Abstract
Laparoscopic radical cystectomy (LRC) could reduce post-operative morbidity especially about digestive hypoperistasis. As with open surgery, extended pelvic lymph node dissection (ePLND) following LRC is quite important to achieve satisfactory cancer control. To complete laparoscopic ePLND, port arrangement, wide operative field and good understanding of anatomical characteristics are mandatory. Although there is no conclusive evidence that can show the equivalence of laparoscopic ePLND compared to open ePLND in terms of cancer control, it is suggested that the laparoscopic ePLND is safe and feasible. In addition, a recent development of robot-assisted radical cystectomy becomes quite important to complete high-quality ePLND. Long-term follow up is needed for future confirmation.
