SF029/#1053 Hepatic mobilization and liver resections during upper abdominal cytoreductive surgery in ovarian cancer

Abstract

open surgery is usually performed if the size is large. The authors want to show that successful resection can be achieved using the laparoscopic approach. Description In this surgical method, before entering the abdominal cavity completely, only the peritoneum was left. The space was expanded to approach the retroperitoneal space. 4 ports were used, and advanced bipolar, articulating forceps and metal clips were used. The metastatic lymph node was present on the left side and was approached from the left side, and the area where the ureter enters the kidney did not expand. The root of the metastatic lymph node was in the space between the posterior renal vein and the anterior renal artery. After blunt dissection was performed around it, the root was ligated with a metal clip. Conclusion/Implications When operating ovarian cancer, opensurgery is performed if it is not in the early stage. Also, when lymph node dissection is performed, a ventral approach is used, and the bowel is lifted at this time, which may cause postoperative pain and complications.However, if the retroperitoneal approach (side or dorsal) is performed, a sufficient field of view can be secured without directly touching the bowel, and the length of the incision can be shortened, thereby reducing complications after surgery.This surgical approach is considered to be a method that should be considered if it is any indication.