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1336 Right extraperitoneal laparoscopic approach for an isolated precaval node recurrence in endometrial cancer
  1. Úrsula Acosta1,
  2. Vicente Bebia2,
  3. Martina Aida Angeles3,
  4. Ana Luzarraga-Aznar2,
  5. Assumpciò Pérez-Benavente4,
  6. Antonio Gil-Moreno5 and
  7. Silvia Cabrera5
  1. 1Hospital Universitari Vall Hebrón, Barcelona, Spain
  2. 2Gynecologic Oncology Division – Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
  3. 3Gynecologic Oncology Unit, Vall d’Hebron Barcelona Hospital Campus, Barcelona, Spain
  4. 4Vall d’Hebron University Hospital, Barcelona, Spain
  5. 5Vall Hebron University Hospital, Barcelona, Spain


Introduction/Background The retroperitoneal laparoscopic approach has proved several benefits for excising lymph nodes in the aortocaval space in gynecological cancers, as it allows to avoid intraperitoneal adhesions and bowel manipulation. It is usually performed from the left side since most of the lymph nodes are located left to the aorta. Here we describe the right retroperitoneal laparoscopic approach for excising precaval or interaortocaval lymph nodes in gynecological cancers.

Methodology We present the case of a 66-year-old patient with a previous diagnosis of stage II (FIGO 2009) endometrioid endometrial carcinoma, grade 2, mismatch repair deficiency. After a disease-free period of 20 months, an isolated precaval lymph node recurrence was detected in a PET-CT scan. Debulking surgery was indicated at the Gynecologic Oncology tumor board.

Results We present a surgical video documenting the debulking of a precaval lymph node recurrence in endometrial cancer using the right retroperitoneal laparoscopic approach. The adenomegaly was closely attached to the inferior vena cava, but with meticulous dissection the surgery was oncologically successful, with no perioperative complications.

Conclusion Right retroperitoneal laparoscopic route is a secure approach that offers a more direct access to precaval and interaortocaval nodes, and represents a valuable surgical technique for lymph node recurrences at this level.

Disclosures No disclosures.

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