Subscribe to RSS
![](/products/assets/desktop/img/oa-logo.png)
DOI: 10.1055/s-0041-1736177
Superradical Hysterectomy for Cervical Cancer as an Alternative to the Usual Okabayashi-Type Radical Hysterectomy
![](https://www.thieme-connect.de/media/10.1055-s-00028781/2021S02/lookinside/thumbnails/10-1055-s-0041-1736177_psog0031-1.jpg)
Abstract
Radical hysterectomy is a standard operation for invasive cervical cancers. However, if the invasion to the parametrium is more advanced than estimation in the operation, it is difficult to perform usual radical hysterectomy. Superradical hysterectomy was developed by Prof. Ryukichi Mibayashi of Kyoto University and was published in 1941, and has been performed for the limited cases by a part of Japanese gynecologic surgeons. Superradical hysterectomy is a procedure in which the soft tissues in the pelvis are removed en bloc by sequential processing of the internal iliac vessels, which leads to a complete dissection of the lymphatic tissue in the pelvis to the pelvic wall.
Keywords
superradical hysterectomy - cervical cancer - internal iliac vessels - locally advanced - MibayashiPublication History
Article published online:
22 October 2021
© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Mikami M, Ungar L, Matsu K. Indication, technique, and outcome of super-radical hysterectomy for cervical cancer. In: Surgery for Gynecologic Cancer. Singapore: Springer Nature Singapore Pte Ltd; 2019: 117-133
- 2 Ungar L, Palfalvi L. Surgical treatment of lymph node metastases in stage IB cervical cancer: the laterally extended parametrectomy (LEP) procedure. Int J Gynecol Cancer 2003; 13 (05) 647-651
- 3 Höckel M. Laterally extended endopelvic resection. Novel surgical treatment of locally recurrent cervical carcinoma involving the pelvic side wall. Gynecol Oncol 2003; 91 (02) 369-377
- 4 Querleu D, Morrow CP. Classification of radical hysterectomy. Lancet Oncol 2008; 9 (03) 297-303