A 54-year-old Korean woman, 2-0-3-3, was transferred to our department because her PET-CT (18-F fluoro-deoxyglucose-positron emission tomography- computed tomography) scans showed hypermetabolic lymph-node on retrocaval regions. In few years ago, she underwent radical abdominal hysterectomy and pelvic lymphadenectomy followed by concurrent chemo-radiation therapy due to positive metastatic pelvic lymph nodes, six out of 29, in other hospital. She was compatible to FIGO stage IIA2. She underwent laparoscopic excision of isolated para-aortic lymph node recurrence. The operating time was 160 minutes. There were no intra-and postoperative complications. The final histopathologic report showed the all resected lymphatic tissues, one aortocaval and six retrocaval lymph nodes, had metastatic squamous cell carcinoma. She is receiving adjuvant chemotherapy after surgery. In conclusion, laparoscopic excision is feasible and might be an alternative therapeutic option for patients with isolated para-aortic lymph node recurrence.