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June 7, 2006

Trends in the Diffusion of Laparoscopic Nephrectomy

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2006;295(21):2476-2482. doi:10.1001/jama.295.21.2480

To the Editor: Based on equal efficacy and easier convalescence compared with the open procedure, some urologists have advocated laparoscopy to be a standard of care for patients undergoing nephrectomy for benign or malignant disease.1,2 There are indications that the use of renal laparoscopy in both academic and community hospitals has been increasing,3 but precise characterization of the diffusion of laparoscopic nephrectomy since its introduction in 1991 has not been available. We therefore describe temporal trends in the nationwide use of laparoscopic nephrectomy and contrast these with other common laparoscopic procedures.

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