Purpose: To explore the morbidity, mortality and oncological results of laparoscopic radical cystectomy (LRC)in the elderly patients over 75-year-old in contrast with open radical cystectomy (ORC).Materials and methods: We analyzed 46 radical cystectomies from January 2009 to December 2013 in patients over 75-year-old in our institute, 21 patients in the LRC group and 25 in the ORC group.Demographic parameters, operative variables and perioperative outcome were retrospectively collected and analyzed between the two groups.Perioperative morbidity and mortality were categorized as early (within 90 days after surgery) or late (more than 90 days) according to the time of occurrence.