Figure 1.

Paraaortic lymphadenectomy. (A) Resection of bulky paraaortic lymph nodes suspected for lymph node metastases; (B) Paraaortic region after lymphadenectomy; AA—abdominal aorta; IVC—inferior vena cava; LRV—left renal vein; LOV—left ovarian vein, cut and ligated where it drains into the left renal vein; IMAL—inferior mesenteric artery, cut and ligated; IVCL—inferior vena cava severed during pelvic lymphadenectomy, IVC was sutured with 4/0 absorbable suture; LA—lumbar artery; PMM—psoas major muscle; LCIA—left common iliac artery; LCIV—left common iliac vein; PR—promontory; RCIA—right common iliac artery; UR—ureter; EIA—external iliac artery; IIA—internal iliac artery; ROV—right ovarian vein; ROVL—right ovarian vein ligated where it drains in inferior vena cava; (C) Paraaortic lymph nodes removed en masse.