The advent of laparoscopy in urology has modified the surgical management of RCC. The main advantages of laparoscopic radical nephrectomy (LRN) are primarily related to its improved perioperative outcomes. Numerous studies (including prospective randomized controlled trials for living donors in the renal transplant literature) have shown that laparoscopic ne-phrectomy was associated with better perioperative outcomes when compared to open nephrectomy.1'2 LRN has been shown to increase OR time while decreasing hospital stay, blood loss, pain, transfusion rate, and time to return to normal activity.
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