Download PDF
CC BY-NC-ND 4.0 · Surg J (N Y) 2021; 07(S 02): S108-S114
DOI: 10.1055/s-0041-1736177
Precision Surgery in Obstetrics and Gynecology

Superradical Hysterectomy for Cervical Cancer as an Alternative to the Usual Okabayashi-Type Radical Hysterectomy

Masaki Mandai
1   Department of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, Sakyo-ku, Kyoto, Japan
,
Ken Yamaguchi
1   Department of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, Sakyo-ku, Kyoto, Japan
,
Junzo Hamanishi
1   Department of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, Sakyo-ku, Kyoto, Japan
,
Kentaro Sekiyama
1   Department of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, Sakyo-ku, Kyoto, Japan
,
Eiji Kondoh
1   Department of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, Sakyo-ku, Kyoto, Japan
› Author Affiliations
› Further Information
   Permissions and Reprints

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 - Mibayashi


Publication 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
    CrossrefGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 4 Querleu D, Morrow CP. Classification of radical hysterectomy. Lancet Oncol 2008; 9 (03) 297-303
    CrossrefPubMedGoogle Scholar