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Radical hysterectomy and pelvic lymphadenectomy

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Cervix Cancer

Part of the book series: Cancer Treatment and Research ((CTAR,volume 31))

Abstract

The advent of the twentieth century witnessed the initiation of radical abdominal surgery for the treatment of uterine cancers. Recognizing the pattern of direct infiltrative extension and nodal metastases, Wertheim [1] championed an extirpative procedure that included wide parametrial resections with ureteral mobilization, inclusion of an extended segment of the uterosacral ligaments, and excision of a generous portion of the vagina and sampling of suspicious pelvic nodes. Wertheim’s experience with 500 cases included an operative mortality of 18% which was predominantly attributable to the difficulties in managing postoperative infections. Because of the associated operative mortality and the evolving applications of radiotherapy, enthusiasm for the surgical treatment of cervical carcinoma was nearly dormant for several decades.

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Authors
  1. Karl C. Podratz
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  2. Richard E. Symmonds
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Editor information

Editors and Affiliations

  1. Gynecologic Oncology, 5245 E. Knight, 85712, Tucson, Arizona, USA

    Earl A. Surwit M.D.

  2. Section of Hematology and Oncology, Department of Internal Medicine 6th Floor Facility, Arizona Health Sciences Center, University of Arizona, 1501 N. Campbell, 85724, Tucson, Arizona, USA

    David S. Alberts M.D.

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© 1987 Martinus Nijhoff Publishers, Boston

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Podratz, K.C., Symmonds, R.E. (1987). Radical hysterectomy and pelvic lymphadenectomy. In: Surwit, E.A., Alberts, D.S. (eds) Cervix Cancer. Cancer Treatment and Research, vol 31. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2027-2_6

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  • DOI: https://doi.org/10.1007/978-1-4613-2027-2_6

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-9207-4

  • Online ISBN: 978-1-4613-2027-2

  • eBook Packages: Springer Book Archive

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