[Laparoscopic radical cystectomy with vaginal specimen extraction. Case report].
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.
Vitagliano
Gonzalo
G
Hospital Alemán, Buenos Aires, Argentina. gonzalovitagliano@hotmail.com
Villasante
Nicolás
N
Paterlini
Juan
J
Ameri
Carlos
C
Mazza
Osvaldo
O
D000368:Aged; D015653:Cystectomy / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D014621:Vagina