Case Report (Video Article-Supplement) Inframesenteric Retrocaval Bulky Lymph Node Excision

Paraaortic lymph node zone is one of the frequent metastatic sites of endometrial cancer. During paraaortic lymphadenectomy, retrocaval (postcaval) and retroaortic (postaortic) lymph nodes are not routinely dissected. However, in case of a bulky disease, all the macroscopically pathologic nodes need to be harvested. During resection of the bulky lymph nodes; obtaining a clear cleavage between the vessel and the tumor node, and a careful dissection are extremely important for an uncomplicated surgery. at the retrocaval area care should be taken to the lumbar arteries and veins.