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Surgical films
IGCS19-0182
110 Laparoscopic paraortic lymphdenectomy by anatomical highlighted landmarks
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  1. R Fernandes,
  2. SES Alexandre,
  3. C Anton,
  4. JP Mancusi Carvalho,
  5. M Araújo,
  6. ML Dias Genta,
  7. D Sampaio,
  8. G Miglino,
  9. A Dias,
  10. JC Sadalla and
  11. JP Carvalho
  1. Instituto do Câncer do Estado de São Paulo – Faculdade de Medicina da Universidade de São Paulo, Gynecologyand Obstetrics – Gynecology Oncology, São Paulo, Brazil

Abstract

Objectives To demonstrate a laparoscopic stepwise approach to a paraortic lymphdenectomy based on anatomical landmarks.

Methods and interventions Complete endometrial cancer laparoscopic staging including hysterectomy, bilateral salpingooforectomy, omentectomy, pelvic and paraortic lymphdenectomy. Procedure was performed based on classical anatomical landmarks which were highlighted in post video production.

Results Safe stepwise complete endometrial cancer laparoscopic staging including hysterectomy, bilateral salpingooforectomy, omentectomy, pelvic and paraortic lymphdenectomy. Procedure was performed based on classical anatomical landmarks which were highlighted in post video production.

Conclusions Laparoscopic paraortic lymphdenectomy is a complex procedure fraught with dangers. A stepwise approach allows for a clean, secure and complete procedure with diminished risks for the patient. We believe that a stepwise approach associated to highlighted landmarks improve teaching and education in surgical procedures.

http://dx.doi.org/10.1136/ijgc-2019-IGCS.110

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