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Laparoscopic retroperitoneal lymphadenectomy in a patient with bulky paraaortic ovarian cancer recurrence
Gynecologic Oncology Reports 14 (2015) 40
Contents lists available at ScienceDirect
Gynecologic Oncology Reports journal homepage: www.elsevier.com/locate/gore
Educational video
Laparoscopic retroperitoneal lymphadenectomy in a patient with bulky paraaortic ovarian cancer recurrence Reitan Ribeiro a,⁎, João A. Guerreiro a, Murilo A. Luz a, Jeferson L. Mattana a, Maurício Zapparoli b, William Kondo c a b c
Department of Gynecologic Oncology, Erasto Gaertner Hospital, Curitiba, Paraná, Brazil Diagnóstico Avançado por Imagem, Curitiba, Paraná, Brazil Department of Gynecology, Vita Batel Hospital, Curitiba, Paraná, Brazil
a r t i c l e
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Article history: Received 27 May 2015 Accepted 13 September 2015 Available online 13 October 2015 Keywords: Ovarian cancer Recurrence Retroperitoneal lymphadenectomy, laparoscopy
Appendix A. Supplementary data Supplementary data to this article can be found online at http://dx. doi.org/10.1016/j.gore.2015.09.001. References Gallotta, V., Fagotti, A., Fanfani, F., Ferrandina, G., Nero, C., Costantini, B., Gueli Alletti, S., Chiantera, V., Ercoli, A., Scambia, G., 2014. Laparoscopic surgical management of localized recurrent ovarian cancer: a single-institution experience. Surg. Endosc. 28 (6), 1808–1815 (Jun). Ferrero, A., Ditto, A., Giorda, G., Gadducci, A., Greggi, S., Daniele, A., Fuso, L., Panuccio, E., Scaffa, C., Raspagliesi, F., Sismondi, P., Biglia, N., 2014. Secondary cytoreductive surgery for isolated lymph node recurrence of epithelial ovarian cancer: a multicenter study. Eur. J. Surg. Oncol. 40 (7), 891–898 (Jul).
Abstract A 72 year-old patient presented for endometrioid ovarian cancer follow-up. She had no complains, normal CA125, but the CT scan showed bulky retroperitoneal lymphadenopathy. She was treated two years ago with total hysterectomy, bilateral salpingo-oophorectomy, omentectomy and peritoneal biopsies. No lymphadenectomy was performed at that time. She also had adjuvant chemotherapy (6 cycles of carbo/taxol). She was referred to laparoscopic retroperitoneal lymphadenectomy2. The complete technique is demonstrated, starting with patient and team positioning and trocar placement. It demonstrated step by step the dissection of retroperitoneal space, ureters, renal and lumbar vessels, sympathetic nerves and all other important retroperitoneal structures. The film demonstrates that this approach can offer a less morbid, minimally invasive surgical treatment alternative (Gallotta et al., 2014; Ferrero et al., 2014).
⁎ Corresponding author.
http://dx.doi.org/10.1016/j.gore.2015.09.001 2352-5789/© 2015 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
Contents lists available at ScienceDirect
Gynecologic Oncology Reports journal homepage: www.elsevier.com/locate/gore
Educational video
Laparoscopic retroperitoneal lymphadenectomy in a patient with bulky paraaortic ovarian cancer recurrence Reitan Ribeiro a,⁎, João A. Guerreiro a, Murilo A. Luz a, Jeferson L. Mattana a, Maurício Zapparoli b, William Kondo c a b c
Department of Gynecologic Oncology, Erasto Gaertner Hospital, Curitiba, Paraná, Brazil Diagnóstico Avançado por Imagem, Curitiba, Paraná, Brazil Department of Gynecology, Vita Batel Hospital, Curitiba, Paraná, Brazil
a r t i c l e
i n f o
Article history: Received 27 May 2015 Accepted 13 September 2015 Available online 13 October 2015 Keywords: Ovarian cancer Recurrence Retroperitoneal lymphadenectomy, laparoscopy
Appendix A. Supplementary data Supplementary data to this article can be found online at http://dx. doi.org/10.1016/j.gore.2015.09.001. References Gallotta, V., Fagotti, A., Fanfani, F., Ferrandina, G., Nero, C., Costantini, B., Gueli Alletti, S., Chiantera, V., Ercoli, A., Scambia, G., 2014. Laparoscopic surgical management of localized recurrent ovarian cancer: a single-institution experience. Surg. Endosc. 28 (6), 1808–1815 (Jun). Ferrero, A., Ditto, A., Giorda, G., Gadducci, A., Greggi, S., Daniele, A., Fuso, L., Panuccio, E., Scaffa, C., Raspagliesi, F., Sismondi, P., Biglia, N., 2014. Secondary cytoreductive surgery for isolated lymph node recurrence of epithelial ovarian cancer: a multicenter study. Eur. J. Surg. Oncol. 40 (7), 891–898 (Jul).
Abstract A 72 year-old patient presented for endometrioid ovarian cancer follow-up. She had no complains, normal CA125, but the CT scan showed bulky retroperitoneal lymphadenopathy. She was treated two years ago with total hysterectomy, bilateral salpingo-oophorectomy, omentectomy and peritoneal biopsies. No lymphadenectomy was performed at that time. She also had adjuvant chemotherapy (6 cycles of carbo/taxol). She was referred to laparoscopic retroperitoneal lymphadenectomy2. The complete technique is demonstrated, starting with patient and team positioning and trocar placement. It demonstrated step by step the dissection of retroperitoneal space, ureters, renal and lumbar vessels, sympathetic nerves and all other important retroperitoneal structures. The film demonstrates that this approach can offer a less morbid, minimally invasive surgical treatment alternative (Gallotta et al., 2014; Ferrero et al., 2014).
⁎ Corresponding author.
http://dx.doi.org/10.1016/j.gore.2015.09.001 2352-5789/© 2015 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).