Introduction/Background Ten steps of extraperitoneal paraaortic lymphadenectomy in endometrial cancer patient with morbid obesity was demonstrated in this video. Ten steps surgery can perform in a standardized safe and easy way.

Methodology Ten step video demonstration of surgical video of morbid obese patient

Results A 49-year-old obese patient with a BMI of 36.8 kg/m 2 presented with abnormal uterine bleeding. A Diagnostic DnC was performed after the gynecological examination of the patient. As the result came to be a grade 2 endometrial adenocancer, the patient underwent preoperative evaluation of pelvic MRI, upper abdominal and thoracic CT. On the MRI, a mass of 48 * 32 * 25 mm in size with deep myometrial invasion was observed. Pathological lymph nodes were not observed. Also, There were no signs of pathological lymph nodes or lung metastasis on the CT. Preoperative CA 125 value was 17. After preoperative evaluation, staging surgery was planned for the patient, and hysterectomy, unilateral salpingooferectomy, extra peritoneal paraaortic lymph node dissection and pelvic lymph node dissection operations were performed.

Conclusion Initiation of staging surgery with extraperitoneal paraaortic lymphadenectomy in obese endometrial cancer patients provides favorable pressure effects and facilitates the surgery because of bowel free surgical field.