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CC BY-NC-ND 4.0 · Surg J (N Y) 2021; 07(S 02): S57-S69
DOI: 10.1055/s-0041-1736176
Precision Surgery in Obstetrics and Gynecology

The Okabayashi Radical Hysterectomy: Basic Principle and Step-by-Step Procedure

Ikuo Konishi
1   Department of Gynecology and Obstetrics, Kyoto University Graduate School of Medicine, Kyoto, Japan
2   National Hospital Organization, Kyoto Medical Center, Kyoto, Japan
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Abstract

Abdominal radical hysterectomy is the standard operation for stage IB–IIB cervical cancer in the world, which was established by Professor Hidekazu Okabayashi in 1921. In this article, the basic principle and step-by-step procedure of Okabayashi radical hysterectomy are presented, especially for young doctors to understand clearly the important points of this surgery and to realize its radicality and safety for better survival and quality of life of patients with cervical cancer.

Keywords

Okabayashi radical hysterectomy - basic principle - step-by-step procedure - cervical cancer


Publication History

Article published online:
12 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/)

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  • References

  • 1 Konishi I. Abdominal radical hysterectomy. Okabayashi method. In: Hiramatsu Y, Konishi I, Sakuragi N, Takeda S. eds. Mastering Basic Concepts and Essential Techniques OGS NOW, No. 5: Surgery for Cervical Cancer and Vulvar Cancer. Tokyo: Medical View; 2011: 26-45
    Google Scholar
  • 2 Wertheim E. The extended abdominal operation for carcinoma uteri. Based on 500 operated cases. Am J Obstet Gynecol 1912; 66: 169-232
    PubMedGoogle Scholar
  • 3 Meigs JV. Carcinoma of the cervix: the Wertheim operation. Surg Obstet Gynecol 1944; 78: 195-199
    PubMedGoogle Scholar
  • 4 Okabayashi H. Radical abdominal hysterectomy for cancer of the uterine cervix. Modification of the Takayama operation. Surg Obstet Gynecol 1921; 33: 335-341
    PubMedGoogle Scholar
  • 5 Ogura T. Radical hysterectomy: Okabayashi original procedure. In: Kobayashi T, Nishimura T, Taki I. et al., eds. Cervical Cancer. Tokyo: Nakayama Shoten; 1970: 129-151
    Google Scholar
  • 6 Okabayashi H. Radical Hysterectomy for Cervical Cancer. Tokyo: Nippon Isho Shuppan; 1952
    Google Scholar
  • 7 Kobayashi T. Abdominal Radical Hysterectomy with Pelvic Lymphadenectomy for Cancer of the Cervix. Tokyo: Nanzando; 1961
    Google Scholar
  • 8 Fujii S, Takakura K, Matsumura N. et al. Anatomic identification and functional outcomes of the nerve sparing Okabayashi radical hysterectomy. Gynecol Oncol 2007; 107 (01) 4-13
    CrossrefPubMedGoogle Scholar
  • 9 Mibayashi R. Mibayashi super-radical hysterectomy. In: Kobayashi T, Nishimura T, Taki I. et al., eds. Cervical Cancer. Tokyo: Nakayama Shoten; 1970: 269-279
    Google Scholar
  • 10 Mikami M, Ungár L, Matsuo K. Identification, technique, and outcome of super-radical hysterectomy for cervical cancer. In: Mikami M. ed. Surgery for Gynecologic Cancer. Tokyo: Springer; 2019: 117-133
    CrossrefGoogle Scholar
  • 11 Ungár L, Pálfalvi 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
    CrossrefPubMedGoogle Scholar
  • 12 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
    CrossrefPubMedGoogle Scholar