TY - JOUR T1 - 110 Laparoscopic paraortic lymphdenectomy by anatomical highlighted landmarks JF - International Journal of Gynecologic Cancer JO - Int J Gynecol Cancer SP - A55 LP - A55 DO - 10.1136/ijgc-2019-IGCS.110 VL - 29 IS - Suppl 3 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 Y1 - 2019/09/01 UR - http://ijgc.bmj.com/content/29/Suppl_3/A55.1.abstract N2 - 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. ER -