2017 Update on the Querleu-Morrow Classification of Radical Hysterectomy

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00216208%3A11110%2F17%3A10372530" target="_blank" >RIV/00216208:11110/17:10372530 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00064165:_____/17:10372530

Výsledek na webu

<a href="http://dx.doi.org/10.1245/s10434-017-6031-z" target="_blank" >http://dx.doi.org/10.1245/s10434-017-6031-z</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1245/s10434-017-6031-z" target="_blank" >10.1245/s10434-017-6031-z</a>

Jazyk výsledku

angličtina

Název v původním jazyce

2017 Update on the Querleu-Morrow Classification of Radical Hysterectomy

Popis výsledku v původním jazyce

One of the most important principles in modern cervical cancer surgery is the concept of tailoring surgical radicality. In practice, this means abandoning the &quot;one-fits-all&quot; concept in favor of tailored operations. The term &quot;radical hysterectomy&quot; 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&apos; updated classification presents standardized, universally applicable descriptions of different types of hysterectomies performed worldwide, categorized according to degree of radicality, independently of theoretical considerations.

Název v anglickém jazyce

2017 Update on the Querleu-Morrow Classification of Radical Hysterectomy

Popis výsledku anglicky

One of the most important principles in modern cervical cancer surgery is the concept of tailoring surgical radicality. In practice, this means abandoning the &quot;one-fits-all&quot; concept in favor of tailored operations. The term &quot;radical hysterectomy&quot; 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&apos; updated classification presents standardized, universally applicable descriptions of different types of hysterectomies performed worldwide, categorized according to degree of radicality, independently of theoretical considerations.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30214 - Obstetrics and gynaecology

Projekt

—

Návaznosti

V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Rok uplatnění

2017

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Annals of Surgical Oncology

ISSN

1068-9265

e-ISSN

—

Svazek periodika

24

Číslo periodika v rámci svazku

11

Stát vydavatele periodika

US - Spojené státy americké

Počet stran výsledku

7

Strana od-do

3406-3412

Kód UT WoS článku

000410702000040

EID výsledku v databázi Scopus

2-s2.0-85026910183