title: [Laparoscopic radical cystectomy with vaginal specimen extraction. Case report].
abstract: 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.
  
  
  METHODS
  A 78 year old patient with history of hematuria was diagnosed of muscle invasive bladder cancer. Laparoscopic 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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Hospital Alemán, Buenos Aires, Argentina. gonzalovitagliano@hotmail.com
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Vitagliano
authors.forename: Nicolás
authors.initials: N
authors.lastname: Villasante
authors.forename: Juan
authors.initials: J
authors.lastname: Paterlini
authors.forename: Carlos
authors.initials: C
authors.lastname: Ameri
authors.forename: Osvaldo
authors.initials: O
authors.lastname: Mazza
mesh_terms: D000368:Aged; D015653:Cystectomy / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D014621:Vagina