Analysis of morbidity and clinical implications of laparoscopic para-aortic lymphadenectomy in a continuous series of 98 patients with advanced-stage cervical cancer and negative PET CT imaging in para-aortic area.

e15574 Background: Laparoscopic para-aortic lymphadenectomy (PAL) is being used increasingly to stage patients with locally advanced cervical cancer (LACC) and to define radiation fields limits before chemoradiation therapy (CRT). The aim of this study was to review complications and to determine whether surgical complications delayed the beginning of CRT. Methods: We retrospectively reviewed a continuous series of patients with LACC, no positive PA nodes at PET CT and who had undergone a primary laparoscopic PAL. Results: From 11/2007 to 06/2010, 98 patients with LACC had undergone pretherapeutic PAL. One patient missed her scheduled PET CT before surgery. Two other patients had not undergone PAL: extensive carcinosis had been discovered in one case and a technical problem had arisen in the other. No major peroperative complications had occurred. Seven patients had lymphocyst needing an imaging-guided (or laparoscopic) puncture. Eight patients (8.4% - which corresponds to the rate of PET CT false negativ...