Tel Aviv Sourasky Medical Center, known as Ichilov, is a multidisciplinary hospital in Israel. It offers advanced care in oncology, hematology, and cardiology. The center also treats children at the Dana Dwek Children's Hospital. Newsweek ranked Ichilov among the world's top 10 medical tourism destinations. Its Cardiology Department ranks second globally out of over 2,000 institutions. Specialists here were ranked first for treating ventricular fibrillation.
The hospital treats around 100,000 patients each year. Its medical team includes 8,000 employees. The ophthalmology department performs more than 1,600 operations annually. For blood disorders, the team completes about 80 bone marrow transplants a year. Hematologist Professor Ron Ram supervises these procedures. The nephrology unit is a national center for dialysis. Diagnostic tools include the low-radiation EOS imaging system and heart CT scans.
","text_type":"short_description","agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":8220,"alias":"tel-aviv-sourasky-medical-center-ichilov-ai","name":"Tel Aviv Sourasky Medical Center (Ichilov)","short_description":"Tel Aviv Sourasky Medical Center, known as Ichilov, is a multidisciplinary hospital in Israel. It offers advanced care in oncology, hematology, and cardiology. The center also treats children at the Dana Dwek Children's Hospital. Newsweek ranked Ichilov among the world's top 10 medical tourism destinations. Its Cardiology Department ranks second globally out of over 2,000 institutions. Specialists here were ranked first for treating ventricular fibrillation.
The hospital treats around 100,000 patients each year. Its medical team includes 8,000 employees. The ophthalmology department performs more than 1,600 operations annually. For blood disorders, the team completes about 80 bone marrow transplants a year. Hematologist Professor Ron Ram supervises these procedures. The nephrology unit is a national center for dialysis. Diagnostic tools include the low-radiation EOS imaging system and heart CT scans.
","images":[{"base_url":"clinic/6a444b9a262f8","title":"Dana-Dwek Children's Hospital exterior at Tel Aviv Sourasky Medical Center, Israel"},{"base_url":"clinic/6a444b9bca312","title":"Tel Aviv Sourasky Medical Center exterior with Sylvan Adams Emergency Hospital entrance at night"},{"base_url":"clinic/6a444b9dd6dda","title":"Tel Aviv Sourasky Medical Center exterior with emergency hospital entrance at night"},{"base_url":"clinic/6a444b9f62112","title":"Nurse station and patient area at Tel Aviv Sourasky Medical Center, Israel"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false}],"geo":{"country":{"name":"Israel","id":1,"alias":"israel","iso_code":"IL"},"city":{"name":"Tel Aviv-Yafo","id":1485,"alias":"tel-aviv-yafo"},"address":"Weizmann St 6, Tel Aviv-Yafo, Israel"},"rating":{"rating":0,"google":4.6,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":6,"year_foundation":2020},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Goldman Urology Clinic Gangnam Branch includes transrectal prostate ultrasound in its BPH workup alongside urodynamics, uroflowmetry, post-void residual measurement, digital rectal examination, and PSA testing. The clinic also lists prostate ultrasound in its early prostate cancer detection set, alongside prostate health index testing and painless biopsy.
","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":8360,"alias":"goldman-urology-clinic","name":"Goldman Urology Clinic Gangnam Branch","short_description":"Goldman Urology Clinic is a single-specialty medical center in Seoul, South Korea. It focuses on male urinary conditions across five branches. The center opened in 2002. Since then, the team has managed over two million urinary disease cases. Surgeons have performed more than 6,000 operations for benign prostatic hyperplasia. The clinic also reports over 10,000 urinary stone treatments.
The staff includes 11 board-certified urologists. They handle about 40% of all HoLEP surgeries nationwide. Surgical planning follows European Association of Urology guidelines. Doctors use AI-based systems for CT diagnosis and stone targeting. Treatments include robotic water-jet Aquablation, Rezūm, and laser lithotripsy. International patients get English-language materials and a fast diagnostic workflow.
","images":[{"base_url":"clinic/6aaa3b1a1c33d","title":"Goldman Urology Clinic Gangnam Branch modern exterior in Seoul, South Korea"},{"base_url":"clinic/6aaa3b215ce55","title":"Patient room at Goldman Urology Clinic Gangnam Branch with hospital beds and privacy curtains"},{"base_url":"clinic/6aaa3b27b70d5","title":"Doctor speaking at Goldman Urology Clinic Gangnam Branch conference room"},{"base_url":"clinic/6aaa3b2d97820","title":"Doctor presenting at Goldman Urology Clinic Gangnam Branch medical symposium"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Republic of Korea","id":36,"alias":"republic-of-korea","iso_code":"KR"},"city":{"name":"Seoul","id":328,"alias":"seoul"},"address":"Seoul, Jung District, Bongnae-dong 1(il)-ga, 108번지 창화빌딩 3층"},"rating":{"rating":4.2,"google":4.2,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":4,"year_foundation":2002},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"Uroclínica combines prostate ultrasound with multiparametric MRI in real time. Its first fusion prostate biopsy was performed in 2014. Ultrasound alone measures prostate gland size. For fusion imaging, software overlays the prostate contour on previously acquired MRI images. This creates a 3D map of suspicious areas. Fusion targeting can locate up to 30% more aggressive tumors than conventional transrectal technique.
","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":8390,"alias":"uroclinica","name":"Uroclínica","short_description":"Uroclínica is a specialized urology center in Barcelona, Spain. The team treats general, functional, and stone-related conditions in men, women, and children. Its Urodynamics Unit opened in 1996 and has studied over 25,000 patients. Dr. José Emilio Batista pioneered greenlight prostate laser in Catalonia. The clinic won a professional excellence award in 2016.
Specialists focus on functional urology and prostate health. They use multiparametric MRI and ultrasound for fusion prostate biopsies. Surgeons also operate with the Da Vinci robotic system. Several doctors trained at Harvard Children's Hospital and Boston University, and some now teach prostate laser techniques. International patients get support in English, French, Spanish, and Catalan.
","images":[{"base_url":"clinic/6a7b6577a5168","title":"Waiting area with modern chairs at Uroclínica, view into medical office"},{"base_url":"clinic/6a7b657959845","title":"Consultation room at Uroclínica with modern furniture and computer workstation"},{"base_url":"clinic/6a7b657b40977","title":"Directory board at Vía Augusta 158, Barcelona clinic building entrance"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Spain","id":34,"alias":"spain","iso_code":"ES"},"city":{"name":"Barcelona","id":98,"alias":"barcelona"},"address":"Via Augusta, 158, 3º,4º, Sarrià-Sant Gervasi, 08006 Barcelona, Spain"},"rating":{"rating":4.8,"google":4.8,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":5,"year_foundation":2003},"accreditations":[],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}},{"text":"HYGEIA Hospital operates the largest imaging complex in Greece, housing 62 ultrasound machines. The facility has held JCI accreditation since 2010 for international safety standards. Specialists perform transrectal ultrasound-guided prostate biopsies using hybrid MRI-ultrasound fusion imaging. This technology overlays prior MRI slices on real-time ultrasound to position the biopsy needle. This method helps detect lesions that are not visible on standard ultrasound. In 33% of their diagnosed cases, lesions were only visible via this MRI-guided approach.
","text_type":"mt_wow_description","reviews":[],"clinic":{"id":8671,"alias":"hygeia-hospital","name":"HYGEIA Hospital","short_description":"HYGEIA Hospital is a private multispecialty hospital in Marousi, Athens. It offers pediatric care at its ophthalmic oncology center. A group of Greek physicians founded it in 1975. It was the first large private hospital in Greece. The team now includes over 900 staff members.
Cure rates for prostate cancer treatments exceed 90%. The hospital holds the JCI Gold Seal of Approval since 2010. Doctors use the NAEOTOM Alpha.Pro photon-counting CT scanner for diagnostics. Surgical teams also work with the MAKO robotic orthopedic system.
","images":[{"base_url":"clinic/6ab50b3ef2b7e","title":"HYGEIA Hospital exterior with modern building and logo in Athens, Greece"},{"base_url":"clinic/6ab50b4058d90","title":"Pediatric fluoroscopy room at MITERA Hospital with child-friendly decor and equipment"}],"flags":[{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Greece","id":180,"alias":"greece","iso_code":"GR"},"city":{"name":"Athens","id":1997,"alias":"athens"},"address":"4-6 Erythrou Stavrou, Marousi, Athens, Greece, 15123"},"rating":{"rating":0,"google":3.3,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":3,"year_foundation":1975},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d88caba297f8.jpeg","name":"Fellow, American College of Surgeons","country_code":"US"},{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d1129badf6c5.jpeg","name":"European Society for Medical Oncology","country_code":"CH"}]}},{"text":"SilverStreak Multispecialty Hospital is a doctor-led trauma center in Gurugram, India. It treats adults and children across 15 specialties. Key areas include neurosurgery, orthopedics, and cardiology. The hospital was founded in 2021 by Dr. V. K. Gupta. He is a neurosurgeon with over 30 years of experience. The facility has more than 350 beds.
Elective coronary bypass surgery has a success rate above 98%. SilverStreak holds NABH accreditation and follows WHO patient safety guidelines. Diagnostic tools include a 1.5T MRI, a 32-slice CT, and a Cath Lab. A dedicated neuro navigation suite supports precise brain and spine surgeries. International patients get visa help and a single point of contact.
","text_type":"short_description","reviews":[],"clinic":{"id":8817,"alias":"silverstreak-multispecialty-hospital","name":"SilverStreak Multispecialty Hospital","short_description":"SilverStreak Multispecialty Hospital is a doctor-led trauma center in Gurugram, India. It treats adults and children across 15 specialties. Key areas include neurosurgery, orthopedics, and cardiology. The hospital was founded in 2021 by Dr. V. K. Gupta. He is a neurosurgeon with over 30 years of experience. The facility has more than 350 beds.
Elective coronary bypass surgery has a success rate above 98%. SilverStreak holds NABH accreditation and follows WHO patient safety guidelines. Diagnostic tools include a 1.5T MRI, a 32-slice CT, and a Cath Lab. A dedicated neuro navigation suite supports precise brain and spine surgeries. International patients get visa help and a single point of contact.
","images":[{"base_url":"clinic/6ad12026e8fb9","title":"Modern facade of SilverStreak Multispecialty Hospital with emergency entrance"},{"base_url":"clinic/6ad12028accaa","title":"Modern facade of SilverStreak Multispecialty Hospital building"},{"base_url":"clinic/6ad1202a6a6c7","title":"Modern facade of SilverStreak Multispecialty Hospital clinic building"},{"base_url":"clinic/6ad1202c0cd77","title":"Waiting area at SilverStreak Multispecialty Hospital with modern seating"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"India","id":32,"alias":"india","iso_code":"IN"},"city":{"name":"Gurgaon","id":94,"alias":"gurgaon"},"address":"Opp. DLF Skycourt, Sector 87, Gurugram, 122505"},"rating":{"rating":0,"google":4.7,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":34,"year_foundation":2021},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5cfa0ad8c533a.jpeg","name":"Joint Commission International ","country_code":"US"}]}},{"text":"Hill Clinic is a private multi-specialty center in Sofia, Bulgaria. It opened in 2009. The clinic focuses on laser urology, dermatology, ENT, and endocrinology. It holds the only Green laser platform in Bulgaria. The team treats about 9,000 patients each year. Surgeons have operated on over 9,000 men for enlarged prostate. Laser treatment for urological stones has a 95% success rate. Staff includes 32 doctors, and the center is ISO 9001 certified.
The facility uses Holmium, Thulium, and GreenLight lasers. It is also an international training hub through the HoLEP Academy. Surgeons from Brazil, Chile, and Greece attend live surgical sessions here. An in-house lab handles genetic and tumor marker testing. An English-speaking team arranges airport pickups and hotel bookings.
","text_type":"short_description","procedure_prices":[{"prices":{"price_from":4992.628250696357,"price_to":8875.783556793524,"currency":"USD","id":62648},"operation":{"id":247,"name":"Vaporization (with GreenLight Laser) ","alias":"vaporization-with-greenlight-laser"}}],"reviews":[],"clinic":{"id":8869,"alias":"hill-clinic","name":"Hill Clinic","short_description":"Hill Clinic is a private multi-specialty center in Sofia, Bulgaria. It opened in 2009. The clinic focuses on laser urology, dermatology, ENT, and endocrinology. It holds the only Green laser platform in Bulgaria. The team treats about 9,000 patients each year. Surgeons have operated on over 9,000 men for enlarged prostate. Laser treatment for urological stones has a 95% success rate. Staff includes 32 doctors, and the center is ISO 9001 certified.
The facility uses Holmium, Thulium, and GreenLight lasers. It is also an international training hub through the HoLEP Academy. Surgeons from Brazil, Chile, and Greece attend live surgical sessions here. An in-house lab handles genetic and tumor marker testing. An English-speaking team arranges airport pickups and hotel bookings.
","images":[{"base_url":"clinic/6ada104734098","title":"Hill Clinic modern exterior building in Sofia, Bulgaria"},{"base_url":"clinic/6ada1048c51ba","title":"Modern meeting room at Hill Clinic with glass walls and contemporary furniture"},{"base_url":"clinic/6ada104a43b06","title":"Quanta System medical laser equipment at Hill Clinic, advanced urology technology"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_parsed_from_docs","value":true},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Bulgaria","id":125,"alias":"bulgaria","iso_code":"BG"},"city":{"name":"Sofia","id":126,"alias":"sofia"},"address":"71 Al. Pushkin Blvd., 1618 Sofia; Derma Center, 29 Moskovska St., 1000 Sofia; New Derma Center, 29 Hristo Matov St., 1616 Sofia, Bulgaria"},"rating":{"rating":0,"google":0,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":32,"year_foundation":2009},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/6841934325139.jpeg","name":"ISO 9001:2015 Quality management systems"}]}},{"text":"Universal Clinic Oberig performs transrectal ultrasound in its own diagnostic department. The outpatient examination takes a few minutes to about half an hour. It uses no ionizing radiation. The clinic's cancer services have European Society for Medical Oncology (ESMO) accreditation.
","text_type":"mt_wow_description","agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}],"reviews":[],"clinic":{"id":8421,"alias":"universal-clinic-oberig","name":"Universal Clinic “Oberig”","short_description":"Universal Clinic Oberig is a multidisciplinary hospital in Kyiv, Ukraine. It provides evidence-based care for adults and children. The clinic specializes in oncology, neurology, pediatrics, and transplantation. Its Center of Transplantation has performed over 220 organ transplants since 2020. Patient survival after these procedures exceeds 85%.
Founded in 2008, Oberig employs more than 160 doctors. The hospital has 148 beds and 6 modern operating rooms. It holds ESMO accreditation for its cancer services. Advanced Varian TrueBeam STX and Halcyon linear accelerators allow precise, bloodless stereotactic radiosurgery.
HEPA 14 filtration with 99.995% efficiency supports infection safety. The team joins international clinical trials for lung cancer and melanoma. Specialists also lead training through the clinic's own Medical Academy.
","images":[{"base_url":"clinic/6a85b8f1c2610","title":"Main entrance of Universal Clinic Oberig in Kyiv, modern medical facility exterior"},{"base_url":"clinic/6a85b8f379b5a","title":"Modern exterior of Universal Clinic Oberig in Kyiv, Ukraine"},{"base_url":"clinic/6a85b8f53961d","title":"Modern exterior of Universal Clinic Oberig in Kyiv, Ukraine"},{"base_url":"clinic/6a85b8f6a92f9","title":"Waiting area hallway at Universal Clinic Oberig, Kyiv with chairs and framed art"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Ukraine","id":47,"alias":"ukraine","iso_code":"UA"},"city":{"name":"Kyiv","id":109,"alias":"kiev"},"address":"Building “V” and “G”, Zoolohichna St, 3, Kyiv, Ukraine, 03057"},"rating":{"rating":4,"google":4,"percent_of_satisfied_clients":0},"statistics":{"number_of_reviews":0,"doctors_number":8,"year_foundation":2008},"accreditations":[{"logo":"https://s3.eu-central-1.amazonaws.com/bookimed/accreditations/5d1129badf6c5.jpeg","name":"European Society for Medical Oncology","country_code":"CH"}],"agency_settings":[{"setting_name":"is_new","setting_value":"1"},{"setting_name":"kids_only","setting_value":"0"}]}}],"meta":{"total_count":98,"total_pages":10}},"promoSlots":[{"card":{"text":"Liv Bona Dea Hospital Baku holds JCI accreditation, ensuring international safety standards for prostatectomy. The package may cost around $8,260 – typically covering surgery, 1 ICU day, 5 inpatient days, pre-op tests, and airport transfers. Dr. Elbeyi Dashdemirli, a urologist with 3 key facts noted, oversees procedures at this facility. Pathology is included in the treatment plan, with PET CT scans available for $990. The hospital provides interpretation services and belongs to the established Liv Hospital Group.
","text_type":"mt_wow_description","best_texts":{"techniques":"Transurethral resection of the prostate (TURP), laparoscopic prostatectomy, HoLEP, ThuFLEP","good_fit_for":"Robotic and laser prostate surgeries","why_its_ranked":"Specializes in advanced techniques like HoLEP and ThuFLEP. JCI-accredited facility with experienced urologists trained in robotic and laparoscopic procedures."},"additional_data":{"advertising_id":"3325:illness_kind:16"},"agency_settings":[{"setting_name":"is_new","setting_value":"0"},{"setting_name":"kids_only","setting_value":"0"}],"procedure_prices":[{"prices":{"price_from":7000,"price_to":12000,"currency":"USD","id":37411},"operation":{"id":114,"name":"Prostatectomy","alias":"prostatectomy"}},{"prices":{"price_from":100,"price_to":100,"currency":"USD","id":63581},"diagnostic":{"id":48,"name":"Consultation with a urologist","alias":"urologist-consultation"}},{"prices":{"price_from":60,"price_to":150,"currency":"USD","id":37357},"diagnostic":{"id":20,"name":"Mammography","alias":"mammography"}}],"reviews":[],"clinic":{"id":3325,"alias":"liv-bona-dea-hospital-baku","name":"Liv Bona Dea Hospital Baku","short_description":"Liv Bona Dea Hospital Baku is a JCI-accredited hospital with 100% compliance. It is part of the Turkish Liv Hospital brand. The hospital specializes in heart surgery, plastic surgery, transplantology, and medical check-ups.
Prof. Dr. Basri Çakıroğlu brings _doctor_2969_years_ of prostate surgery experience with 900+ procedures performed. Laparoscopic radical prostatectomy may cost around $14,520 – typically covering surgery, 4 nights' stay, pre-op tests, and follow-up. The JCI-accredited Hisar Hospital offers thulium laser prostatectomy as an alternative at $8,170. Prof. Çakıroğlu trained at Taksim Teaching and Research Hospital and specializes in urooncology with published research.
Hisar Hospital Intercontinental is a JCI-accredited multi-specialty hospital in Istanbul. It treats 250,000 patients each year. Its core specialties are oncology, hematology, cardiovascular surgery, orthopedics, and bariatric surgery.
Hill Clinic is a private multi-specialty center in Sofia, Bulgaria. It opened in 2009. The clinic focuses on laser urology, dermatology, ENT, and endocrinology. It holds the only Green laser platform in Bulgaria. The team treats about 9,000 patients each year. Surgeons have operated on over 9,000 men for enlarged prostate. Laser treatment for urological stones has a 95% success rate. Staff includes 32 doctors, and the center is ISO 9001 certified.
The facility uses Holmium, Thulium, and GreenLight lasers. It is also an international training hub through the HoLEP Academy. Surgeons from Brazil, Chile, and Greece attend live surgical sessions here. An in-house lab handles genetic and tumor marker testing. An English-speaking team arranges airport pickups and hotel bookings.
","images":[{"base_url":"clinic/6ada104734098","title":"Hill Clinic modern exterior building in Sofia, Bulgaria"},{"base_url":"clinic/6ada1048c51ba","title":"Modern meeting room at Hill Clinic with glass walls and contemporary furniture"},{"base_url":"clinic/6ada104a43b06","title":"Quanta System medical laser equipment at Hill Clinic, advanced urology technology"}],"flags":[{"name":"has_active_agencies","value":false},{"name":"is_hide","value":false},{"name":"is_parsed_from_docs","value":true},{"name":"is_created_by_parser","value":true}],"geo":{"country":{"name":"Bulgaria","id":125,"alias":"bulgaria","iso_code":"BG"},"city":{"name":"Sofia","id":126,"alias":"sofia"},"address":"71 Al. 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(HIFU)","alias":"high-intensity-focused-ultrasound-ablation-hifu"},{"name":"Artificial urinary sphincter implantation","alias":"artificial-urinary-sphincter-implantation"},{"name":"Robotic da Vinci prostatectomy","alias":"radical-prostatectomy-via-da-vinci-robotic-surgery"},{"name":"Varicocelectomy","alias":"varicocelectomy"},{"name":"Prostatectomy","alias":"prostatectomy"},{"name":"Sacral Nerve Stimulation (SNS) (Sacral Neuromodulation (SNM))","alias":"sacral-nerve-stimulation-sns-sacral-neuromodulation-snm"},{"name":"Bladder removal","alias":"rezekcia-mocevogo-puzyra"},{"name":"Urethroscopic lithotripsy","alias":"urethroscopic-lithotripsy"},{"name":"Hypospadias repair","alias":"hypospadias-repair"},{"name":"Red Light Therapy for Erectile Dysfunction (ED)","alias":"red-light-therapy-for-erectile-dysfunction-ed"},{"name":"Nephrectomy with Da Vinci Robot","alias":"nephrectomy-with-da-vinci-robot"},{"name":"Nephrectomy","alias":"nephrectomy"},{"name":"Microsurgical intervention for 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