Introduction/Background A 55 year old patient presented with advanced ovarian cancer with disease at the mediastinal lymph nodes, the right diaphragm, the omentum and a 7 cm lymph node block at the paraaortic area. The MDT decided to commence with neoadjuvant chemotherapy taking into consideration the mediastinal lymoh nodes. She had 3 cycles of carbo/taxol. On post chemo CT scan she had complete response at the chest and partial response intraperitoneally. Thus, We decided to offer interval debulking surgery.

Methodology In this video monopolar diathermy is uded to excise bulky disease from the paraaortic area after mobilising the duodenum

Results She underwent liver mobilisation and right diaphragmatic excision, en-block resection of the spleen and omentum, excision of disease from the paraaortic area and stripping of pelvic peritoneum

Conclusion Excision of disease from the paraaortic area after chemotherapy is feasible and should be offered in patients with advanced ovarian cancer in the setting of interval debulking surgery

Disclosure Nothing to disclose