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تعداد آیتم قابل مشاهده باقیمانده : 3 مورد
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Querleu-Morrow Classification: Radical hysterectomy

Querleu-Morrow Classification: Radical hysterectomy
Type of radical hysterectomy Paracervix or lateral parametrium Ventral parametrium Dorsal parametrium
A Halfway between the cervix and ureter (medial to the ureter — ureter identified but not mobilized) Minimal excision Minimal excision
B1 At the ureter (at the level of the ureteral bed — ureter mobilized from the cervix and lateral parametrium) Partial excision of the vesicouterine ligament Partial resection of the rectouterine-rectovaginal ligament and uterosacral peritoneal fold
B2 Identical to B1 plus paracervical lymphadenectomy without resection of vascular/nerve structures Partial excision of the vesicouterine ligament Partial resection of the rectouterine-rectovaginal ligament and uterosacral fold
C1 At the iliac vessels transversally, caudal part is preserved Excision of the vesicouterine ligament at the bladder. Proximal part of the vesicovaginal ligament (bladder nerves are dissected and spared). At the rectum (hypogastric nerve is dissected and spared)
C2 At the level of the medial aspect of iliac vessels completely (including the caudal part) At the bladder (bladder nerves are sacrificed) At the sacrum (hypogastric nerve is sacrificed)
D At the pelvic wall, including resection of the internal iliac vessels and/or components of the pelvic sidewall At the bladder. Not applicable if part of exenteration. At the sacrum. Not applicable if part of exenteration.
Summary of the main landmarks in each type of radical hysterectomy on each part of the parametria.
Reproduced with permission from: Querleu D, Cibula D, Abu-Rustum NR. 2017 update on the Querleu-Morrow classification of radical hysterectomy. Ann Surg Oncol 2017; 24:3406. Copyright © 2017 Springer Nature.
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