Lower Midline Versus Pfannenstiel Incision in Pelvic Lymphadenectomy in Endometrial Cancer

Abstract

Is to perform pelvic lymph nodes dissection through Pfannenstiel incision in comparison with lower midline incision. The study will include 50 women diagnosed previously as endometrial cancer patients. Patients were subdivided equally into two groups regarding abdominal incision group A lower midline incision, while group B Pfannenstiel incision. Comparison between the two groups regarding number of lymph nodes dissected, complication and operative time was made. Pelvic lymph nodes dissection through lower midline incision takes shorter time versus Pfannenstiel incision (41.6 vs. 59.8 min), more lymph nodes in midline than Pfannenstiel incisions (26.5 vs. 21 lymph nodes), and endometrioid adenocarcinoma was the commonest type. Pelvic lymph nodes dissection in patients with endometrial cancer could be performed safely using lower midline incision or Pfannenstiel incision.