Robotic resection of bulky aorto-caval lymphadenopathy in a patient with serous fallopian tube carcinoma

Abstract

Objective:Inpatientswithovarian/fallopiantube/primary peritoneal cancer, maximum surgical effort is aimed at complete cytoreduction as it results in longer overall survival [1]. In selected patients, achieving this goal with robotic-assisted surgery provides the patient with the benefits of minimally invasive surgery [2,3]. The authors present resection of bulky aorto-caval lymph nodes in a patient with serous fallopian tube cancer. Methods: A 51-year-old underwent robotic hysterectomy and bilateral salpingo-oopherectomy by her gynecologist for bilateral complex adnexal masses and leiomyomatous uterus. The findings were consistent with a high-grade serous carcinomaarising from the right fallopian tube. The tumor size was 7 × 1.7 cm and was metastatic to bilateral ovaries. Pelvic washings and lymphovascular invasion were negative. After the patient was referred to gynecologic oncology with these findings, enhanced computed tomography demonstrated 4.5 × 2 cm lymphadenopathy at the level of aortic bifurcation and 2.5 × 2 cm