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5%, which was lower than that of open surgery (47.8%) (P=0.004). The mean cancer-specific survival time of the laparoscopic surgery group was 36.6±2.5 months, while that of the open surgery group was 32.3±2.7 months (P=0.277). There was no statistical difference between the two groups. Although completely laparoscopic radical nephrectomy and infrahepatic tumor thrombectomy is a challenging operation, it could be feasible and safely performed, especially in the hands of highly-experienced laparoscopic urologists for well selected cases.