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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
Chapter
  • 727 Downloads

Abstract

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however, over time with recent changes in the surgical management of cervical cancer this classification has become outdated.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

Keywords

Radical hysterectomy Pelvic lymphadenectomy Nerve sparing Parametrium 

References

  1. 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. 2.
    Okabayashi H. Radical abdominal hysterectomy for cancer of the cervix uteri. Surg Gynecol Obstet. 1921;33:335–41.Google Scholar
  3. 3.
    Meigs JV. Carcinoma of the cervix – the Wertheim operation. Surg Gynecol Obstet. 1944;78:195–8.Google Scholar
  4. 4.
    Piver MS, Rutledge F, Smith JP. Five classes of extended hysterectomy for women with cervical cancer. Obstet Gynecol. 1974;44:265–72.PubMedGoogle Scholar
  5. 5.
    Querleu D, Morrow CP. Classification of radical hysterectomy. Lancet Oncol. 2008;9(3):297–303.CrossRefPubMedGoogle Scholar
  6. 6.
    Querleu D, Leblanc E, Castelain B. Laparoscopic pelvic lymphadenectomy in the staging of early carcinoma of the cervix. Am J Obstet Gynecol Elsevier. 1991;164(2):579–81.CrossRefGoogle Scholar
  7. 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
  8. 8.
    Köhler C, Klemm P, Schau A, Possover M, Krause N, Tozzi R, et al. Introduction of transperitoneal lymphadenectomy in a gynecologic oncology center: analysis of 650 laparoscopic pelvic and/or paraaortic transperitoneal lymphadenectomies. Gynecol Oncol. 2004;95(1):52–61.CrossRefPubMedGoogle Scholar
  9. 9.
    Cartron G, Leblanc E, Ferron G, Martel P, Narducci F, Querleu D. Complications des lymphadénectomies cœlioscopiques en oncologie gynécologique : 1102 interventions chez 915 patientes. Gynécol Obstét Fertilité. 2005;33(5):304–14.CrossRefGoogle Scholar
  10. 10.
    Abu-Rustum NR, Khoury-Collado F, Gemignani ML. Techniques of sentinel lymph node identification for early-stage cervical and uterine cancer. Gynecol Oncol Elsevier Inc. 2008;111(S):S44–50.CrossRefGoogle Scholar
  11. 11.
    Abu-Rustum NR, Khoury-Collado F, Pandit-Taskar N, Soslow RA, Dao F, Sonoda Y, et al. Sentinel lymph node mapping for grade 1 endometrial cancer: Is it the answer to the surgical staging dilemma? Gynecol Oncol Elsevier Inc. 2009;113(2):163–9.CrossRefGoogle Scholar

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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