Secondary debulking surgery in ovarian cancer patients with isolated nodal recurrence located in the region above and behind the renal vein.

OBJECTIVE: We describe our early experience with a suprarenal and retrorenal para-aortic lymphadenectomy involving the mobilization of the left kidney.

METHODS: Three patients with isolated nodal recurrence located in the region above and behind the renal vein underwent the removal of these metastatic lymph nodes using a left renal mobilization procedure.

RESULTS AND CONCLUSION: The enlarged suprarenal and retrorenal lymph nodes were safely and effectively removed in all 3 patients. Postoperatively, a lymphatic fistula developed in one patient. However, no morbidities related to renal mobilization, including renal ischemia, were observed in the current series. A further large, prospective study is required to evaluate this surgical procedure.