Cistectomía radical laparoscópica con extracción de pieza por vagina: Caso clínico

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.