Evidence map›Paper›PMID 42533167›Full record

ArticleSurgical endoscopy2026

Incisional hernia after laparoscopic and robotic donor nephrectomy: analysis of 325 consecutive donors.

Michael McCabe, Zachary Cheung, DyYoung Jaworski, Erika Venniro, Abigail Loszko, Cristina Jimenez-Soto, Karen Pineda-Solis, Amit Nair, Yuki Bekki, Jeremy Taylor and 2 more

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Michael McCabeUniversity of Rochester Medical Center, Transplant Institute, Elmwood Ave, Box SURG, Rochester, NY, 14642, USA.ORCID http://orcid.org/0000-0002-0614-5425
Zachary CheungUniversity of Rochester Medical Center, Transplant Institute, Elmwood Ave, Box SURG, Rochester, NY, 14642, USA.
DyYoung JaworskiUniversity of Rochester Medical Center, Transplant Institute, Elmwood Ave, Box SURG, Rochester, NY, 14642, USA.
Erika VenniroUniversity of Rochester Medical Center, Nephrology, Rochester, NY, USA.
Abigail LoszkoUniversity of Rochester Medical Center, Transplant Institute, Elmwood Ave, Box SURG, Rochester, NY, 14642, USA.
Cristina Jimenez-SotoUniversity of Rochester Medical Center, Transplant Institute, Elmwood Ave, Box SURG, Rochester, NY, 14642, USA.
Karen Pineda-SolisUniversity of Rochester Medical Center, Transplant Institute, Elmwood Ave, Box SURG, Rochester, NY, 14642, USA.
Amit NairUniversity of Rochester Medical Center, Transplant Institute, Elmwood Ave, Box SURG, Rochester, NY, 14642, USA.
Yuki BekkiUniversity of Rochester Medical Center, Transplant Institute, Elmwood Ave, Box SURG, Rochester, NY, 14642, USA.
Jeremy TaylorUniversity of Rochester Medical Center, Transplant Institute, Elmwood Ave, Box SURG, Rochester, NY, 14642, USA.
Roberto Hernandez-AlejandroUniversity of Rochester Medical Center, Transplant Institute, Elmwood Ave, Box SURG, Rochester, NY, 14642, USA.
Randeep KashyapUniversity of Rochester Medical Center, Transplant Institute, Elmwood Ave, Box SURG, Rochester, NY, 14642, USA. randeep_kashyap@urmc.rochester.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimally invasive donor nephrectomy has been shown to be procedurally safe; however, rates of minor complications vary significantly, and long-term surgical complications remain underreported in an era of changing surgical practice. The incidence and predictive factors of incisional hernia (IH) after donor nephrectomy remain underinvestigated, especially with regard to robotic-assisted donor nephrectomy (RADN).

methodsA single-institution retrospective analysis of consecutive kidney donors between January 2017 and December 2025 was conducted. Donors were categorized by surgical approach into laparoscopic hand assisted donor nephrectomy (LHDN) and robotic-assisted donor nephrectomy cohorts (RADN). Predictive factors for IH development were analyzed using multivariable regression.

resultsThere were 325 donors during the study period, 228 (70.1%) LHDN and 97 (29.8%) RADN. There were 24 donors who developed IH (7.4%). There was not a significant difference in IH rate by surgical approach (7.0% vs. 8.2%, P = 0.8). While operative time was longer in the RADN cohort (250 vs. 306 min., P < 0.001), there was no significant difference in perioperative complications, length of stay, or readmission (all P > 0.05). On multivariable analysis, both class I obesity (HR 2.75, 95% CI 1.28-6.41) and male sex (HR 2.19, 95% CI 0.99-4.89) were both independently associated with IH development.

conclusionsIn this study, LHDN and RADN had comparable incidence rates of IH. Both obesity and male sex were demonstrated to significantly increase IH likelihood, regardless of surgical technique. While kidney donors with mild obesity have been increasingly accepted, transplant centers should be aware of the significant effect of even mild obesity on IH risk, particularly in male donors.

Indexed as

Incisional HerniaLaparoscopyLiving DonorsNephrectomyPostoperative ComplicationsRobotic Surgical ProceduresTissue and Organ HarvestingAdultFemaleHumansIncidenceKidney TransplantationMaleMiddle AgedRetrospective StudiesRisk FactorsHerniaMinimally invasive surgeryPerioperative complicationsRobotic surgery

Identifiers

PMID42533167

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.