PT - JOURNAL ARTICLE AU - R Fernandes AU - SES Alexandre AU - C Anton AU - JP Mancusi Carvalho AU - M Araújo AU - ML Dias Genta AU - D Sampaio AU - G Miglino AU - A Dias AU - JC Sadalla AU - JP Carvalho TI - 110 Laparoscopic paraortic lymphdenectomy by anatomical highlighted landmarks AID - 10.1136/ijgc-2019-IGCS.110 DP - 2019 Sep 01 TA - International Journal of Gynecologic Cancer PG - A55--A55 VI - 29 IP - Suppl 3 4099 - http://ijgc.bmj.com/content/29/Suppl_3/A55.1.short 4100 - http://ijgc.bmj.com/content/29/Suppl_3/A55.1.full SO - Int J Gynecol Cancer2019 Sep 01; 29 AB - Objectives To demonstrate a laparoscopic stepwise approach to a paraortic lymphdenectomy based on anatomical landmarks.Methods and interventions Complete endometrial cancer laparoscopic staging including hysterectomy, bilateral salpingooforectomy, omentectomy, pelvic and paraortic lymphdenectomy. Procedure was performed based on classical anatomical landmarks which were highlighted in post video production.Results Safe stepwise complete endometrial cancer laparoscopic staging including hysterectomy, bilateral salpingooforectomy, omentectomy, pelvic and paraortic lymphdenectomy. Procedure was performed based on classical anatomical landmarks which were highlighted in post video production.Conclusions Laparoscopic paraortic lymphdenectomy is a complex procedure fraught with dangers. A stepwise approach allows for a clean, secure and complete procedure with diminished risks for the patient. We believe that a stepwise approach associated to highlighted landmarks improve teaching and education in surgical procedures.