Hysterectomy pp 589-595 | Cite as

Radical Hysterectomy and Pelvic Lymphadenectomy (French School)

  • Gabriele CentiniEmail author
  • Rodrigo P. Fernandes
  • Karolina Afors
  • Rouba Murtada
  • Marco Fabián Puga
  • Arnaud Wattiez


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however, over time with recent changes in the surgical management of cervical cancer this classification has become outdated.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.


Radical hysterectomy Pelvic lymphadenectomy Nerve sparing Parametrium 


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Copyright information

© Springer International Publishing Switzerland 2018

Authors and Affiliations

  • Gabriele Centini
    • 1
    Email author
  • Rodrigo P. Fernandes
    • 2
  • Karolina Afors
    • 3
  • Rouba Murtada
    • 4
  • Marco Fabián Puga
    • 5
  • Arnaud Wattiez
    • 6
    • 7
  1. 1.Molecular and developmental medicine, Obstetrics and GynaecologyUniversity of Siena, Ospedale santa Maria alle scotteSienaItaly
  2. 2.Department of Gynecology OncologyInstituto do Câncer do Estado de São Paulo – ICESP FM USPSão PauloBrazil
  3. 3.Obstetrics and GynaecologyKing’s College Hospital NHS TrustLondonUK
  4. 4.Department of Gynecology and ObstetricsHôpital Jean Verdier, AP-HPBondyFrance
  5. 5.Departamento de Ginecología, Unidad de Oncología GinecológicaInstituto Nacional del Cancer- Clínica Alemana de Santiago-Universidad del DesarrolloVitacuraChile
  6. 6.University of StrasbourgStrasbourgFrance
  7. 7.GYN DepartmentLatifa HospitalDubaiUAE

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