Abstract
Despite the progress in diagnosis and treatment, renal cancer still represents one of the deadliest malignancies of the urogenital tract. Surgically wise, one could certainly make the case that locally advanced renal cancer, especially with vena cava involvement, is the most challenging operable tumor. Conventionally, these patients have been operated with open approach. Nowadays, the contribution of advanced technology (both laparoscopy and robotics) as well as the increasing experience of the surgeons has led to the usage of minimal invasive (MI) techniques in increasingly complex cases. The purpose of this review is to highlight the most important data in the literature as far as usage of MI techniques in the treatment of locally advanced RC is concerned.
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