%0 Journal Article %A O. CÓRDOBA %A A. Gil-Moreno %A J. De La Torre %A J. M. Martínez-Palones %A B. DÍAZ %A J. Xercavins %T Extraperitoneal laparoscopic para-aortic lymphadenectomy for lymph node recurrence of fallopian tube carcinoma %D 2006 %R 10.1136/ijgc-00009577-200605000-00006 %J International Journal of Gynecologic Cancer %P 991-993 %V 16 %N 3 %X The endoscopic retroperitoneal approach is a minimally invasive method for surgical staging of cervical cancer. A 57-year-old woman had an intraoperative diagnosis of carcinoma of the left fallopian tube and undergone a retroperitoneal pelvic and para-aortic lymphadenectomy with no peritonization during surgical staging. Small suspicious nodes in the serous membrane of the sigmoid colon and peritoneal washings were positive for malignancy. A total of 12 nodes were obtained, all of which were negative. She received six cycles of paclitaxel and platinum-based chemotherapy and showed a complete clinical response. Thirty-two months after surgery, the abdominal computed tomography scan showed a left para-aortic lymph node, 19 mm in diameter, which was successfully removed through an extraperitoneal laparoscopic approach. The extraperitoneal laparoscopic approach of the para-aortic region is a feasible procedure after previous transperitoneal lymphadenectomy and chemotherapy. %U https://ijgc.bmj.com/content/ijgc/16/3/991.full.pdf