{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T11:45:30Z","timestamp":1791805530580,"version":"4.3.4"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Autosomal dominant polycystic kidney disease (ADPKD) often prompts pre\u2010transplantation or simultaneous native nephrectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We reviewed adult patients with ADPKD who underwent RKT without native nephrectomy at one transplant centre. Native kidney volume (NKV) and estimated abdominopelvic cavity volume (EACV) were estimated using ellipsoid approximations from cross\u2010sectional imaging, and a Spatial Occupancy Ratio (SOR\u00a0=\u00a0combined NKV\/EACV) was derived to quantify anatomical crowding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Sixteen patients underwent RKT for ADPKD without preemptive native nephrectomy, with a median SOR of 24.7%. Median warm ischaemia and operative times were 37 and 267\u00a0minutes, respectively, with an estimated blood loss of 50\u00a0mL. Increasing SOR demonstrated a moderate but significant inverse correlation with graft volume (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a0\u22120.52,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.038) and a weak positive correlation with operative time (\n                      <jats:italic>r<\/jats:italic>\n                      \u00a0=\u00a00.07,\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0=\u00a00.80).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>RKT without native nephrectomy appears feasible across a broad spectrum of anatomical abdominopelvic occupancy, supporting a selective rather than routine approach to nephrectomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/rcs.70244","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T10:54:35Z","timestamp":1791802475000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Less is More: Robotic Kidney Transplantation in Polycystic Kidney Disease Without Preemptive or Simultaneous Native Nephrectomy"],"prefix":"10.1002","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4381-5635","authenticated-orcid":false,"given":"Haaris","family":"Kadri","sequence":"first","affiliation":[{"name":"University of Colorado School of Medicine  Aurora Colorado USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryan","family":"Dang","sequence":"additional","affiliation":[{"name":"University of Colorado School of Medicine  Aurora Colorado 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