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Major vascular injury in laparoscopic urology.

JSLS · 2014 · PMC4208903 · PMID 25392667

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showed a trendno p-value reported
10 , 29 Merlin et al 30 published a meta-analysis of studies comparing the open- and closed-access techniques, and they showed a trend toward a decreased risk of major complications for the open-access technique.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.