%0 Journal Article %T Cistectom¨ªa radical laparosc¨®pica con extracci¨®n de pieza por vagina: Caso cl¨ªnico %A Vitagliano %A Gonzalo %A Villasante %A Nicolas %A Paterlini %A Juan %A Ameri %A Carlos %A Mazza %A Osvaldo %J Archivos Espa£¿oles de Urolog¨ªa (Ed. impresa) %D 2009 %I Scientific Electronic Library Online %R 10.4321/S0004-06142009000400007 %X objective: to report a case of laparoscopic radical cystectomy and pelvic lymphadenectomy with vaginal extraction of the surgical specimen in an elderly patient with muscle invasive bladder tumor. method: a 78 year old patient with history of hematuria was diagnosed of muscle invasive bladder cancer. lapa-roscopic radical cystectomy and pelvic lymphadenectomy with vaginal extraction of the surgical specimen was performed without incident. results: operative time was 240 minutes, surgical bleeding was 200 ml and hospital stay 8 days. the patient evolved uneventfully and remains disease free after 9 months of follow-up. conclusion: laparoscopic radical cystectomy provides adequate oncologic results with decreased morbidity, making this surgery an attractive alternative for the management of patients in a delicate condition. %K laparoscopy %K cystectomy %K bladder cancer. %U http://scielo.isciii.es/scielo.php?script=sci_abstract&pid=S0004-06142009000400007&lng=en&nrm=iso&tlng=en