Design: Case Report

Setting: Patient underwent 3D Laparoscopy. Patient in lithotomy position under anaesthesia. Procedure done by Experienced & Qualified team

Patients or Participants: 55 year old female, postmenopausal with stage IIIC ca ovary was received NACT (3cycles of paclitaxel +Carboplatin ) proceed to laparoscopic Debulking surgery

Interventions: Diagnostic laparoscopy + debulking surgery (TLH +BSO+ OMENCTOMY + PARA-AOTIC LYMPH NODE DISSECTION + B/L PELVIC LYMPH NODE DISSECTION + APPENDICTOMY)

Measurements and Main Results: Following 3 cycles of NACT in ca ovary patient ,debulking surgery can be possible by laparoscopy replacing open method .patient followed up by 3 monthly interval with ca 125 level & 3 monthly USG (A+P). PET scan done at the end of 6 month not reveal any evidence of recurrence. Median follow up 18 month

Conclusion: Optimal debulking can be achieved by laparoscopy . it improves surgical Quality. improves survival