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Extraperitoneal laparoscopic para-aortic lymphadenectomy for lymph node recurrence of fallopian tube carcinoma
  1. O. CÓRDOBA*,
  2. A. Gil-Moreno*,
  3. J. De La Torre,
  4. J. M. Martínez-Palones*,
  5. B. DÍAZ* and
  6. J. Xercavins*
  1. * Unit of Gynecologic Oncology, Department of Obstetrics and Gynecology, Hospital Materno-infantil Vall d'Hebron, Autonomous University of Barcelona, Barcelona, Spain
  2. Department of Pathology, Hospital General Vall d'Hebron, Autonomous University of Barcelona, Barcelona, Spain
  1. Address correspondence and reprint requests to: Jordi Xercavins, MD, PhD, Unit of Gynecologic Oncology, Department of Obstetrics and Gynecology, Hospital Materno-infantil Vall d'Hebron, Passeig Vall d'Hebron 119–129, E-08035 Barcelona, Spain. Email: jxercavi{at}vhebron.net

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.

  • extraperitoneal endoscopy
  • fallopian tube carcinoma
  • para-aortic lymphadenectomy
  • recurrence

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Footnotes

  • None of the authors had any conflict of interests regarding the present work.

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