Radical Hysterectomy and Pelvic Lymphadenectomy (French School)
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Since the beginning of the century when the first series of extended hysterectomy has been published different procedures and classifications have been proposed but none have spread worldwide. The most commonly used classification in the past decade has been the Piver-Smith classification published in 1974. For a long time it seemed adequate, however, over time with recent changes in the surgical management of cervical cancer this classification has become outdated. This is largely attributed to the development of endoscopic techniques providing a more detailed knowledge of the anatomy of the parametrium, leading to the development of a new revised classification by Querleu and Morrow in 2008.
This new classification provides four classes that are reproducible thanks to well-established anatomical landmarkes in the parametrium allowing data comparison worldwide and the standardization of radicality.
KeywordsRadical hysterectomy Pelvic lymphadenectomy Nerve sparing Parametrium
- 1.Wertheim E. The extended abdominal operation for carcinoma uteri (based on 500 operative cases). Am J Obstet Dis Women Child. 1912;66:169–232.Google Scholar
- 2.Okabayashi H. Radical abdominal hysterectomy for cancer of the cervix uteri. Surg Gynecol Obstet. 1921;33:335–41.Google Scholar
- 3.Meigs JV. Carcinoma of the cervix – the Wertheim operation. Surg Gynecol Obstet. 1944;78:195–8.Google Scholar
- 7.Nezhat CR, Burrell MO, Nezhat FR, Benigno BB, Welander CE. Laparoscopic radical hysterectomy with paraaortic and pelvic node dissection. YMOB. 1992;166(3):864–5.Google Scholar