Extraperitoneal laparoscopic para-aortic lymphadenectomy for lymph node recurrence of fallopian tube carcinoma

O. Córdoba, A. Gil-Moreno, J. De La Torre, J. M. Martínez-Palones, B. Díaz, J. Xercavins

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5 Citations (Scopus)

Abstract

The endoscopic retroperitoneal approach is a minimally invasive method for surgical staging of cervical cancer. A 57-year-old woman had an intraoperative diagnosis of carcinoma of the left fallopian tube and undergone a retroperitoneal pelvic and para-aortic lymphadenectomy with no peritonization during surgical staging. Small suspicious nodes in the serous membrane of the sigmoid colon and peritoneal washings were positive for malignancy. A total of 12 nodes were obtained, all of which were negative. She received six cycles of paclitaxel and platinum-based chemotherapy and showed a complete clinical response. Thirty-two months after surgery, the abdominal computed tomography scan showed a left para-aortic lymph node, 19 mm in diameter, which was successfully removed through an extraperitoneal laparoscopic approach. The extraperitoneal laparoscopic approach of the para-aortic region is a feasible procedure after previous transperitoneal lymphadenectomy and chemotherapy. © 2006, Copyright the Authors.
Original languageEnglish
Pages (from-to)991-993
JournalInternational Journal of Gynecological Cancer
Volume16
Issue number3
DOIs
Publication statusPublished - 1 May 2006

Keywords

  • Extraperitoneal endoscopy
  • Fallopian tube carcinoma
  • Para-aortic lymphadenectomy
  • Recurrence

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