title: Minilaparoscopic aortic lymphadenectomy.
abstract: OBJECTIVE
  To show the feasibility of performing aortic lymphadenectomy with 3-mm instruments in gynecologic malignancies.
  
  
  METHODS
  A 43-year-old, multiparous patient with serous ovarian cancer grading 2, Fédération Internationale de Gynécologie et d'Obstétrique stage IC (intraoperative spillage).
  
  
  METHODS
  The patient was accidentally diagnosed with ovarian cancer after a right adnexectomy performed for an ovarian cyst. Once referred to our center, a delayed surgical staging was planned including total hysterectomy, left adnexectomy, aortic and pelvic lymphadenectomy, peritoneal biopsies, and total omentectomy. Minilaparoscopy was believed to be feasible to achieve it.
  
  
  RESULTS
  The operation was performed successfully with no intraoperative or postoperative complication. Operative time was 150 minutes overall, and blood loss was 50 mL. Twenty-three aortic lymph nodes were removed. The pathology report came back clean. The patient was discharged on day 1 and 10 days later started adjuvant chemotherapy. After 16 months, no recurrence was detected.
  
  
  CONCLUSIONS
  Minilaparoscopy aortic lymphadenectomy is technically feasible when performed by trained surgeons.
authors.affiliation: Gynecologic Oncology Unit, Catholic University of the Sacred Heart, Rome, Italy. Electronic address: gallottav@gmail.com.
authors.forename: Valerio
authors.initials: V
authors.lastname: Gallotta
authors.affiliation: Gynecologic Oncology Unit, Catholic University of the Sacred Heart, Rome, Italy.
authors.forename: Camilla
authors.initials: C
authors.lastname: Nero
authors.affiliation: Gynecologic Oncology Unit, Fondazione "Giovanni Paolo II", Campobasso, Italy.
authors.forename: Vito
authors.initials: V
authors.lastname: Chiantera
authors.affiliation: Gynecologic Oncology Unit, Catholic University of the Sacred Heart, Rome, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Scambia
mesh_terms: D000328:Adult; D001011:Aorta; D017024:Chemotherapy, Adjuvant; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000473:pathology; D009364:Neoplasm Recurrence, Local / Q000601:surgery; D061646:Operative Time; D010051:Ovarian Neoplasms / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome
keywords: Aortic lymphadenectomy; Gynecologic cancer; Minilaparoscopy