{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T05:56:56Z","timestamp":1781071016965,"version":"3.54.1"},"reference-count":13,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T00:00:00Z","timestamp":1780963200000},"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":["ANZ Journal of Surgery"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Hand\u2010assisted laparoscopic donor nephrectomy (HALDN) is an internationally accepted technique to safely retrieve kidneys for live kidney donor transplantation. Locally published data regarding outcomes in the donors is lacking. This study aims to assess outcomes after HALDN in the Australian setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective review of all patients undergoing HALDN was conducted at Royal Melbourne Hospital and Melbourne Private Hospital between 24 March 2011 and 31 December 2022. Patients were identified and information collected from surgical and renal databases which collect data prospectively. The primary outcomes of interest were peri\u2010operative complications (type and Clavien\u2010Dindo classification). Secondary outcomes include length of stay, rate of conversion to open operation and readmission to hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 387 patients (55.6% female) underwent HALDN during the study period. The median age of donors was 58\u2009years (range 29\u201375) and median body mass index was 26.7\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      (range 18.6\u201339.8). The left kidney was donated in 85.3% of patients. The post\u2010operative complication rate was 11.6% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200945), and most complications (27\/45) were classified as Clavien\u2010Dindo II. Eight patients (1.9%) required return to the operating theatre, and one procedure (0.25%) converted to open operation due to bleeding from stapler malfunction. Median length of stay in hospital was 5\u2009days (range 3\u201324) and the hospital readmission rate was 3.6%. Median donor creatinine was 69\u2009\u03bcmol\/L pre\u2010operatively and 99\u2009\u03bcmol\/L at discharge.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>HALDN is a safe method of kidney donation, with low rates of conversion to open, post\u2010operative complications and hospital readmission.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.70784","type":"journal-article","created":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T04:57:41Z","timestamp":1781067461000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hand\u2010Assisted Laparoscopic Donor Nephrectomy\u2014A Decade's Experience in an Australian Transplant Centre"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8835-9362","authenticated-orcid":false,"given":"Calvin C.","family":"Peng","sequence":"first","affiliation":[{"name":"Department of General Surgical Specialties The Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma K.","family":"Tully","sequence":"additional","affiliation":[{"name":"Department of General Surgical Specialties The Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Furlong","sequence":"additional","affiliation":[{"name":"Department of General Surgical Specialties The Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Millar","sequence":"additional","affiliation":[{"name":"Department of General Surgical Specialties The Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda","family":"Robertson","sequence":"additional","affiliation":[{"name":"Department of General Surgical Specialties The Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nancy","family":"Suh","sequence":"additional","affiliation":[{"name":"Department of General Surgical Specialties The Royal Melbourne Hospital  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,9]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Australian Organ and Tissue Donation and Transplantation Authority \u201cAustralian Donation and Transplantation Activity Report 2024 \u201d2025 https:\/\/www.donatelife.gov.au\/sites\/default\/files\/2025\u201002\/2024%20Australian%20Donation%20and%20Transplantation%20Activity%20Report.pdf?utm_source=UTM&utm_medium=download&utm_campaign=2024ActivityReport\u2010webdownload&utm_id=2024ActivityReport\u2010webdownload."},{"issue":"2","key":"e_1_2_9_3_1","doi-asserted-by":"crossref","first-page":"311","DOI":"10.1097\/00007890-200001270-00020","article-title":"Cadaveric Versus Living Donor Kidney Transplantation: A Medicare Payment Analysis: 1","volume":"69","author":"Smith C. R.","year":"2000","journal-title":"Transplantation"},{"issue":"3","key":"e_1_2_9_4_1","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1111\/j.1399-0012.1994.tb00262.x","article-title":"Outcome Statistics of Renal Transplants With an Emphasis on Long\u2010Term Survival","volume":"8","author":"Cecka J. M.","year":"1994","journal-title":"Clinical Transplantation"},{"issue":"4","key":"e_1_2_9_5_1","doi-asserted-by":"crossref","first-page":"597","DOI":"10.2215\/CJN.11220918","article-title":"Risks of Living Kidney Donation: Current State of Knowledge on Outcomes Important to Donors","volume":"14","author":"Lentine K. L.","year":"2019","journal-title":"Clinical Journal of the American Society of Nephrology"},{"issue":"6","key":"e_1_2_9_6_1","doi-asserted-by":"crossref","first-page":"1848","DOI":"10.1111\/ajt.13687","article-title":"Perioperative Complications After Living Kidney Donation: A National Study","volume":"16","author":"Lentine K. L.","year":"2016","journal-title":"American Journal of Transplantation"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2021.11.023"},{"issue":"6","key":"e_1_2_9_8_1","doi-asserted-by":"crossref","first-page":"1795","DOI":"10.1016\/j.euf.2022.03.021","article-title":"Surgical Approaches and Outcomes in Living Donor Nephrectomy: A Systematic Review and Meta\u2010Analysis","volume":"8","author":"Dagn\u00e6s\u2010Hansen J.","year":"2022","journal-title":"European Urology Focus"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/ctr.14945"},{"key":"e_1_2_9_10_1","doi-asserted-by":"crossref","first-page":"591","DOI":"10.1097\/SLA.0000000000004247","article-title":"Robotic Assisted Living Donor Nephrectomies: A Safe Alternative to Laparoscopic Technique for Kidney Transplant Donation","volume":"275","author":"Spaggiari M.","year":"2022","journal-title":"Annals of Surgery"},{"issue":"7","key":"e_1_2_9_11_1","doi-asserted-by":"crossref","first-page":"3654","DOI":"10.1007\/s00464-024-10925-5","article-title":"Robotic Living Donor Nephrectomy Is Associated With Reduced Post\u2010Operative Opioid Use Compared to Hand\u2010Assisted Laparoscopic Approach","volume":"38","author":"Kiani A. Z.","year":"2024","journal-title":"Surgical Endoscopy"},{"key":"e_1_2_9_12_1","first-page":"1","article-title":"Feasibility, Safety and Efficacy of Enhanced Recovery After Living Donor Nephrectomy: Systematic Review and Meta\u2010 Analysis of Randomized Controlled Trials","volume":"10","author":"Prionas A.","year":"2021","journal-title":"Journal of Clinical Medicine"},{"issue":"4","key":"e_1_2_9_13_1","doi-asserted-by":"crossref","first-page":"729","DOI":"10.1007\/s00268-021-06394-9","article-title":"Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations: A 2021 Update","volume":"46","author":"Stenberg E.","year":"2022","journal-title":"World Journal of Surgery"},{"issue":"2","key":"e_1_2_9_14_1","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1055\/s-0038-1676475","article-title":"Does Implementation of Enhanced Recovery After Surgery (ERAS) Protocols in Colorectal Surgery Improve Patient Outcomes?","volume":"32","author":"Ban K.","year":"2019","journal-title":"Clinics in Colon and Rectal Surgery"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70784","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ans.70784","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.70784","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T04:57:44Z","timestamp":1781067464000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.70784"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,9]]},"references-count":13,"alternative-id":["10.1111\/ans.70784"],"URL":"https:\/\/doi.org\/10.1111\/ans.70784","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,9]]},"assertion":[{"value":"2025-06-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"ans.70784"}}