الفهرس 
Aim of the WorkOnly 14 pages are availabe for public view
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Abstract
The most common Gynecologic Cancers include cervical, endometrial and ovarian. Rarer cancers of the gynecological tract include sarcomas, germ cell tumours, gestational trophoblastictumors, vulvar and vaginal cancers.(Galaal K et al., 2012).
Evaluation of lymph node state (pelvic¶-aortic) is amajor component of the surgical staging procedure in several gynecological malignancies such as Endometrial carcinoma and Ovarian carcinoma. (PapadiaA et al.,2004).
All Gynecological Malignancies was thought to be performed only via laparotomy.Incurrent practice the full staging procedure including hysterectomy,bilateralsalpingo-oophorectomy or cytoreduction may be performed via laparoscopy or usual laparotomy. Laparoscopic lymphadenectomy is an evolving technique that plays an increasingly important role in the management of gynecologic malignancies(Papadia A et al.,2004);(Schlaerth JB et al., 2002).
The role of the pelvic and para-aortic lymph node dissection for women diagnosed with a Gynecologic Malignancy has evolved since the 1990s. For each tumor site, there is controversy about the extent of dissection (complete lymphadenectomy versus lymph node sampling) and the anatomic level of dissection that is required (ie, pelvic with or without para-aortic nodes) ( Tewari KS et al .,2012) .