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Title of Journal: World J Urol

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Abbravation: World Journal of Urology

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Springer-Verlag

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DOI

10.1007/s00345-008-0238-3

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1433-8726

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Changing concepts in the surgery of renal cell ca

Authors: Axel S Merseburger Markus A Kuczyk
Publish Date: 2008/02/12
Volume: 26, Issue: 2, Pages: 127-133
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Abstract

This also includes considerations on the appropriate indication for the two surgical procedures in small renal tumours locally advanced disease pT2 complicated renal tumours as well as cytoreductive surgical situations In small renal tumours similar survival rates have been described for laparoscopic radical and partial nephrectomy However even experienced high volume laparoscopic centres report a high learning curve increased complications and initial technical problems to achieve parenchymal haemostasis and renal ischaemia during nephronsparing surgery Surgical management of large T2 or complicated tumours is feasible but longterm oncological outcome is not yet available

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