2017 Update on the Querleu-Morrow Classification of Radical Hysterectomy.
2017 Update on the Querleu-Morrow Classification of Radical Hysterectomy.
复制标题
DOI：
10.1245/s10434-017-6031-z
复制
发表时间：
2017-10
影响因子：
3.7
通讯作者：
Abu-Rustum NR
中科院分区：
文献类型：
--
作者：
Querleu D;Cibula D;Abu-Rustum NR
现代宫颈癌外科手术中最重要的原则之一是量身定做手术根治性的概念。在实践中，这意味着放弃“一刀切”的概念，转而采用量身定做的运营方式。“根治性子宫切除术”一词被用来描述许多不同的手术，每一种手术都有不同程度的根治性。解剖结构受到人工解剖人工制品的影响，以及不同的解释和命名。本研究旨在提炼和标准化Querleu-Morrow分类中定义的不同类型的根治性子宫切除术的原则和描述，并提出其普遍适用性。所有三位作者都独立检查了当前的文献，并对最初的分类进行了批判性评估。检查了显示不同类型的根治性子宫切除术的图像和病理切片，以证明对解剖学的一致看法。CiBula的3-D概念也包括在这次更新中。Querleu-Morrow的分类是基于切除的侧方范围。四种类型的根治性子宫切除术被描述，包括必要时的有限数量的亚型。两个主要目标保持不变：切除边缘清晰的中央肿瘤和切除任何潜在的淋巴结转移部位。评估宫颈癌手术治疗根治性的研究应该建立在准确的、普遍接受的描述的基础上。作者的最新分类提供了标准化的、普遍适用的对世界各地进行的不同类型的子宫切除术的描述，根据根治程度进行分类，与理论考虑无关。
One of the most important principles in modern cervical cancer surgery is the concept of tailoring surgical radicality. In practice, this means abandoning the “one-fits-all” concept in favor of tailored operations. The term “radical hysterectomy” is used to describe many different procedures, each with a different degree of radicality. Anatomic structures are subjected to artificial dissection artifacts, as well as different interpretations and nomenclatures. This study aimed to refine and standardize the principles and descriptions of the different classes of radical hysterectomy as defined in the Querleu–Morrow classification and to propose its universal applicability. All three authors independently examined the current literature and undertook a critical assessment of the original classification. Images and pathologic slides demonstrating different types of radical hysterectomy were examined to document a consensual vision of the anatomy. The Cibula 3-D concept also was included in this update. The Querleu–Morrow classification is based on the lateral extent of resection. Four types of radical hysterectomy are described, including a limited number of subtypes when necessary. Two major objectives remain constant: excision of central tumor with clear margins and removal of any potential sites of nodal metastasis. Studies evaluating radicality in the surgical management of cervical cancer should be based on precise, universally accepted descriptions. The authors’ updated classification presents standardized, universally applicable descriptions of different types of hysterectomies performed worldwide, categorized according to degree of radicality, independently of theoretical considerations.
登录
查看更多内容
影响因子：
9.8
作者：
Ercoli, A;Delmas, V;Scambia, G
通讯作者：
Scambia, G
DOI：
10.1016/s0002-9378(99)70204-8
发表时间：
1999-02-01
影响因子：
9.8
作者：
Höckel, M
通讯作者：
Höckel, M
DOI：
10.1016/s0002-9378(98)70533-2
发表时间：
1998-05-01
影响因子：
9.8
作者：
Höckel, M;Konerding, MA;Heussel, CP
通讯作者：
Heussel, CP
影响因子：
4.7
作者：
Yabuki, Y;Asamoto, A;Satou, N
通讯作者：
Satou, N
影响因子：
3.8
作者：
Landoni, F.;Maneo, A.;Mangioni, C.
通讯作者：
Mangioni, C.