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Background: Objective of present study was to compare the results of lymphaenectomy (pelvic and para-aortic) between laparoscopy and laparotomy in gynecological malignancies.Methods: Authors analyze the results of 30 patients suffering from gynecological malignancies (Enometrial, Ovarian and cervical) submitted to surgery as apart of treatment. Patients were classified in Two Groups Group (1) included15 patients were submitted to open radical surgery and group (2) included 15 patients Were submitted to laparoscopic radical surgery between May 2016 and October 2017.Results: In present comparative study, there was significant difference regarding intra operative blood loss, operative time and post operative hospital stay (P<0.001) and there was no significant difference regarding intra-operative complications, post-operative complications, total number of lymph node harvested, number of positive lymphnodes (P>0.05).Conclusions: Laparoscopic lymphadenectomy is a technically feasible and safe procedure. Authors recommend further study in large number of patients with longer duration and follow up period for assessment of oncological out-come.

Background: Laparoscopic colon surgery has been currently accepted as an alternative to open surgery for colon cancer. the laparoscopic approach, also, has been shown to offer clear evidence of benefit when compared to open surgery.Methods: From July 2013 to July 2016, patients admitted via the outpatient clinics of Menofia University Hospital for elective right hemicolectomy of proved malignancy of the cecum, ascending colon, and hepatic flexure of colon were evaluated for eligibility in this study.Results: The study consisted of 22 patients; of them 13 were males (59.1%) and 9 were females (40.9%) patients, with a mean age of 43±9 years (range 25-70 years). mean operative time was 125±14 minutes (range 100-145 minutes). only four (4) intramuscular opioid injections were given as post-operative analgesia. clear fluids were started 48 hours after surgery and soft diet allowed after 72 hours. the mean length of hospital stay was 5.7 days. Only one male patient was converted to conventional surgery due to advanced tumor. two patients developed surgical site infection in the post-operative period that was mild and managed conservatively. there were no cases with intestinal leakage and mortality rate in 30 days postoperative follow up was zero.Conclusions: Laparoscopic assisted right hemicolectomy is safe and feasible technique with a good learning curve

Background: Duodenal perforation is an uncommon complication of endoscopic retrograde cholangiopancreatography (ERCP). Most cases are minor perforations that can be managed with conservative management. A few cases may result in life-threatening retroperitoneal collection and necrosis requiring surgical intervention. There is a relative paucity of references specifically describing the surgical interventions required for this eventuality.Methods: Ten cases of post-ERCP duodenal perforation were referred to our department at Ain Shams university Hospital between 2015 and 2019. Clinical features of our cases were analyzed, and the management plan was tailored to each case after discussion in multidisciplinary team (MDT) and review of the latest available literatures.Results: Seven patients recovered with conservative management. Three patients needed surgical intervention. All patients were successfully discharged home. There were no mortalities.Conclusions: Post-ERCP duodenal perforation is an uncommon complication of endoscopy, but when it does occur, it is potentially life-threatening. Early diagnosis may lead to a better outcome through early intervention. Most cases need only conservative treatment. A variety of surgical techniques may need to be employed according to the individual circumstances of the case.