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Tumor size enlargement (HR=118, p0.0001), high-grade tumor classification (HR=321, p0.0001), and increasing age (HR=102, p=0.0009) were independently linked to a higher risk of recurrence. Major complications were not linked to the type of surgery performed (p=0.0094). The 5-year overall survival (OS) rates for KMA of MIS-RN compared to RAPN, across pT1, pT2, and pT3 stages, were 85% vs. 88% (p=0.0078), 82% vs. 80% (p=0.0442), and 84%