ABSTRACT
Background: The technical progresses both in surgery and in intensive anesthetic therapy have made possible the development of surgical techniques more and more radical. Among the surgical techniques developed, the lymph node dissection is included. The benefits of LND in gynecological cancers have either not been studied systematically or are not as obvious as the frequency of its use would suggest. The present work aims to evaluate the role of lymph node dissection in gynecological malignancies
Methods: 48 patients with gynecological cancers were included in the study. Lymph node dissection was done for all cases and any morbidity or mortality related to procedure .
Results In this study, an overall positivity rate of 45.8% was found. that a median of 26 nodes can be collected from the pelvic area and 9 nodes from the para-aortic region. This study showed that 72.7 % of patients had 3-10 positive nodes, and that the obturator group is a major route for lymphatic spread in cervical and the external iliac group is a major route for lymphatic spread in endometrial carcinoma aortic nodes were most involved with ovarian carcinoma 42.7% of patients with para-aortic node metastases had positive-pelvic The incidence rate of major complications reported in this study which show no mortality and 28 cases have no complications but there is 6 patients complicated by lymphoma 6 patients with wound infection
Conclusion: Lymph node dissection is a feasible procedure and it has therapeutic and prognostic role in gynecological operations