Laparoscopic infrarenal paraaortic lymph node dissection for restaging of carcinoma of the ovary or fallopian tube

Cancer. 1994 Mar 1;73(5):1467-71. doi: 10.1002/1097-0142(19940301)73:5<1467::aid-cncr2820730524>;2-b.


Background: The purpose of the study was to investigate the feasibility of laparoscopic paraaortic lymphadenectomy in the restaging of ovarian carcinomas.

Methods: Nine patients in a referral center seen initially with ovarian (eight patients) or tubal (one patient) carcinoma who had experienced substandard staging during a previous laparotomy or laparoscopy underwent laparoscopic paraaortic lymphadenectomy as part of a surgical staging procedure that included peritoneal fluid sampling and multiple staging biopsies. Omentectomy, appendectomy, pelvic lymphadenectomy, contralateral salpingo-oophorectomy, salpingectomy, or laparoscopically assisted total vaginal hysterectomy was performed during the same operative session when necessary.

Results: All nine lymphadenectomies up to the level of the renal veins were successfully completed. The postoperative periods were uneventful, with an average postoperative stay of 2.8 days.

Conclusions: Laparoscopic surgery may be an acceptable procedure for paraaortic lymph node sampling, sparing the patient a restaging laparotomy.

MeSH terms

  • Adult
  • Aorta
  • Fallopian Tube Neoplasms / pathology*
  • Female
  • Humans
  • Kidney
  • Laparoscopy
  • Lymph Node Excision*
  • Neoplasm Staging / methods*
  • Ovarian Neoplasms / pathology*