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EP1319 Laparoscopic Lymphadenectomy (Pelvic and Para – aortic) step by step technique and follow up data
  1. D Zygouris1,
  2. G Anastasiou2,
  3. N Chalvatzas1,
  4. A Gkoutzioulis1 and
  5. A Kavallaris1,2
  1. 1Department of Gynecologic Oncology, St Luke’s Hospital, Thessaloniki, Greece
  2. 2Department of Gynecologic Gynecology, Mother and Child Medical Centre, Nikosia, Cyprus


Introduction/Background The aim of this study is to illustrate the effectiveness and feasibility of a standardized surgical procedure. We present our technique for laparoscopic pelvic and para - aortic lymphadenectomy step by step and our follow up data.

Methodology Our study includes cancer treated patients between January 2011 and January 2019.

140 women underwent laparoscopic pelvic lymphadenectomy for primary gynaecologic pelvic malignancy, of which 58 patients were diagnosed having cervical cancer and 82 patients were diagnosed having endometrial cancer, all of them were retrospectively analysed.

Moreover we performed Laparoscopic Para - aortic Lymphadenectomy in 20 cases of patients with cervical cancer and 14 cases of patients with endometrial cancer.

Results The median number of yielded pelvic lymph nodes was 26 (range 13–58) and the median number of para - aortic lymph nodes was 16 (range 10–29). Pelvic right and left sided lymphadenectomy mean time was 27 minutes and 33 minutes respectively. Para - aortic lymphadenectomy mean time was 45 minutes.The number of the yielded pelvic lymph nodes and the duration of pelvic lymphadenectomy were independent from the body mass index on the other side the duration of the paraaortic lymphadenectomy was dependent of the BMI of the patient. The overall intraoperative complications rate was 4%. No Laparoconversion was necessary. No major postoperative complications were encountered during the hospital stay for 3.8 days (range 2–7).

Conclusion Laparoscopic pelvic and para -aortic lymphadenectomy is a save and possible procedure. An adequate number of lymph nodes can be removed in an adequate time. The complication rate is low and can be minimized by standardization of the procedure.

Disclosure Nothing to disclose

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