Hand-assisted laparoscopic nephrectomy for renal masses >9.5 cm: Series comparison with open radical nephrectomy

HALN is technically feasible even for tumors with mean size >9.5 cm. There is a significant advantage to HALN over ORN regarding the intraoperative and postoperative morbidity. Tumors ≥15 cm should, in most cases, be performed with an open approach.