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Kaprin A.D.

FGBU "Moskovskiĭ nauchno-issledovatel'skiĭ onkologicheskiĭ institut im. P.A. Gertsena" Minzdrava Rossii

Novikova E.G.

Moskovskiĭ nauchno-issledovatel'skiĭ onkologicheskiĭ institut im. P.A. Gertsena

Mukhtarulina S.V.

FGKU "Glavnyĭ voennyĭ klinicheskiĭ gospital' im. N.N. Burdenko" Minoborony Rossii

Comparison of different classifications of radical hysterectomies: Complexifying or helping our understanding?

Authors:

Kaprin A.D., Novikova E.G., Mukhtarulina S.V.

More about the authors

Journal: P.A. Herzen Journal of Oncology. 2016;5(4): 63‑71

DOI: 10.17116/onkolog20165463-71

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COMPARISON OF DIFFERENT CLASSIFICATIONS OF RADICAL HYSTERECTOMIES: COMPLEXIFYING OR HELPING OUR UNDERSTANDING?
COMPARISON OF DIFFERENT CLASSIFICATIONS OF RADICAL HYSTERECTOMIES: COMPLEXIFYING OR HELPING OUR UNDERSTANDING?

To cite this article:

Kaprin AD, Novikova EG, Mukhtarulina SV. Comparison of different classifications of radical hysterectomies: Complexifying or helping our understanding? P.A. Herzen Journal of Oncology. 2016;5(4):63‑71. (In Russ.)
https://doi.org/10.17116/onkolog20165463-71

Подписка 2025-2 (P.A. Herzen Journal of Oncology)
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The paper considers the classifications of radical hysterectomies for cervical cancer, from that developed by M.S. Piver (1974) to that by D. Cibula (2011). It discusses existing differences in the classifications and shows prospects for further development.

Keywords:

cervical cancer
classification
radical hysterectomy

Authors:

Kaprin A.D.

FGBU "Moskovskiĭ nauchno-issledovatel'skiĭ onkologicheskiĭ institut im. P.A. Gertsena" Minzdrava Rossii

Novikova E.G.

Moskovskiĭ nauchno-issledovatel'skiĭ onkologicheskiĭ institut im. P.A. Gertsena

Mukhtarulina S.V.

FGKU "Glavnyĭ voennyĭ klinicheskiĭ gospital' im. N.N. Burdenko" Minoborony Rossii

List of references:

  1. Dursun P, Gultekin M, Ayhan A. History of radical hysterectomy. J Low Genit Tract Dis. 2011;15(3):235-245.  doi:10.1097/LGT.0b013e31820eb038
  2. Wertheim E. The extended abdominal operation for carcinoma uteri (based on 500 cases). Am J Obstet Dis Women Childh. 1912;66(2):169-232.
  3. Latzko W, Schiffmann J. Klinisches und anatomisches zur radikaloperation des gebarmutterkrebses (nach einem an 24 juni 1919 gehaltenen vortrag). Dikussinsbemerkungen, Weibel W. und Wertheim E. Zbl Gynäk. 1919;43:715-719.
  4. Okabayashi H. Radical abdominal hysterectomy for cancer of the cervix uteri. Surg Gynecol Obstet. 1921;33:335-341.
  5. Meigs JV. Carcinoma of the cervix: The Wertheim operation. Surg Gynecol Obstet. 1944;78:195-199.
  6. Meigs JV. The Wertheim operation for carcinoma of the cervix. Am J Obstet Gynecol. 1945;49:542-553.
  7. Meigs JV. Radical hysterectomy with bilateral pelvic lymph node dissections. A report of 100 patients operated on five or more years ago. Am J Obstet Gynecol. 1951;62:854-870.
  8. Gitsch E, Palmrich AH. Gynecological Operative Anatomy: The Simple and Radical Hysterectomy. Atlas. Appendix: The Radioisotope Radical Operation. Berlin: Walter de Gruyter; 1977.
  9. Piver MS, Rutledge FN, Smith PJ. Five classes of extended hysterectomy of women with cervical cancer. Obstet Gynecol. 1974;44:265-267.
  10. Hirsch HA, Käser O, Ikle FA. Atlas of gynecologic surgery. Thieme; 2013.
  11. Bokhman Ya. Guide oncogynecology [Rukovodstvo po onkoginekologii]. Sankt-Petersburgh: Foliant; 2002. (In Russ.)
  12. Sakuragi N, Todo Y, Sato T. Functional and anatomical consideration of systematic nerve-sparing radical hysterectomy in invasive cervical cancer. In: Cervical cancer research trends. New York, NY: Nova Science Publ.; 2007:33-68.
  13. Mota F, Vergote I, Trimbos JB, Amant F, Siddiqui N, Del Rio A, Verheijen R, Zola P. Classification of radical hysterectomy adopted by the Gynecological Cancer Group of the European Organization for Research and Treatment of Cancer. Int J Gynecol Cancer. 2008;18(5):1136-1138. doi:10.1111/j.1525-1438.2007.01138.x
  14. Mota F. Microinvasive squamous carcinoma of the cervix: treatment modalities. Acta Obstet Gynecol Scand. 2003;82(6):505-509.  doi:10.1034/j.1600-0412.2003.00124.x
  15. Landoni F, Maneo A, Cormio G, Perego P, Milani R, Caruso O, Mangioni C. Class II versus class III radical hysterectomy in stage IB-IIA cervical cancer: a prospective randomized study. Gynecol Oncol. 2001;80:3-12.  doi:10.1006/gyno.2000.6010
  16. Rutledge S, Carey MS, Pritchard H, Allen HH, Kocha W, Kirk ME. Conservative surgery for recurrent or persistent carcinoma of the cervix following irradiation: is exenteration always necessary? Gynecol Oncol. 1994;52:353-359.  doi:10.1006/gyno.1994.1061
  17. Berek JS, Howe C, Lagasse LD, Hacker NF. Pelvic exenteration for recurrent gynecologic malignancy: survival and morbidity analysis of the 45-year experience at UCLA. Gynecol Oncol. 2005;99:153-159.  doi:10.1016/j.ygyno.2005.05.034
  18. Sharma S, Odunsi K, Driscoll D, Lele S. Pelvic exenterations for gynecological malignancies: twenty-year experience at Roswell Park Cancer Institute. Int J Gynecol Cancer. 2005;15:475-482.
  19. Maggioni A, Roviglione G, Landoni F, Zanagnolo V, Peiretti M, Colombo N et al. Pelvic exenteration: ten-year experience at the European Institute of Oncology in Milan. Gynecol Oncol. 2009;114(1):64-68.  doi:10.1016/j.ygyno.2009.03.029
  20. Fotopoulou C, Neumann U, Kraetschell R, Schefold JC, Weidemann H, Lichtenegger W, Sehouli J. Long-term clinical outcome of pelvic exenteration in patients with advanced gynecological malignancies. J Surg Oncol. 2010;101(6):507-512.  doi:10.1002/jso.21518
  21. Benn T, Brooks RA, Zhang Q, Powell MA, Thaker PH, Mutch DG, Zighelboim I. Pelvic exenteration in gynecologic oncology: a single institution study over 20 years. Gynecol Oncol. 2011;122(1):14-18.  doi:10.1016/j.ygyno.2011.03.003
  22. Ramamurthy R, Duraipandian A. Morbidity and outcome of pelvic exenteration in locally advanced pelvic malignancies. Indian J Surg Oncol. 2012;3(3):231-235.  doi:10.1007/s13193-012-0129-3
  23. Petruzziello A, Kondo W, Hatschback SB, Guerreiro JA, Filho FP, Vendrame C et al. Surgical results of pelvic exenteration in the treatment of gynecologic cancer. World J Surg Oncol. 2014;8(12):279-286.  doi:10.1186/1477-7819-12-279
  24. Huang M, Iglesias DA, Westin SN, Fellman B, Urbauer D, Schmeler KM et al. Pelvic exenteration: impact of age on surgical and oncologic outcomes. Gynecol Oncol. 2014;132(1):114-118.  doi:10.1016/j.ygyno.2013.11.014
  25. Querleu D, Morrow CP. Classification of radical hysterectomy. Lancet Oncol. 2008;9:297-303.  doi:10.1016/S1470-2045(08)70074-3
  26. Trimbos JB, Maas CP, Deruiter MC, Peters AA, Kenter GG. A nerve-sparing radical hysterectomy: guidelines and feasibility in western patients. Int J Gynecol Cancer. 2001;11:180-186.
  27. Sakuragi N, Todo Y, Kudo M, Yamamoto R, Sato T. A systematic nerve-sparing radical hysterectomy technique in invasive cervical cancer for preserving postsurgical bladder function. Int J Gynecol Cancer. 2005;15:389-397.
  28. Kato K, Suzuka K, Osaki T, Tanaka N. Unilateral or bilateral nerve-sparing radical hysterectomy: a surgical technique to preserve the pelvic autonomic nerves while increasing radicality. Int J Gynecol Cancer. 2007;17(5):1172-1178. doi:10.1111/j.1525-1438.2007.01014.x
  29. Mibayashi R. Results in the treatment of cervical cancer at the Kyoto University obstetrical and gynecological clinic. Jpn Obstet Gynecol Soc. 1962;14:471-472.
  30. Höckel M. Laterally extended endopelvic resection. Novel surgical treatment of locally recurrent cervical carcinoma involving the pelvic side wall. Gynecol Oncol. 2003;91(2):369-377.  doi:10.1016/S0090-8258(03)00502-X
  31. Höckel M, Horn LC, Manthey N, Braumann UD, Wolf U, Teichmann G et al. Resection of the embryologically defined uterovaginal (Müllerian) compartment and pelvic control in patients with cervical cancer: a prospective analysis. Lancet Oncol. 2009;10(7):683-692.  doi:10.1016/S1470-2045(09)70100-7
  32. Höckel M, Horn LC, Einenkel J. Laterally extended parametrectomy in nodal positive early stage cervical cancer: Right direction, wrong track. Gynecol Oncol. 2012;125(3):765-766.  doi:10.1016/j.ygyno.2011.12.447
  33. Ungár L, Pálfalvi L, Tarnai L, Nechushkina V, Lintner B, Novák Z. Surgical treatment of stage IB cervical cancer. Int J Gynecol Cancer. 2012;22(9):1597-1603. doi:10.1097/IGC.0b013e3182725ecd
  34. Ungar L, Palfalvi L, Tarnai L, Horanyi D, Novak Z. Surgical treatment of lymph node metastases in stage IB cervical cancer. The laterally extended parametrectomy (LEP) procedure: experience with a 5 year follow-up. Gynecol Oncol. 2011;123(2):337-341.  doi:10.1016/j.ygyno.2011.07.001
  35. Denschlag D, Gabriel B, Mueller-Lantzsch C, Tempfer C, Henne K et al. Evaluation of patients after extraperitoneal lymph node dissection for cervical cancer. Gynecol Oncol. 2005;96(3):658-664.  doi:10.1016/j.ygyno.2004.08.053
  36. Cibula D, Abu-Rustum NR, Benedetti-Panici P, Köhler C, Raspagliesi F, Querleu D, Morrow CP. New classification system of radical hysterectomy: emphasis on a three-dimensional anatomic template for parametrial resection. Gynecol Oncol. 2011;122(2):264-268.  doi:10.1016/j.ygyno.2011.04.029
  37. Possover M, Stöber S, Plaul K, Schneider A. Identification and preservation of the motoric innervation of the bladder in radical hysterectomy type III. Gynecol Oncol. 2000;79(2):154-157.  doi:10.1006/gyno.2000.5919
  38. Raspagliesi F., Ditto A., Fontanelli R., Zanaboni F., Solima E., Spatti G. et al. Type II versus Type III nerve sparing radical hysterectomy: comparison of lower urinary tract dysfunctions. Gynecol Oncol. 2006;102:256-262.  doi:10.1016/j.ygyno.2005.12.014
  39. Cibula D, Sláma J, Velechovská P, Fischerova D, Zikán M, Pinkavová I, Hill M. Factors affecting spontaneous voiding recovery after radical hysterectomy. Int J Gynecol Cancer. 2010;20(4):685-690.  doi:10.1111/IGC.0b013e3181d80ae3
  40. Ditto A., Martinelli F., Hanozet F., Reato C., Solima E., Zanaboni F. et al. Class III NSRH: oncological outcome in 170 cervical cancer patients. Gynecol Oncol. 2010;119:192-197.  doi:10.1016/j.ygyno.2010.07.030
  41. Kato T, Murakami G, Yabuki Y. A new perspective on nerve-sparing radical hysterectomy: nerve topography and over-preservation of the cardinal ligament. Jpn J Clin Oncol. 2003;33(11):589-591.  doi:10.1093/jjco/hyg107
  42. Niikura H, Katahira A, Utsunomiya H, Takano T, Ito K, Nagase S et al. Surgical anatomy of intrapelvic fasciae and vesico-uterine ligament in nerve-sparing radical hysterectomy with fresh cadaver dissections. Tohoku J Exp Med. 2007;212(4):403-413.  doi:10.1620/tjem.212.403
  43. Azaïs H, Collinet P, Delmas V, Rubod C. Rapport anatomique du ligament utérosacré et du nerf hypogastrique pour la chirurgie des lésions d’endométriose profonde. Gynecol Obstet Fertil. 2013;41(3):179-183.  doi:10.1016/j.gyobfe.2013.01.004
  44. Nakamura M, Fujii T, Imanishi N, Jinzaki M, Yamada M, Kuribayashi S, Aoki D. Surgical anatomy imaging associated with cervical cancer treatment: A cadaveric study. Clin Anat. 2014;27(3):503-510.  doi:10.1002/ca.22319
  45. Shimada M, Kigawa J, Nishimura R, Yamaguchi S, Kuzuya K, Nakanishi T et al. Ovarian metastasis in carcinoma of the uterine cervix. Gynecol Oncol. 2006;101(2):234-237.  doi:10.1016/j.ygyno.2005.10.004
  46. Landoni F, Zanagnolo V, Lovato-Diaz L, Maneo A, Rossi R, Gadducci A et al. Ovarian metastases in early-stage cervical cancer (IA2-IIA): a multicenter retrospective study of 1965 patients (a Cooperative Task Force study). Int J Gynecol Cancer. 2007;17:623-628.  doi:10.1111/j.1525-1438.2006.00854.x
  47. Matsuyama T, Inoue I, Tsukamoto N, Kashimura M, Kamura T, Saito T, Uchino H. Stage Ib, IIa, and IIb cervix cancer, postsurgical staging, and prognosis. Cancer. 1984;54(12):3072-3077. doi:10.1002/1097-0142(19841215)54:12<3072:AID-CNCR2820541244>3.0.CO;2-E
  48. Inoue T, Okumura M. Prognostic significance of parametrial extension in patients with cervical carcinoma stages IB, IIA, and IIB. A study of 628 cases treated by radical hysterectomy and lymphadenectomy with or without postoperative irradiation. Cancer. 1984;54:1714-1719. doi:10.1002/1097-0142(19841015)54:8<1714::AID-CNCR2820540838>3.0.CO;2-S
  49. Inoue T, Morita K. The prognostic significance of number of positive nodes in cervical carcinoma stages IB, IIA, and IIB. Cancer. 1990;65:1923-1927. doi:10.1002/1097-0142(19900501)65:9<1923::AID-CNCR2820650909>3.0.CO;2-M
  50. Burghardt E, Pickel H, Haas J, Lahousen M. Prognostic factors and operative treatment of stages IB to IIB cervical cancer. Am J Obstet Gynecol. 1987;156:988-996.  doi:10.1016/0002-9378(87)90374-7
  51. Landoni F, Maneo A, Colombo A, Placa F, Milani R, Perego P et al. Randomized study of radical surgery versus radiotherapy for stage Ib-IIa cervical cancer. Lancet. 1997;350:535-540.  doi:10.1016/S0140-6736(97)02250-2
  52. Peters WA, Liu PY, Barrett RJ, Stock RJ, Monk BJ, Berek JS et al. Concurrent chemotherapy and pelvic radiation therapy compared with pelvic radiation therapy alone as adjuvant therapy after radical surgery in high-risk early-stage cancer of the cervix. J Clin Oncol. 2000;18:1606-1613. doi:0732-183X/00/1808-1606
  53. Togami S, Kamio M, Yanazume S, Yoshinaga M, Douchi T. Can pelvic lymphadenectomy be omitted in stage IA2 to IIB uterine cervical cancer? Int J Gynecol Cancer. 2014;24(6):1072-1076. doi:10.1097/IGC.0000000000000163
  54. Minig L, Patrono MG, Romero N, Rodríguez Moreno JF, Garcia-Donas J. Different strategies of treatment for uterine cervical carcinoma stage IB2-IIB. World J Clin Oncol. 2014;5(2):86-92.  doi:10.5306/wjco.v5.i2.86
  55. Chai Y, Wang T, Wang J, Yang Y, Gao Y, Gao J et al. Radical hysterectomy with adjuvant radiotherapy versus radical radiotherapy for FIGO stage IIB cervical cancer. BMC Cancer. 2014;14:63-71.  doi:10.1186/1471-2407-14-63
  56. Aoki D. Annual report of Gynecologic Oncology Committee, Japan Society of Obstetrics and Gynecology. J Obstet Gynaecol Res. 2014;40(2):338-348.  doi:10.1111/jog.12360
  57. Guo L, Liu X, Wang L, Sun H, Huang K, Li X et al. Outcome of international Federation of gynecology and obstetrics stage IIb cervical cancer from 2003 to 2012: an evaluation of treatments and prognosis: a retrospective study. Int J Gynecol Cancer. 2015;25(5):910-918.  doi:10.1097/IGC.0000000000000430
  58. Long Y, Yao DS, Pan XW, Ou TY. Clinical efficacy and safety of nerve-sparing radical hysterectomy for cervical cancer: a systematic review and meta-analysis. PLoS One. 2014;9(4):e94116. doi:10.1371/journal.pone.0094116
  59. Aoun F, van Velthoven R. Lower urinary tract dysfunction after nerve-sparing radical hysterectomy. Int Urogynecol J. 2015;26(7):947-957.  doi:10.1007/s00192-014-2574-8
  60. Basaran D, Dusek L, Majek O, Cibula D. Oncological outcomes of nerve-sparing radical hysterectomy for cervical cancer: a systematic review. Ann Surg Oncol. 2015;22(9):3033-3040. doi:10.1245/s10434-015-4377-7

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