RT Journal Article SR Electronic T1 110 Laparoscopic paraortic lymphdenectomy by anatomical highlighted landmarks JF International Journal of Gynecologic Cancer JO Int J Gynecol Cancer FD BMJ Publishing Group Ltd SP A55 OP A55 DO 10.1136/ijgc-2019-IGCS.110 VO 29 IS Suppl 3 A1 R Fernandes A1 SES Alexandre A1 C Anton A1 JP Mancusi Carvalho A1 M Araújo A1 ML Dias Genta A1 D Sampaio A1 G Miglino A1 A Dias A1 JC Sadalla A1 JP Carvalho YR 2019 UL http://ijgc.bmj.com/content/29/Suppl_3/A55.1.abstract 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.