Radical cystectomy is the most effective treatment for patients with organ-confined muscle-invasive or recurrent high-grade bladder cancer. The laparoscopic approach to radical cystectomy with urinary diversion is the culmination of many advances in the growing field of minimally invasive urology. However, experience with this technique remains limited. After initial experience in experimental porcine models (1,2), data are now becoming available on small series of completely intracorpo-really performed laparoscopic radical cystectomy with a variety of urinary diversions (3-5).

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