PT  - JOURNAL ARTICLE
AU  - Iavazzo, CR
AU  - Fotiou, A
AU  - Kokkali, K
AU  - Lekka, S
AU  - Giannoulopoulos, D
AU  - Giannakas, P
AU  - Vorgias, G
TI  - 144 A complicated case of paraaortic nodal dissection in a woman with fallopian tube cancer
AID  - 10.1136/ijgc-2021-ESGO.345
DP  - 2021 Oct 01
TA  - International Journal of Gynecologic Cancer
PG  - A201--A201
VI  - 31
IP  - Suppl 3
4099  - http://ijgc.bmj.com/content/31/Suppl_3/A201.2.short
4100  - http://ijgc.bmj.com/content/31/Suppl_3/A201.2.full
SO  - Int J Gynecol Cancer2021 Oct 01; 31
AB  - Introduction/Background*Paraaortic lymph node dissection is a challenging surgical procedure. Recent data mentioned that bulky nodal disease in ovarian/fallopian tube cancer patients stage IIB and above should be dissected in fallopian tube cancer patients that optimal primary cytoreduction has been achieved.Methodology A challenging paraaortic lymph node dissection of a nodal block arising from fallopian tube cancer in a 76 years old patient is presented in this surgical video. Patient has been diagnosed with ovarian/fallopian tube cancer. Her CA 125 was 2161 IU/ml and her preoperative imaging has revealed a mass of right adnexa 7 x 3 cm, a metastatic abdominal mass involving the transverse colon and paraaortic lymph node 6 cm in dimension.Result(s)*Abdominal hysterectomy, omentectomy, resection of the transverse colon, peritonectomies and dissection of the paraaortic nodal mass took place. No macroscopic residual disease was observed at the end of the procedure.Conclusion*Removal of bulky nodal disease is indicated for patients with advanced ovarian/fallopian tube cancer. As applies in any paraaortic/retroperitoneal lymph node dissection resection of bulky lymph nodes can lead in intra or postoperative complications. Therefore, awareness of anatomical landmarks and anatomic variation are of paramount importance.