Jianwei Yang et al.
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In 30 seconds
This systematic review and meta-analysis evaluated the perioperative outcomes of laparoendoscopic single-site donor nephrectomy (LESS-DN) versus conventional laparoscopic donor nephrectomy (CLDN) in 274 living kidney donors across four randomized controlled trials. The analysis found no significant differences in operative time, blood loss, or complication rates between the two techniques.
Key findings
- No significant differences in operative time, warm ischemia time, or estimated blood loss between LESS-DN and CLDN.
- Length of hospital stay and time to extraction were similar for both surgical techniques.
- Overall complication rates did not differ significantly between LESS-DN and CLDN.
Why it matters
Understanding the comparative effectiveness of LESS-DN and CLDN is crucial for optimizing surgical approaches in living kidney donation, potentially influencing surgical training and patient selection.