In an article by MacLennan et al (Eur Urol 61 (2012) 972-993) 4580 abstracts and 389 full text articles were assessed. The evidence base suggests that localised renal clear cell carcinoma <4cms is best managed by nephron sparing rather than radical surgery where technically feasible. Results for tumours >4cms are equivalent. Open and laparoscopic surgery achieved equivalent survival.
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