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Laparoscopic nephrectomy: Our personal experience on 39 cases

The authors, six years after the first laparoscopic nephrectomy by Clayman and five years after their own first case in Italy, review the literature and their personal experience in 39 cases. In their opinion, today's situation can be summed up by the conclusion that laparoscopic nephrectomy for benign disease is a safe, reproducible, cost-effective procedure and can be recommended as the procedure of choice for young ladies with a small, afunctional kidney. The same is not true for malignant diseases which, in the authors’ opinion, must be a matter for prospective, randomised and well-controlled clinical trials in reference centres.