Since Dr Dargent first reported endoscopic surgery using retroperitoneal pelvicoscopy to perform pelvic lymph node sampling in 1987, many literature reviews on the safety and feasibility of laparoscopic staging surgery of gynecologic malignancies have been published. However, the procedure of laparoscopic lymphadenectomy is more difficult to perform due to the limited surgical space and associated technical problems. Especially in the para-aortic lymphadenectomy procedure, there are many barriers to overcome in the surgical field, learning curve, and technique. We present a review of lymphadenectomy, especially para-aortic lymphadenectomy.

In the case of cervical carcinoma with OHVIRA syndrome, laparoscopic surgery is preferable for the diagnosis and management.

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Suture granuloma formation can cause abnormal radiotracer uptake of 2-deoxy-2-[18F] fluoro-D glucose (FDG) in positron emission tracing/computed tomography (PET/CT) scan. It can be formed secondary to usage of silk suture during surgery as part of delayed host inflammatory reaction to a foreign body.Here, we report a case of a 61-year-old woman diagnosed with endometrial cancer who underwent tumor debulking surgery secondary to abnormal radiotracer uptake in PET/CT suspected as tumor recurrence which on histology revealed suture granuloma.

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