Abstract

Laparoscopic radical nephrectomy (LRN) has been established as standard of care for T1 and T2 renal tumors. The aim of this article is to present our way of performing the surgery with an aim to reduce the overall cost of surgery. Use of new improvised instruments makes surgery easy going. However, this additional comfort comes at a cost which is not always within the reach of common man. In order to give the advantage of minimal access surgery to patients coming to a remote health facility in the hilly areas of Nepal we adopt the following modifications describes in the article.

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