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#567 Laparoscopic bulky pelvic lymph node resection in IIa1 cervical cancer
  1. Dimitrios Zygouris,
  2. Antonis Gkoutzioulis,
  3. Ourania Kaiafa,
  4. Panagiotis Papandreou,
  5. Sofia Papadimitriou,
  6. Evgenia Stergiannakou and
  7. Andreas Kavallaris
  1. St. Luke’s Hospital, Thessaloniki, Greece


Introduction/Background Lymph node dissection has been an integral part of the management of patients with cervical cancer. The 2018 FIGO (International Federation of Obstetrics and Gynaecology) staging system has incorporated lymph nodal involvement; hence, the importance of accurate lymph nodal assessment is compounded and has direct implications on the mode of management.

Methodology We present the case of a 48 years old patient with cervical cancer with bulky pelvic lymph nodes in MRI that were laparoscopically removed in order to determine the further treatment.

Results Laparoscopic lymphadenectomy was completed in 58 minutes and the estimated blood loss was less than 50 ml. There was no intraoperative complication and the patient was discharged the first postoperative day. On the 8th postoperative day the patient started adjuvant chemo radiation and is disease 26 months after treatment.

Conclusion Laparoscopic pelvic lymphadenectomy is feasible and safe procedure even in cases of bulky lymph nodes. It offers oncological safety and also the opportunity to start adjuvant therapy immediately after the surgery.

Disclosures All authors disclosu no conflict of interest

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