Lumbo-aortic curage in pelvic gynaecological cancers

The role of lumbo-aortic curage is a hotly debated topic, due to the complexity of the procedure and the complications that can arise, both during and after the operation. It is crucial to identify the factors limiting this procedure and to assess its impact on the prognosis of patients with pelvic gynecological cancers. A retrospective study of 85 patients operated on at Ben Arous Hospital over a 19-year period revealed that factors such as obesity, complications during pelvic curage, type of cancer, and surgeon experience influence the performance of lumbo-aortic curage. Although this procedure is associated with complications, it significantly improves recurrence-free survival at 3 years. In conclusion, despite the technical challenges and associated risks, lumbo-aortic curage, when performed, appears to offer a survival benefit.