Abdominal hysterectomy – spatial model of surgical resection
Michał Zdrodowski1, Paweł Knapp1, Alicja Szyłejko2, Piotr Bernaczyk3
Affiliacja i adres do korespondencji
Curr Gynecol Oncol 2015, 13 (4), p. 245–255
DOI: 10.15557/CGO.2015.0027
Streszczenie
The paper presents current views on radical hysterectomy classification, including descriptive comments regarding the
surgical extent and medical indications. Radical hysterectomy remains the primary surgical procedure in gynecologic
oncology and is of particular importance for the treatment of patients with cervical cancer. A number of publications of the
last decades failed to anatomically define radical hysterectomy – it was assumed that the issue is familiar based on Wertheim’s
description. Attempts to systematize the therapeutic procedure resulted in a classification adapted to the current state of
knowledge. Classification of radical hysterectomy published by Querleu and Morrow’s and later modified by Cibula and
Abu-Rustum is the most current and commonly accepted system. The authors systematized previous, less precise
classification, thus allowing to standardize terminology used in surgery reports, medical publications, clinical protocols and
randomized trials. The uniqueness of this concept is due to the use of a three-dimensional model – Cibula and Abu-Rustum describe pelvic anatomical landmarks, allowing for a proper spatial orientation at different stages of surgical procedure, as
well as the borders of resection for different anatomical elements (parametrium in particular). Standardization of radical
hysterectomy procedure is also a key element in the education of gynecologic oncologists. Therefore, the presented
classification should be known and used in everyday surgical practice.
Słowa kluczowe
hysterectomy, parametrium, classification