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Obstetrics and Gynecology International
Volume 2010, Article ID 587610, 9 pages
http://dx.doi.org/10.1155/2010/587610
Review Article

Radical Hysterectomy with Pelvic Lymphadenectomy: Indications, Technique, and Complications

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, The University of Kentucky Chandler Medical Center and Markey Cancer Center, 800 Rose Street, Lexington, KY 40536-0293, USA

Received 9 December 2009; Accepted 11 June 2010

Academic Editor: Liselotte Mettler

Copyright © 2010 Rachel A. Ware and John R. van Nagell. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Radical hysterectomy with pelvic lymphadenectomy remains the treatment of choice for women with Stages IA2 and IB1 carcinoma of the cervix, and selected patients with Stage II endometrial cancer. Improvement in surgical techniqe, administration of prophylactic antibiotics, thromboemolic prophylaxis, and advances in critical care medicine have resulted in lower operative morbidity associated with this procedure. Major urinary tract complications such as ureteral injury or vesico-vaginal fistula are now extremely rare ( < 1%). Five-year survival rates following this procedure vary according to a number of clinical and histologic variables, and may be as high as 90% in women without lymph node metastases.