Laparoscopic Nephrectomy

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Abstract
In their letter of May 9, Clayman et al.* report the first laparoscopic nephrectomy. They state that a minimally invasive approach was justifiable because the patient was elderly. Their procedure had an operative time of seven hours and required a 1-unit transfusion and a six-day inpatient hospital stay. In addition, the patient was subjected to possible tumor dissemination. A traditional nephrectomy would probably have had less morbidity.