{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T22:11:16Z","timestamp":1785190276919,"version":"3.55.0"},"reference-count":25,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T00:00:00Z","timestamp":1663632000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Backgrounds<\/jats:title><jats:p>Many autosomal dominant polycystic kidney disease (ADPKD) patients undergo nephrectomy and subsequent renal transplantation. We report our outcomes after hand\u2010assisted laparoscopic nephrectomy (HALN) where a Rutherford\u2010Morrison incision is used as a hand\u2010port site and kidney extraction site, as well the future incision site for staged transplantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review was performed on all adult nephrectomies for ADPKD by the Transplant Surgery department at Westmead Hospital between June 2011 and June 2021. Outcomes were compared between HALN, laparoscopic nephrectomy (LN) and open nephrectomy (ON) including operation time, hospital length of stay (LOS), post\u2010operative complications, subsequent transplantation and post\u2010transplantation wound complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty\u2010two HALN, 8 LN and 5 ON were performed during the study period. Median kidney weights for HALN, LN and ON were significantly different (1575, 403, 3420\u2009g respectively, <jats:italic>P<\/jats:italic>\u00a0=\u20090.001). There was a significant difference in LOS between the HALN and ON (5.8 versus 9.8\u2009days, <jats:italic>P<\/jats:italic>\u00a0=\u20090.04), but not between HALN and LN (5.8 versus 5.1, <jats:italic>P<\/jats:italic>\u00a0=\u20090.06). There was no significant difference for operation time (<jats:italic>P<\/jats:italic>\u00a0=\u20090.34) and major complication rates (<jats:italic>P<\/jats:italic>\u00a0=\u20090.58). There were 8 HALN, 5 LN and 2 ON who have had subsequent renal transplantation with one wound complication, an incisional hernia in the HALN group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our HALN is associated with a shorter LOS and similar complication rate to ON and can be efficiently performed for significantly larger kidneys than LN without a significant difference in operation time or LOS. The same Rutherford\u2010Morrison incision site can be used for transplantation.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18038","type":"journal-article","created":{"date-parts":[[2022,9,21]],"date-time":"2022-09-21T05:56:23Z","timestamp":1663739783000},"page":"3004-3010","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Utilizing the same incision for staged renal transplant in patients with polycystic kidney disease requiring hand\u2010assisted laparoscopic nephrectomy"],"prefix":"10.1111","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4758-8644","authenticated-orcid":false,"given":"Nguyen","family":"Huynh","sequence":"first","affiliation":[{"name":"Division of Transplant Surgery, Department of Surgery Westmead Hospital  Sydney New South Wales Australia"},{"name":"Westmead Clinical School, Specialty of Surgery, FMH The University of Sydney  Sydney New South Wales 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Surgery Westmead Hospital  Sydney New South Wales Australia"},{"name":"Westmead Clinical School, Specialty of Surgery, FMH The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taina","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery, Department of Surgery Westmead Hospital  Sydney New South Wales Australia"},{"name":"Westmead Clinical School, Specialty of Surgery, FMH The University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence","family":"Yuen","sequence":"additional","affiliation":[{"name":"Division of Transplant Surgery, Department of Surgery Westmead Hospital  Sydney New South Wales Australia"},{"name":"Westmead Clinical School, Specialty of Surgery, FMH The University of Sydney  Sydney New South Wales 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